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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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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. Substance abuse
the triad of Wernicke's encephalopathy
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
maladaptive pattern leading to clinically significant impairment or distress
strong persistant cross gender identification

2. Dec frontal lobe volumes
potential tx for nicotine withdrawal
less than what percentage of ideal body weight is common in anorexia nervosa
Long acting oral opiate for heroine detox or long term maintenance
This gross neurological finding is associated with ADHD

3. Personality trait
How long infant deprivation can last before it leads to irreversible changes
the tx for BDZ intox - MOA
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
Causes of dementia

4. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the common sx of PTSD
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
strong persistant cross gender identification
heroin users at increased risk of...

5. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
Drugs with what kind of affect can lead to a state of delirium
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 5 types of schizophrenia

6. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
When to hypnopompic hallucinations take place
Diagnosis requres 2 of 5 of which sx
the EEG findings in dementia

7. Classical conditioning - pavlov's dogs
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Alzheimers
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
perceptions in the absence of external stimulus

8. Delusions
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the common sx of PTSD
the stages of change in overcoming substance addiction

9. MAOi - SSRIs
the triad of Wernicke's encephalopathy
pieces of evidence for sexual child abuse
maladaptive pattern leading to clinically significant impairment or distress
the tx for atypical depression

10. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
desired reward produces action - mouse presses button for food
This gross neurological finding is associated with ADHD
the tx for bipolar disorder

11. Boys
gender autism is more common in
partially remaining at more childish level of development
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
suboxone and the rational of adding an antagonist

12. LSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the serum markers of alcohol use
the tx for bipolar disorder

13. Postpartum depression - 10 to 15%
the order of loss of orientation
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
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

14. Habituation - simple learning
repeated stimulation leads to decrease response
factors are most important in the etiology of schizophrenia
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

15. BDZ
the EEG findings in dementia
intox = ataxia - minor respiratory depression
process whereby avoided ideas and feelings are transferred to some neutral person or object
Long acting oral opiate for heroine detox or long term maintenance

16. Dysthymia followed by hypomania
How long does the disturbance last in PTSD
cyclothymia disorder
In ADHD - typical intelligence and school performance
suboxone and the rational of adding an antagonist

17. Separation anxiety disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Where child neglect is reported
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the tx for bipolar disorder

18. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
Huntingtons
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Stanford - binet
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

19. Positive reinforcement
mediator between primal urges and accepted behavior
suboxone and the rational of adding an antagonist
desired reward produces action - mouse presses button for food
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

20. Conduct disorder <18 - antisocial personality disorder > 18
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the tx for alcoholism

21. Isolation of affect - describing murder in graphic detail with no emotional response
the common sx of PTSD
factors are most important in the etiology of schizophrenia
Separation of feelings from ideas and events
causes wernicke - korsakoff syndrome

22. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
turning back the maturational clock and going back to earlier modes of dealing with the world
the non specific signs of stimulant intox and withdrawal
the various types of cluster A personality disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

23. Body dysmorphic disorder
Long acting oral opiate for heroine detox or long term maintenance
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
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
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

24. Anterograde amnesia
the tx for BDZ intox - MOA
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
Stanford - binet
inability to remember things that occurred after CNS insult

25. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intense fear and discomfort peaking in 10 minutes
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
gustatroy hallucinations common

26. 6 months
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
Schizophrenia
How long infant deprivation can last before it leads to irreversible changes
Moral values - conscience can lead to self blame and attacks of ego

27. Calculates IQ as mental age/chronological age x 100
Stanford - binet
development of delusions in a person in a close relationship with delusional disorder
repeated stimulation lead sot increase response
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

28. Negative reinforcement
the treatment for maternal blues - depression - psychosis
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Alzheimers
the tx for bipolar disorder

29. Delirium/secondary to other illness
the 5 types of schizophrenia
a hypomanic episode
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the associations/complications of bulimia nervosa

30. Naloxone - naltrexone - and symptomatic for withdrawal sx
Separation of feelings from ideas and events
maladaptive pattern leading to clinically significant impairment or distress
the tx for opiod intox and withdrawal
Under these conditions do children regress to younger patterns of behavior

31. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
the stages of change in overcoming substance addiction
doctor projects feelings about formative or other important persons onto patient
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
pieces of evidence of physical child abuse

32. Extinction
discontinuation of reinforcement eliminates behavior
development of delusions in a person in a close relationship with delusional disorder
primal urges - freud
the various types of cluster A personality disorder

33. In what disease does NE increase - GABA decrease - and 5HT decrease?
the 5 types of schizophrenia
Anxiety
PANICS
depressant withdrawal - nonspecific

34. Atypical depression
reward received after every response - rapidly extinguished - vending machine
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
repeated stimulation lead sot increase response

35. BDZ - busiprone - SSRIs
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the complications/associations of anorexia nervosa
odd or eccentric; inability to develop meaningful social relationships
the tx for GAD

36. Cluster B personality disorder
dramatic - emotional or erratic
disorders in the form of through - the way ideas are tied together
behavior acquired by watching others and assimilating actions into one's own repetoire
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

37. Generalized anxiety disorder
discontinuation of reinforcement eliminates behavior
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Schizophrenia
the evidence for child neglect

38. Transvestism
the complications/associations of anorexia nervosa
whering clothes of the opposite sex
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
auditory hallucinations common

39. Gamma glutamyltransferase - GGT - AST 2x ALT
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
<40 and <20
the serum markers of alcohol use
When separation anxiety disorder usually presents

40. Occurs while waking up
the treatments for ADHD
When to hypnopompic hallucinations take place
behavior acquired by watching others and assimilating actions into one's own repetoire
perceptions in the absence of external stimulus

41. 1-6 months
the time frame for schizophreniform disorder
primal urges - freud
Korsakoff's psychosis
milder form of depression lasting at least 2 years

42. Adjustment disorder
the associations/complications of bulimia nervosa
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
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
perceptions in the absence of external stimulus

43. Displacement - mom places blame on kid because she's mad at husband
behavior achieved following reward of closer and closer approximations of desired behavior
process whereby avoided ideas and feelings are transferred to some neutral person or object
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
patient projects feelings about formative or other important persons onto physician

44. 1 month
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
How long marijuana is detectable in the urine after last use
primal urges - freud
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

45. 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
olfactory hallucinations common
the time frame for brief pyschotic disorder
intox = ataxia - minor respiratory depression
SAD PERSONS

46. CBT - SSRI - TCI - BDZ
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
auditory hallucinations common
the tx for panic disorder

47. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
How long episodes of major depressive episode usually last
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
This gross neurological finding is associated with ADHD
suboxone and the rational of adding an antagonist

48. Projection - a man who wants another women thinks his wife is cheating on him
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
an unacceptable internal impulse is attributed to an external source
voluntary withholding of an idea or feeling fromk concious awareness

49. Opiods
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
olfactory hallucinations common

50. Variable ratio reinforcement schedule
neurologic outcome associated with W- K syndrome
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Separation of feelings from ideas and events
reward received after random number of responses - slowly extinguished - slot machine