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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. Atypical depression
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
delerium tremens symptoms
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

2. Men early 20s - women late 20s early 30s
inbability to recall important personal information - usually subsequent to severe trauma or stress
whenmen vs women present with schizophrenia
the tx for BDZ intox - MOA
How long does the disturbance last in PTSD

3. The criteria for mental retardation?
Where child neglect is reported
Drugs with what kind of affect can lead to a state of delirium
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
IQ<70

4. Boys
How long marijuana is detectable in the urine after last use
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
gender autism is more common in
the tx for panic disorder

5. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
PANICS
Under these conditions do children regress to younger patterns of behavior
the stages of change in overcoming substance addiction

6. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
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
the tx for bipolar disorder
doctor projects feelings about formative or other important persons onto patient
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

7. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Drugs with what kind of affect can lead to a state of delirium
whenhypnagogic hallucinations take place

8. MAOi - SSRIs
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the tx for atypical depression
depressant intoxication - nonspecific
less than what percentage of ideal body weight is common in anorexia nervosa

9. While going to sleep
whenhypnagogic hallucinations take place
delerium tremens symptoms
Under these conditions do children regress to younger patterns of behavior
neurologic outcome associated with W- K syndrome

10. Positive reinforcement
Stanford - binet
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
desired reward produces action - mouse presses button for food
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

11. Amphetamines
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
depressant withdrawal - nonspecific
reward received after random number of responses - slowly extinguished - slot machine
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

12. Occurs while waking up
When to hypnopompic hallucinations take place
partially remaining at more childish level of development
Long acting oral opiate for heroine detox or long term maintenance
gets schizophrenia and the prev

13. Naltrexone and BDZ
odd or eccentric; inability to develop meaningful social relationships
desired reward produces action - mouse presses button for food
the treatment for EtOH intox and withdrawal
maladaptive pattern leading to clinically significant impairment or distress

14. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
PANICS
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
100 - 15

15. Personality disorder
desire to live as the opposite sex - through surgery or hormone tx
intox = ataxia - minor respiratory depression
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
intense fear and discomfort peaking in 10 minutes

16. Transvestism
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
whering clothes of the opposite sex
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
tantrums

17. 7 to 9
the tx for bipolar disorder
When separation anxiety disorder usually presents
Number of major depressive episodes constitute major depressive disorder
odd or eccentric; inability to develop meaningful social relationships

18. Thiamine deficiency
Separation of feelings from ideas and events
pieces of evidence for sexual child abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
causes wernicke - korsakoff syndrome

19. Maternal blues 50 to 85%
SIG E CAPS and the criteria for dx
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Depression
the non specific signs of stimulant intox and withdrawal

20. Repression - not remebering a conflictual or traumatic experience
an unacceptable internal impulse is attributed to an external source
involunatary withholding of an idea or feeling from conscious awareness
Anxiety
depressant withdrawal - nonspecific

21. Schizophrenia
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Alzheimers
Drugs with what kind of affect can lead to a state of delirium
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

22. OCD - haloperidol
the definition of alcoholism
this drug is a risk factor for schizophrenia in teens
psychiatric disorder associated with tourrettes - and the treatment
maladaptive pattern of substance use with 3 or more of these 7 criteria

23. Nicotine
delerium tremens symptoms
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intox = restlessness. Withdrawal = irritability - anxiety - craving
reward received after random number of responses - slowly extinguished - slot machine

24. Loose associations
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
disorders in the form of through - the way ideas are tied together
define bipolar disorder and distinguish I from II
learning in which a particular ation is elicited because it produces a reward

25. Fixation - men fixating on sports games
anterograde amnesia caused by thiamine deficiency
partially remaining at more childish level of development
this drug is a risk factor for schizophrenia in teens
<40 and <20

26. Substance withdrawal - signs are often opposite of intoxication
IQ<70
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
Huntingtons
less than what percentage of ideal body weight is common in anorexia nervosa

27. Transsexualism
DIG FAST
an unacceptable internal impulse is attributed to an external source
reward received after every response - rapidly extinguished - vending machine
desire to live as the opposite sex - through surgery or hormone tx

28. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
Under these conditions do children regress to younger patterns of behavior
associated with winter season - improves in response to full spectrum light exposure
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

29. Aspergers
patient projects feelings about formative or other important persons onto physician
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
an unacceptable internal impulse is attributed to an external source
visual hallucinations common

30. Specific phobia
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
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 = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

31. Ego - take it and you will get in trouble
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the complications of alcoholism
gender autism is more common in
mediator between primal urges and accepted behavior

32. Delusional disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
both illness and motivation are subconcious - sx not intentionally produced or feigned
reward received after random number of responses - slowly extinguished - slot machine
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

33. In what diseaese is DA decrease - 5HT increase - and increase ACH?
In ADHD - typical intelligence and school performance
Parkinsons
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
cyclothymia disorder

34. Like manic but without marked impairement in fxning - no pyschotic features
anxious - fearful
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
a hypomanic episode
the tx for alcoholism

35. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the tx for OCD
the complications/associations of anorexia nervosa
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

36. Retrograde amnesia
the common causes of lack or orientation
inability to remember things that occurred before CNS insult
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
maladaptive pattern leading to clinically significant impairment or distress

37. Shaping (social learning)
involunatary withholding of an idea or feeling from conscious awareness
DIG FAST
behavior achieved following reward of closer and closer approximations of desired behavior
an unacceptable internal impulse is attributed to an external source

38. In what disease is DA increase?
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
guilty feelings alleviated by unsolicitied generosity towards others
Schizophrenia
an unacceptable internal impulse is attributed to an external source

39. 1-6 months
How long episodes of major depressive episode usually last
maladaptive pattern of substance use with 3 or more of these 7 criteria
the time frame for schizophreniform disorder
repeated stimulation leads to decrease response

40. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
reward received after every response - rapidly extinguished - vending machine
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
the definition of alcoholism
less than what percentage of ideal body weight is common in anorexia nervosa

41. Vit B1 - thiamine
the tx of W- K syndrome
whenhypnagogic hallucinations take place
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria

42. 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
auditory hallucinations common
define bipolar disorder and distinguish I from II
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

43. Genital/anal trauma - STDs and UTIs
Separation of feelings from ideas and events
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
pieces of evidence for sexual child abuse
the tx of W- K syndrome

44. BDZ - busiprone - SSRIs
Anxiety
Huntingtons
olfactory hallucinations common
the tx for GAD

45. Displacement - mom places blame on kid because she's mad at husband
delerium tremens symptoms
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the tx for OCD
process whereby avoided ideas and feelings are transferred to some neutral person or object

46. 3000 deaths/yr in the US
the epi of physical child abuse
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the evidence for child neglect
factors are most important in the etiology of schizophrenia

47. Delirium
visual hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
pieces of evidence of physical child abuse
guilty feelings alleviated by unsolicitied generosity towards others

48. Methylphenidate - amphetamines - atomoxetine
the time frame for schizophreniform disorder
the treatments for ADHD
define bipolar disorder and distinguish I from II
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

49. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
IQ<70
Diagnosis requres 2 of 5 of which sx
the EEG findings in dementia

50. Methadone
the tx for OCD
Long acting oral opiate for heroine detox or long term maintenance
Parkinsons
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection