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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Yes
the triad of Wernicke's encephalopathy
Is body weight maintained within nl range in bulimia nervosa
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

2. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
olfactory hallucinations common
both illness and motivation are subconcious - sx not intentionally produced or feigned
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

3. Schizophrenia
intox = ataxia - minor respiratory depression
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

4. Opiods
This gross neurological finding is associated with ADHD
desired reward produces action - mouse presses button for food
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

5. In what disease does NE decrease - 5HT decrease and DA decrease?
Depression
repeated stimulation leads to decrease response
intox = restlessness. Withdrawal = irritability - anxiety - craving
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

6. Before 7
the age of onset of ADHD
visual hallucinations common
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
gender autism is more common in

7. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
persistent re - experiencing of a previous traumatic event
the tx for bipolar disorder
define bipolar disorder and distinguish I from II

8. EtOH withdrawal - cocaine abusers
tactile hallucinations common
neurologic outcome associated with W- K syndrome
the tx for opiod intox and withdrawal
voluntary withholding of an idea or feeling fromk concious awareness

9. Rationalization - after getting fired saying the job wasn't that important anyway
How long does the disturbance last in PTSD
patient projects feelings about formative or other important persons onto physician
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

10. BDZ - busiprone - SSRIs
whenhypnagogic hallucinations take place
primal urges - freud
the tx for GAD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

11. Shared delusional disorder
anxious - fearful
child neglect
development of delusions in a person in a close relationship with delusional disorder
Alzheimers

12. Splitting - a pt that says all nurses are nice and all doctors are bad
odd or eccentric; inability to develop meaningful social relationships
belief that people are either all good or all bad at different times due to intolerance or ambiguity
inbability to recall important personal information - usually subsequent to severe trauma or stress
the types of cluster B personality disorder

13. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
the 5 types of schizophrenia
turning back the maturational clock and going back to earlier modes of dealing with the world
guilty feelings alleviated by unsolicitied generosity towards others

14. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the serum markers of alcohol use
application of aversive stimulus extinguishes unwanted behavior
heroin users at increased risk of...

15. Substance abuse
the epi of sexual abuse
maladaptive pattern leading to clinically significant impairment or distress
an unacceptable internal impulse is attributed to an external source
How long marijuana is detectable in the urine after last use

16. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
behavior acquired by watching others and assimilating actions into one's own repetoire
the treatment for EtOH intox and withdrawal
turning back the maturational clock and going back to earlier modes of dealing with the world

17. Factitious disorder
pieces of evidence of physical child abuse
the complications/associations of anorexia nervosa
less than what percentage of ideal body weight is common in anorexia nervosa
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

18. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
depressant intoxication - nonspecific
reward received after random number of responses - slowly extinguished - slot machine
whenhypnagogic hallucinations take place

19. Modeling (social learning)

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20. Humor - nervous med student jokes about boards
How long infant deprivation can last before it leads to irreversible changes
Alzheimers
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
appreciating the amusing nature of an anxiety provoking or adverse situation

21. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the tx for opiod intox and withdrawal
Parkinsons
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the complications of alcoholism

22. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
the serum markers of alcohol use
SIG E CAPS and the criteria for dx
the triad of Wernicke's encephalopathy

23. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
Stanford - binet
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
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

24. In what disease is ACH decrease?
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
In ADHD - typical intelligence and school performance
the typical abuser in physical child abuse
Alzheimers

25. 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
mediator between primal urges and accepted behavior
the two types of schizoaffective disorder
the typical abuser in sexual abuse

26. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
Under these conditions do children regress to younger patterns of behavior
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

27. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
child neglect
DIG FAST
desire to live as the opposite sex - through surgery or hormone tx
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

28. Paranoid - disorganized - catatonic - undifferentiated - residual
Depression
the evidence for child neglect
What ego dystonic means in relation to OCD
the 5 types of schizophrenia

29. 7 to 9
turning back the maturational clock and going back to earlier modes of dealing with the world
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the tx for alcoholism
When separation anxiety disorder usually presents

30. Illusion
This gross neurological finding is associated with ADHD
misinterpretations of actual external stimulus
the common causes of lack or orientation
odd or eccentric; inability to develop meaningful social relationships

31. To make the patient aware of hidden in their unconcious
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the central goa of freudian psychoanalysis
the two types of schizoaffective disorder
the definition of alcoholism

32. Somatization disorder
intense fear and discomfort peaking in 10 minutes
whenhypnagogic hallucinations take place
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Korsakoff's psychosis

33. Loose associations
How long marijuana is detectable in the urine after last use
whering clothes of the opposite sex
disorders in the form of through - the way ideas are tied together
the tx for GAD

34. Projection - a man who wants another women thinks his wife is cheating on him
whenhypnagogic hallucinations take place
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
an unacceptable internal impulse is attributed to an external source

35. Dysthymia followed by hypomania
strong persistant cross gender identification
discontinuation of reinforcement eliminates behavior
the tx for bipolar disorder
cyclothymia disorder

36. 1-6 months
the associations/complications of bulimia nervosa
Where child neglect is reported
in elderly patients who present with dementia - the concern
the time frame for schizophreniform disorder

37. Thiamine deficiency
causes wernicke - korsakoff syndrome
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
discontinuation of reinforcement eliminates behavior
the concern with use of antidepressants in pts with bipoloar disorder

38. Postpartum depression - 10 to 15%
the complications of alcoholism
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Anxiety

39. Transvestism
the tx for opiod intox and withdrawal
whering clothes of the opposite sex
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
behavior achieved following reward of closer and closer approximations of desired behavior

40. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
How long does the disturbance last in PTSD
perceptions in the absence of external stimulus
Alzheimers

41. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
factors are most important in the etiology of schizophrenia
process whereby avoided ideas and feelings are transferred to some neutral person or object
neurologic outcome associated with W- K syndrome
depressant intoxication - nonspecific

42. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
a hypomanic episode
causes wernicke - korsakoff syndrome

43. Seasonal affective disorder
the typical abuser in sexual abuse
strong persistant cross gender identification
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
associated with winter season - improves in response to full spectrum light exposure

44. Dementia
Huntingtons
delerium tremens symptoms
the age of onset of ADHD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

45. Hypochondriasis
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Long acting oral opiate for heroine detox or long term maintenance

46. Childhood disintegrative disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
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
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
intox = restlessness - increase diureis - muscle twitching

47. In what diseaese is DA decrease - 5HT increase - and increase ACH?
DIG FAST
cyclothymia disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Parkinsons

48. Repression - not remebering a conflictual or traumatic experience
involunatary withholding of an idea or feeling from conscious awareness
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the treatments for ADHD
the tx for BDZ intox - MOA

49. Personality disorder
avoidance of awareness of a some painful reality
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
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the two types of schizoaffective disorder

50. 6 months
the common sx of PTSD
whenhypnagogic hallucinations take place
How long infant deprivation can last before it leads to irreversible changes
psychiatric disorder associated with tourrettes - and the treatment

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Psychiatry

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