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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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1. Delirium
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
the tx for panic disorder
behavior achieved following reward of closer and closer approximations of desired behavior
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

2. In what disease is ACH decrease?
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the treatment for EtOH intox and withdrawal
Alzheimers
tactile hallucinations common

3. Sublimation - actress using an experience of abuse to enhance her acting
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
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the typical abuser in sexual abuse
the serum markers of alcohol use

4. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
persistent re - experiencing of a previous traumatic event
Causes of dementia

5. Methylphenidate - amphetamines - atomoxetine
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 treatments for ADHD
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
partially remaining at more childish level of development

6. Savant
autism with unusual abilities
Where child neglect is reported
intox = restlessness. Withdrawal = irritability - anxiety - craving
voluntary withholding of an idea or feeling fromk concious awareness

7. ECT - disorientation amnesia - usually resolves in 6 months
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
gustatroy hallucinations common
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
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

8. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
behavior achieved following reward of closer and closer approximations of desired behavior
the common causes of lack or orientation
the types of cluster B personality disorder
exaggerated fear of embarrasment in social situations - disorder and tx

9. Irreversible memory loss - confabulation - personality change

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10. 85 percent
the 4 W's of deprived babies?
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
turning back the maturational clock and going back to earlier modes of dealing with the world
less than what percentage of ideal body weight is common in anorexia nervosa

11. LSD
pieces of evidence for sexual child abuse
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the tx of W- K syndrome

12. To make the patient aware of hidden in their unconcious
desire to live as the opposite sex - through surgery or hormone tx
whenhypnagogic hallucinations take place
the central goa of freudian psychoanalysis
the 5 types of schizophrenia

13. 1 month
How long marijuana is detectable in the urine after last use
primal urges - freud
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
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

14. Genes > environment
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
factors are most important in the etiology of schizophrenia
pieces of evidence of physical child abuse
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

15. Maternal blues 50 to 85%
this drug is a risk factor for schizophrenia in teens
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Alzheimers
gender autism is more common in

16. Occurs while waking up
a hypomanic episode
belief that people are either all good or all bad at different times due to intolerance or ambiguity
IQ<70
When to hypnopompic hallucinations take place

17. Supression - not thinking about the USMLE until the week of the exam
olfactory hallucinations common
voluntary withholding of an idea or feeling fromk concious awareness
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
auditory hallucinations common

18. Delirium/secondary to other illness
discontinuation of reinforcement eliminates behavior
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
intox = ataxia - minor respiratory depression

19. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
psychiatric disorder associated with tourrettes - and the treatment
repeated stimulation lead sot increase response
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

20. CPS
Where child neglect is reported
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
When to hypnopompic hallucinations take place

21. 6-12 months
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
How long episodes of major depressive episode usually last
maladaptive pattern leading to clinically significant impairment or distress

22. Positive reinforcement
Huntingtons
dramatic - emotional or erratic
desired reward produces action - mouse presses button for food
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

23. 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
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
SAD PERSONS
the treatment for EtOH intox and withdrawal
How long does the disturbance last in PTSD

24. CBT - SSRI - TCI - BDZ
the typical abuser in sexual abuse
inability to remember things that occurred after CNS insult
the tx for panic disorder
heroin users at increased risk of...

25. Substance withdrawal - signs are often opposite of intoxication
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx for BDZ intox - MOA
the time frame for brief pyschotic disorder
strong persistant cross gender identification

26. Separation anxiety disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
How long does the disturbance last in PTSD
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

27. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
heroin users at increased risk of...
anterograde amnesia caused by thiamine deficiency
the tx for BDZ intox - MOA
the complications of alcoholism

28. Gamma glutamyltransferase - GGT - AST 2x ALT
depressant intoxication - nonspecific
the serum markers of alcohol use
intense fear and discomfort peaking in 10 minutes
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

29. Cocaine
desire to live as the opposite sex - through surgery or hormone tx
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
PANICS
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

30. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
this drug is a risk factor for schizophrenia in teens
involunatary withholding of an idea or feeling from conscious awareness
the tx for atypical depression

31. Dementia
How long marijuana is detectable in the urine after last use
the two types of schizoaffective disorder
Stanford - binet
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

32. Negative reinforcement
the time frame for brief pyschotic disorder
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
partially remaining at more childish level of development
the treatment for EtOH intox and withdrawal

33. Hallucination
Number of major depressive episodes constitute major depressive disorder
perceptions in the absence of external stimulus
milder form of depression lasting at least 2 years
avoidance of awareness of a some painful reality

34. Schizophrenia
auditory hallucinations common
the tx for bipolar disorder
desired reward produces action - mouse presses button for food
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

35. There are rare
DIG FAST
gustatroy hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
100 - 15

36. Seasonal affective disorder
How long infant deprivation can last before it leads to irreversible changes
olfactory hallucinations common
associated with winter season - improves in response to full spectrum light exposure
desired reward produces action - mouse presses button for food

37. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
pieces of evidence of physical child abuse
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
How long episodes of major depressive episode usually last

38. ADHD
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
turning back the maturational clock and going back to earlier modes of dealing with the world
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

39. Dysthymia
intox = ataxia - minor respiratory depression
milder form of depression lasting at least 2 years
the triad of Wernicke's encephalopathy
partially remaining at more childish level of development

40. Yes
avoidance of awareness of a some painful reality
Schizophrenia
desired reward produces action - mouse presses button for food
Is body weight maintained within nl range in bulimia nervosa

41. Nicotine
intox = restlessness. Withdrawal = irritability - anxiety - craving
process whereby avoided ideas and feelings are transferred to some neutral person or object
How long infant deprivation can last before it leads to irreversible changes
SAD PERSONS

42. Severe and profound MR?
maladaptive pattern of substance use with 3 or more of these 7 criteria
the tx for opiod intox and withdrawal
<40 and <20
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

43. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the complications of alcoholism
Diagnosis requres 2 of 5 of which sx
involunatary withholding of an idea or feeling from conscious awareness
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

44. Female primary caregiver
whering clothes of the opposite sex
the typical abuser in physical child abuse
Anxiety
associated with winter season - improves in response to full spectrum light exposure

45. Peak incidence 9-12 years of age
Is body weight maintained within nl range in bulimia nervosa
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the epi of sexual abuse
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

46. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
What ego dystonic means in relation to OCD
the common sx of PTSD

47. .1-1% of gen pop - 20% of obscene speech

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48. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
depressant intoxication - nonspecific
causes wernicke - korsakoff syndrome
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

49. EtOH withdrawal - cocaine abusers
tactile hallucinations common
Long acting oral opiate for heroine detox or long term maintenance
the treatment for maternal blues - depression - psychosis
in elderly patients who present with dementia - the concern

50. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
inability to remember things that occurred before CNS insult
the associations/complications of bulimia nervosa
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
doctor projects feelings about formative or other important persons onto patient

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Psychiatry

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