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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. Supression - not thinking about the USMLE until the week of the exam
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
voluntary withholding of an idea or feeling fromk concious awareness
Parkinsons
the epi of sexual abuse

2. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the 3 types of cluster C personality disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the goal of the ego defenses
Is body weight maintained within nl range in bulimia nervosa

3. Conversion disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the complications of alcoholism
milder form of depression lasting at least 2 years

4. Female primary caregiver
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
child neglect
the typical abuser in physical child abuse
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

5. Somatization disorders
the epi of physical child abuse
the various types of cluster A personality disorder
suboxone and the rational of adding an antagonist
both illness and motivation are subconcious - sx not intentionally produced or feigned

6. 2 or more within a symptom free interval of 2 months
How long infant deprivation can last before it leads to irreversible changes
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Number of major depressive episodes constitute major depressive disorder

7. Amphetamines
gustatroy hallucinations common
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
patient projects feelings about formative or other important persons onto physician
both illness and motivation are subconcious - sx not intentionally produced or feigned

8. There are rare
maladaptive pattern leading to clinically significant impairment or distress
gustatroy hallucinations common
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
psychiatric disorder associated with tourrettes - and the treatment

9. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the tx for bipolar disorder
autism with unusual abilities

10. Ego - take it and you will get in trouble
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
mediator between primal urges and accepted behavior
application of aversive stimulus extinguishes unwanted behavior
reward received after random number of responses - slowly extinguished - slot machine

11. Displacement - mom places blame on kid because she's mad at husband
the common causes of lack or orientation
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
process whereby avoided ideas and feelings are transferred to some neutral person or object
auditory hallucinations common

12. The criteria for mental retardation?
IQ<70
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
<40 and <20
the common causes of lack or orientation

13. 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
Under these conditions do children regress to younger patterns of behavior
associated with winter season - improves in response to full spectrum light exposure
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

14. 3000 deaths/yr in the US
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
maladaptive pattern of substance use with 3 or more of these 7 criteria
the epi of physical child abuse
intox = restlessness. Withdrawal = irritability - anxiety - craving

15. Dysthymia
What ego dystonic means in relation to OCD
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
milder form of depression lasting at least 2 years

16. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the complications of alcoholism
application of aversive stimulus extinguishes unwanted behavior
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
inability to remember things that occurred after CNS insult

17. Dissociative amnesia
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
application of aversive stimulus extinguishes unwanted behavior
How long does the disturbance last in PTSD
inbability to recall important personal information - usually subsequent to severe trauma or stress

18. Nicotine
Stanford - binet
Causes of dementia
100 - 15
intox = restlessness. Withdrawal = irritability - anxiety - craving

19. Normal intel - trouble in school
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
cyclothymia disorder
discontinuation of reinforcement eliminates behavior
In ADHD - typical intelligence and school performance

20. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
repeated stimulation leads to decrease response
auditory hallucinations common

21. Boys
tactile hallucinations common
gustatroy hallucinations common
gender autism is more common in
intox = restlessness. Withdrawal = irritability - anxiety - craving

22. Generalized anxiety disorder
How long infant deprivation can last before it leads to irreversible changes
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
How long does the disturbance last in PTSD
the EEG findings in dementia

23. CPS
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Where child neglect is reported
neurologic outcome associated with W- K syndrome
the time frame for schizophreniform disorder

24. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
heroin users at increased risk of...
the typical abuser in physical child abuse
Under these conditions do children regress to younger patterns of behavior
turning back the maturational clock and going back to earlier modes of dealing with the world

25. Gender identity disorder
strong persistant cross gender identification
the tx for alcoholism
cyclothymia disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria

26. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
whering clothes of the opposite sex
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
potential tx for nicotine withdrawal

27. Countertransference
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
doctor projects feelings about formative or other important persons onto patient
the goal of the ego defenses
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

28. 85 percent
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
autism with unusual abilities
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
less than what percentage of ideal body weight is common in anorexia nervosa

29. Isolation of affect - describing murder in graphic detail with no emotional response
How long marijuana is detectable in the urine after last use
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Separation of feelings from ideas and events
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

30. Orientation
<40 and <20
the central goa of freudian psychoanalysis
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
perceptions in the absence of external stimulus

31. Dissociative fatigue
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
gender autism is more common in
primal urges - freud

32. Maternal blues 50 to 85%
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
process whereby avoided ideas and feelings are transferred to some neutral person or object
both illness and motivation are subconcious - sx not intentionally produced or feigned

33. Peak incidence 9-12 years of age
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 epi of sexual abuse
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
In ADHD - typical intelligence and school performance

34. Anticholinergic
the common causes of lack or orientation
What ego dystonic means in relation to OCD
Drugs with what kind of affect can lead to a state of delirium
When separation anxiety disorder usually presents

35. <1mo - usually stress related
Drugs with what kind of affect can lead to a state of delirium
learning in which a particular ation is elicited because it produces a reward
the time frame for brief pyschotic disorder
the 5 types of schizophrenia

36. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
When to hypnopompic hallucinations take place
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
mediator between primal urges and accepted behavior

37. Before 7
intense fear and discomfort peaking in 10 minutes
the age of onset of ADHD
100 - 15
How long infant deprivation can last before it leads to irreversible changes

38. Cluster C personality disorder
reward received after random number of responses - slowly extinguished - slot machine
anxious - fearful
Schizophrenia
Under these conditions do children regress to younger patterns of behavior

39. Positive reinforcement
desired reward produces action - mouse presses button for food
inability to remember things that occurred after CNS insult
the serum markers of alcohol use
intox = restlessness. Withdrawal = irritability - anxiety - craving

40. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
intox = restlessness. Withdrawal = irritability - anxiety - craving
mediator between primal urges and accepted behavior
the serum markers of alcohol use

41. Methadone
Long acting oral opiate for heroine detox or long term maintenance
the tx for bipolar disorder
Korsakoff's psychosis
potential tx for nicotine withdrawal

42. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the age of onset of ADHD
Is body weight maintained within nl range in bulimia nervosa
this drug is a risk factor for schizophrenia in teens

43. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
Stanford - binet
discontinuation of reinforcement eliminates behavior
the tx for atypical depression

44. Transsexualism
100 - 15
desire to live as the opposite sex - through surgery or hormone tx
Is body weight maintained within nl range in bulimia nervosa
Huntingtons

45. Flumazenil - competitive GABA antagonist
DIG FAST
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the tx for BDZ intox - MOA

46. 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
maladaptive pattern of substance use with 3 or more of these 7 criteria
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the stages of change in overcoming substance addiction
factors are most important in the etiology of schizophrenia

47. Patch - gum - losenge - buproprion - varenicline
development of delusions in a person in a close relationship with delusional disorder
potential tx for nicotine withdrawal
pieces of evidence for sexual child abuse
the tx for atypical depression

48. Aspergers
the various types of cluster A personality disorder
the epi of sexual abuse
DIG FAST
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

49. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
disorders in the form of through - the way ideas are tied together
the EEG findings in dementia
intox = restlessness. Withdrawal = irritability - anxiety - craving

50. Extinction
reward received after every response - rapidly extinguished - vending machine
discontinuation of reinforcement eliminates behavior
intense fear and discomfort peaking in 10 minutes
the serum markers of alcohol use