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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. Weed
this drug is a risk factor for schizophrenia in teens
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the typical abuser in sexual abuse
doctor projects feelings about formative or other important persons onto patient

2. Inc mania - high suicide risk
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
Number of major depressive episodes constitute major depressive disorder
the concern with use of antidepressants in pts with bipoloar disorder
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

3. Savant
autism with unusual abilities
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
anxious - fearful
Huntingtons

4. Precontemplation - contemplation - preparation - action - maintenance - relapse
appreciating the amusing nature of an anxiety provoking or adverse situation
Causes of dementia
Under these conditions do children regress to younger patterns of behavior
the stages of change in overcoming substance addiction

5. SSRIs - clomipramine
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
repeated stimulation leads to decrease response
the tx for OCD
desire to live as the opposite sex - through surgery or hormone tx

6. Malingering
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
Where child neglect is reported
the various types of cluster A personality disorder
an unacceptable internal impulse is attributed to an external source

7. Personality trait
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Schizophrenia

8. PTSD
persistent re - experiencing of a previous traumatic event
Anxiety
the epi of physical child abuse
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

9. Transsexualism
both illness and motivation are subconcious - sx not intentionally produced or feigned
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
desire to live as the opposite sex - through surgery or hormone tx
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

10. Anorexia nervosa
gets schizophrenia and the prev
Under these conditions do children regress to younger patterns of behavior
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

11. Tourrette's
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
desire to live as the opposite sex - through surgery or hormone tx
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
reward received after random number of responses - slowly extinguished - slot machine

12. In what disease does NE increase - GABA decrease - and 5HT decrease?
exaggerated fear of embarrasment in social situations - disorder and tx
maladaptive pattern leading to clinically significant impairment or distress
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
Anxiety

13. Punishment
a hypomanic episode
application of aversive stimulus extinguishes unwanted behavior
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

14. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Stanford - binet
the tx for panic disorder

15. Time then place then person
the tx of W- K syndrome
Huntingtons
the order of loss of orientation
Parkinsons

16. Orientation
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the tx for OCD
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
odd or eccentric; inability to develop meaningful social relationships

17. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the evidence for child neglect
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
associated with winter season - improves in response to full spectrum light exposure

18. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
Where child neglect is reported
whering clothes of the opposite sex
the common sx of PTSD
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

19. Calculates IQ as mental age/chronological age x 100
factors are most important in the etiology of schizophrenia
<40 and <20
reward received after random number of responses - slowly extinguished - slot machine
Stanford - binet

20. Autonomic system hyperactivity - psychotic symptoms - confusion
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
delerium tremens symptoms
cyclothymia disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

21. BDZ - busiprone - SSRIs
the concern with use of antidepressants in pts with bipoloar disorder
SAD PERSONS
the tx for GAD
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

22. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
the evidence for child neglect
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
behavior acquired by watching others and assimilating actions into one's own repetoire

23. Oppositional defiant disorder
intox = restlessness. Withdrawal = irritability - anxiety - craving
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
Is body weight maintained within nl range in bulimia nervosa

24. Delirium/secondary to other illness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Number of major depressive episodes constitute major depressive disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

25. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the EEG findings in dementia
the central goa of freudian psychoanalysis
the treatment for maternal blues - depression - psychosis
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

26. Social phobias - tx SSRIs
primal urges - freud
the non specific signs of stimulant intox and withdrawal
process whereby one replaces an unacceptable wish with a course of action that is similar to the wish but does not conflict with ones value system
exaggerated fear of embarrasment in social situations - disorder and tx

27. Thiamine deficiency
this drug is a risk factor for schizophrenia in teens
causes wernicke - korsakoff syndrome
potential tx for nicotine withdrawal
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

28. 3000 deaths/yr in the US
the epi of physical child abuse
child neglect
milder form of depression lasting at least 2 years
the evidence for child neglect

29. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
SIG E CAPS and the criteria for dx
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
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

30. Regression - seen in children under stress and in patients on dialysis (crying)
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
turning back the maturational clock and going back to earlier modes of dealing with the world
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
a hypomanic episode

31. EtOH withdrawal - cocaine abusers
olfactory hallucinations common
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
tactile hallucinations common
the tx for opiod intox and withdrawal

32. Peak incidence 9-12 years of age
disorders in the form of through - the way ideas are tied together
SIG E CAPS and the criteria for dx
the epi of sexual abuse
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

33. Genital/anal trauma - STDs and UTIs
gustatroy hallucinations common
disorders in the form of through - the way ideas are tied together
maladaptive pattern of substance use with 3 or more of these 7 criteria
pieces of evidence for sexual child abuse

34. 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
Korsakoff's psychosis
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

35. In what disease does NE decrease - 5HT decrease and DA decrease?
fear that is excessive or unreasonable and interferes with with nl fxn - cued by presence or antiicipation of a specific object or situatio - person recognizes fear is excessive
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Depression
auditory hallucinations common

36. Rett's disorder
Korsakoff's psychosis
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
exaggerated fear of embarrasment in social situations - disorder and tx
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

37. Manic episdoe
How long episodes of major depressive episode usually last
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
DIG FAST
Under these conditions do children regress to younger patterns of behavior

38. Munchausen's syndrome by proxy
disorders in the form of through - the way ideas are tied together
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the typical abuser in sexual abuse
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

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

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40. Cluster C personality disorder
anxious - fearful
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the tx for atypical depression
maladaptive pattern of substance use with 3 or more of these 7 criteria

41. Projection - a man who wants another women thinks his wife is cheating on him
the epi of physical child abuse
psychiatric disorder associated with tourrettes - and the treatment
causes wernicke - korsakoff syndrome
an unacceptable internal impulse is attributed to an external source

42. Postpartum psyschosis - .1 to .2%
the tx for alcoholism
Huntingtons
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

43. 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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44. Dementia
the tx for panic disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
intox = ataxia - minor respiratory depression
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

45. Dec frontal lobe volumes
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the non specific signs of stimulant intox and withdrawal
This gross neurological finding is associated with ADHD

46. Separation anxiety disorder
desire to live as the opposite sex - through surgery or hormone tx
less than what percentage of ideal body weight is common in anorexia nervosa
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

47. Fixation - men fixating on sports games
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
whenhypnagogic hallucinations take place
the central goa of freudian psychoanalysis
partially remaining at more childish level of development

48. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
Causes of dementia
whenmen vs women present with schizophrenia
development of delusions in a person in a close relationship with delusional disorder

49. Positive reinforcement
associated with winter season - improves in response to full spectrum light exposure
desired reward produces action - mouse presses button for food
repeated stimulation lead sot increase response
the treatment for maternal blues - depression - psychosis

50. Modeling (social learning)

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