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Psychiatry

Instructions:

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. Fixation - men fixating on sports games
Where child neglect is reported
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
partially remaining at more childish level of development
inbability to recall important personal information - usually subsequent to severe trauma or stress

2. Nl
the EEG findings in dementia
this drug is a risk factor for schizophrenia in teens
the typical abuser in physical child abuse
the associations/complications of bulimia nervosa

3. Delusional disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the treatments for ADHD
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

4. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
application of aversive stimulus extinguishes unwanted behavior
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intense fear and discomfort peaking in 10 minutes

5. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
whenhypnagogic hallucinations take place
child neglect
gender autism is more common in
the tx for OCD

6. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
How long episodes of major depressive episode usually last
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
How long does the disturbance last in PTSD
What ego dystonic means in relation to OCD

7. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
child neglect
Alzheimers
the typical abuser in physical child abuse
maladaptive pattern of substance use with 3 or more of these 7 criteria

8. Inc mania - high suicide risk
the EEG findings in dementia
IQ<70
the concern with use of antidepressants in pts with bipoloar disorder
reward received after every response - rapidly extinguished - vending machine

9. Body dysmorphic disorder
factors are most important in the etiology of schizophrenia
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
Under these conditions do children regress to younger patterns of behavior
How long marijuana is detectable in the urine after last use

10. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the evidence for child neglect
this drug is a risk factor for schizophrenia in teens

11. Delirium
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
waxing and waning level of conciousness with acute onset leading to rapid decrease in attention span/level of arousal - acute changes in mental status - disorganized thinking - hallucinations etc
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

12. The mean IQ and SD?
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Diagnosis requres 2 of 5 of which sx
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
100 - 15

13. Dementia
the associations/complications of bulimia nervosa
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
potential tx for nicotine withdrawal
gets schizophrenia and the prev

14. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the tx for alcoholism
the tx of W- K syndrome

15. Superego - you know you can't have it - taking it is wrong
the various types of cluster A personality disorder
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
voluntary withholding of an idea or feeling fromk concious awareness
Moral values - conscience can lead to self blame and attacks of ego

16. Illusion
SIG E CAPS and the criteria for dx
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the typical abuser in sexual abuse
misinterpretations of actual external stimulus

17. Delirium/secondary to other illness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
guilty feelings alleviated by unsolicitied generosity towards others
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

18. Regression - seen in children under stress and in patients on dialysis (crying)
turning back the maturational clock and going back to earlier modes of dealing with the world
auditory hallucinations common
the common causes of lack or orientation
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

19. 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
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the complications/associations of anorexia nervosa
the treatment for EtOH intox and withdrawal

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

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21. Displacement - mom places blame on kid because she's mad at husband
turning back the maturational clock and going back to earlier modes of dealing with the world
process whereby avoided ideas and feelings are transferred to some neutral person or object
the epi of physical child abuse
the tx for bipolar disorder

22. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
whenhypnagogic hallucinations take place
How long infant deprivation can last before it leads to irreversible changes
maladaptive pattern leading to clinically significant impairment or distress

23. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Under these conditions do children regress to younger patterns of behavior
application of aversive stimulus extinguishes unwanted behavior
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

24. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
the evidence for child neglect
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
SAD PERSONS
the treatments for ADHD

25. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the two types of schizoaffective disorder
intox = restlessness - increase diureis - muscle twitching
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the common causes of lack or orientation

26. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
Number of major depressive episodes constitute major depressive disorder
the tx for OCD
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

27. Postpartum psyschosis - .1 to .2%
the central goa of freudian psychoanalysis
psychiatric disorder associated with tourrettes - and the treatment
the tx for panic disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

28. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the epi of physical child abuse
cyclothymia disorder
the tx for OCD
the types of cluster B personality disorder

29. Somatization disorder
this drug is a risk factor for schizophrenia in teens
process whereby avoided ideas and feelings are transferred to some neutral person or object
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
suboxone and the rational of adding an antagonist

30. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the 4 W's of deprived babies?
How long infant deprivation can last before it leads to irreversible changes
exaggerated fear of embarrasment in social situations - disorder and tx

31. Conduct disorder <18 - antisocial personality disorder > 18
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
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 gross neurological finding is associated with ADHD
causes wernicke - korsakoff syndrome

32. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
the typical abuser in sexual abuse
doctor projects feelings about formative or other important persons onto patient
belief that people are either all good or all bad at different times due to intolerance or ambiguity

33. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
inability to remember things that occurred before CNS insult
the time frame for brief pyschotic disorder
causes wernicke - korsakoff syndrome

34. Altruism - mafia boss makes a large donation to charity
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
How long infant deprivation can last before it leads to irreversible changes
guilty feelings alleviated by unsolicitied generosity towards others
DIG FAST

35. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

36. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
Causes of dementia
the 3 types of cluster C personality disorder
What ego dystonic means in relation to OCD

37. ECT - disorientation amnesia - usually resolves in 6 months
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the treatments for ADHD

38. 7 to 9
tactile hallucinations common
When separation anxiety disorder usually presents
the typical abuser in physical child abuse
Anxiety

39. Ego - take it and you will get in trouble
mediator between primal urges and accepted behavior
inability to remember things that occurred after CNS insult
the typical abuser in physical child abuse
the 4 W's of deprived babies?

40. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Long acting oral opiate for heroine detox or long term maintenance
Diagnosis requres 2 of 5 of which sx
application of aversive stimulus extinguishes unwanted behavior
the triad of Wernicke's encephalopathy

41. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
pieces of evidence of physical child abuse
the various types of cluster A personality disorder
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

42. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
mediator between primal urges and accepted behavior
maladaptive pattern leading to clinically significant impairment or distress
application of aversive stimulus extinguishes unwanted behavior

43. Postpartum depression - 10 to 15%
the order of loss of orientation
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for GAD
SIG E CAPS and the criteria for dx

44. Severe and profound MR?
anterograde amnesia caused by thiamine deficiency
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
the goal of the ego defenses
<40 and <20

45. CPS
the tx for alcoholism
Where child neglect is reported
visual hallucinations common
When separation anxiety disorder usually presents

46. Delusions
the EEG findings in dementia
inbability to recall important personal information - usually subsequent to severe trauma or stress
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
whenmen vs women present with schizophrenia

47. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
DIG FAST
100 - 15
neurologic outcome associated with W- K syndrome

48. 6 months
How long infant deprivation can last before it leads to irreversible changes
desire to live as the opposite sex - through surgery or hormone tx
behavior achieved following reward of closer and closer approximations of desired behavior
the concern with use of antidepressants in pts with bipoloar disorder

49. Thiamine deficiency
causes wernicke - korsakoff syndrome
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
Moral values - conscience can lead to self blame and attacks of ego

50. There are rare
auditory hallucinations common
waxing and waning level of conciousness with acute onset leading to rapid decrease in attention span/level of arousal - acute changes in mental status - disorganized thinking - hallucinations etc
voluntary withholding of an idea or feeling fromk concious awareness
gustatroy hallucinations common