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Psychiatry

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Vit B1 - thiamine
the tx of W- K syndrome
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
application of aversive stimulus extinguishes unwanted behavior
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

2. Childhood disintegrative disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
maladaptive pattern leading to clinically significant impairment or distress
marked regression in multiple areas of fxn after at least 2 years of nl development - loss of expressive or receptive language skills - social - adaptive behavior - bowel or bladder control - more common in boys

3. CBT - SSRI - TCI - BDZ
the tx for panic disorder
Parkinsons
visual hallucinations common
the time frame for brief pyschotic disorder

4. Punishment
repeated stimulation leads to decrease response
application of aversive stimulus extinguishes unwanted behavior
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the definition of alcoholism

5. LSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the two types of schizoaffective disorder
gender autism is more common in

6. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
this drug is a risk factor for schizophrenia in teens
PANICS

7. In what disease is ACH decrease?
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Alzheimers
inability to remember things that occurred after CNS insult
the tx for opiod intox and withdrawal

8. Reaction formation - a patient with libidinous thoughts enters a monastery
the tx for GAD
gets schizophrenia and the prev
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

9. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
Schizophrenia
PANICS
When to hypnopompic hallucinations take place

10. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
gustatroy hallucinations common
exaggerated fear of embarrasment in social situations - disorder and tx
potential tx for nicotine withdrawal

11. In what diseaese is DA decrease - 5HT increase - and increase ACH?
potential tx for nicotine withdrawal
Parkinsons
doctor projects feelings about formative or other important persons onto patient
inflexible - maladaptive - and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning - persons usually not aware of problem - presents early in adulthood

12. Tourrette's
Causes of dementia
the two types of schizoaffective disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

13. Postpartum psyschosis - .1 to .2%
Schizophrenia
the epi of sexual abuse
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
factors are most important in the etiology of schizophrenia

14. Adjustment disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
avoidance of awareness of a some painful reality

15. Dementia
the order of loss of orientation
the time frame for brief pyschotic disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

16. Irreversible memory loss - confabulation - personality change

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17. Fixation - men fixating on sports games
an unacceptable internal impulse is attributed to an external source
dramatic - emotional or erratic
turning back the maturational clock and going back to earlier modes of dealing with the world
partially remaining at more childish level of development

18. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the serum markers of alcohol use
What ego dystonic means in relation to OCD
patient conciously fakes or claims to have a disorder in order to gain a specific secondary gain and avoids medical treatmen - complaints cease after gain
Number of major depressive episodes constitute major depressive disorder

19. >1month
How long does the disturbance last in PTSD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
modeling behavior after another person is more powerful - though not necessarily admired
tactile hallucinations common

20. Social phobias - tx SSRIs
exaggerated fear of embarrasment in social situations - disorder and tx
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
olfactory hallucinations common
marked regression in multiple areas of fxn after at least 2 years of nl development - loss of expressive or receptive language skills - social - adaptive behavior - bowel or bladder control - more common in boys

21. Classical conditioning - pavlov's dogs
depressant withdrawal - nonspecific
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the evidence for child neglect
appreciating the amusing nature of an anxiety provoking or adverse situation

22. BDZ - busiprone - SSRIs
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the tx for GAD
Stanford - binet
auditory hallucinations common

23. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the non specific signs of stimulant intox and withdrawal
Drugs with what kind of affect can lead to a state of delirium
the epi of physical child abuse
less than what percentage of ideal body weight is common in anorexia nervosa

24. .1-1% of gen pop - 20% of obscene speech

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25. Repression - not remebering a conflictual or traumatic experience
involunatary withholding of an idea or feeling from conscious awareness
PANICS
the time frame for schizophreniform disorder
DIG FAST

26. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

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27. Substance abuse
the tx for panic disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
maladaptive pattern leading to clinically significant impairment or distress
this drug is a risk factor for schizophrenia in teens

28. CPS
Moral values - conscience can lead to self blame and attacks of ego
the goal of the ego defenses
the non specific signs of stimulant intox and withdrawal
Where child neglect is reported

29. In what disease does NE decrease - 5HT decrease and DA decrease?
primal urges - freud
Depression
the tx of W- K syndrome
How long marijuana is detectable in the urine after last use

30. Precontemplation - contemplation - preparation - action - maintenance - relapse
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the stages of change in overcoming substance addiction
the treatment for maternal blues - depression - psychosis
the definition of alcoholism

31. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the common causes of lack or orientation
the triad of Wernicke's encephalopathy
associated with winter season - improves in response to full spectrum light exposure

32. 85 percent
cyclothymia disorder
Where child neglect is reported
less than what percentage of ideal body weight is common in anorexia nervosa
What ego dystonic means in relation to OCD

33. 7 to 9
intense fear and discomfort peaking in 10 minutes
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
anxious - fearful
When separation anxiety disorder usually presents

34. Yes
What ego dystonic means in relation to OCD
the tx for OCD
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Is body weight maintained within nl range in bulimia nervosa

35. Like manic but without marked impairement in fxning - no pyschotic features
whenmen vs women present with schizophrenia
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
a hypomanic episode
belief that people are either all good or all bad at different times due to intolerance or ambiguity

36. Humor - nervous med student jokes about boards
whenhypnagogic hallucinations take place
guilty feelings alleviated by unsolicitied generosity towards others
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
appreciating the amusing nature of an anxiety provoking or adverse situation

37. In what disease is DA increase?
exaggerated fear of embarrasment in social situations - disorder and tx
the evidence for child neglect
What ego dystonic means in relation to OCD
Schizophrenia

38. Gender identity disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
gustatroy hallucinations common
strong persistant cross gender identification
marked regression in multiple areas of fxn after at least 2 years of nl development - loss of expressive or receptive language skills - social - adaptive behavior - bowel or bladder control - more common in boys

39. Blacks=whites - males = females - 1.5% lifetime prev
development of delusions in a person in a close relationship with delusional disorder
the tx of W- K syndrome
gets schizophrenia and the prev
Under these conditions do children regress to younger patterns of behavior

40. Occurs while waking up
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
When to hypnopompic hallucinations take place
psychiatric disorder associated with tourrettes - and the treatment
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

41. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
strong persistant cross gender identification
intox = restlessness - increase diureis - muscle twitching

42. Negative reinforcement
the 5 types of schizophrenia
Schizophrenia
strong persistant cross gender identification
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

43. Schizoaffective disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
voluntary withholding of an idea or feeling fromk concious awareness
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

44. Aspergers
anterograde amnesia caused by thiamine deficiency
the tx for bipolar disorder
Korsakoff's psychosis
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

45. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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46. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
How long does the disturbance last in PTSD
cyclothymia disorder
Causes of dementia
intox = restlessness. Withdrawal = irritability - anxiety - craving

47. In what disease does NE increase - GABA decrease - and 5HT decrease?
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Anxiety
Alzheimers
inbability to recall important personal information - usually subsequent to severe trauma or stress

48. Severe and profound MR?
misinterpretations of actual external stimulus
<40 and <20
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the tx for panic disorder

49. Transference
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
How long marijuana is detectable in the urine after last use
patient projects feelings about formative or other important persons onto physician
Parkinsons

50. Before 7
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx for BDZ intox - MOA
the age of onset of ADHD
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection