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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. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
autism with unusual abilities
What ego dystonic means in relation to OCD
avoidance of awareness of a some painful reality
associated with winter season - improves in response to full spectrum light exposure

2. 2 or more within a symptom free interval of 2 months
repeated stimulation lead sot increase response
Number of major depressive episodes constitute major depressive disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
depressant intoxication - nonspecific

3. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the tx for panic disorder
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

4. Thiamine deficiency
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Huntingtons
DIG FAST
causes wernicke - korsakoff syndrome

5. Somatization disorders
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
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
both illness and motivation are subconcious - sx not intentionally produced or feigned
this drug is a risk factor for schizophrenia in teens

6. Periventricular hemorrhage/necrosis of mamillary bodies
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the stages of change in overcoming substance addiction
neurologic outcome associated with W- K syndrome
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

7. In what diseaese is DA decrease - 5HT increase - and increase ACH?
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
behavior acquired by watching others and assimilating actions into one's own repetoire
Parkinsons

8. Dysthymia
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
milder form of depression lasting at least 2 years
the time frame for brief pyschotic disorder
reward received after every response - rapidly extinguished - vending machine

9. Transvestism
the central goa of freudian psychoanalysis
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
application of aversive stimulus extinguishes unwanted behavior
whering clothes of the opposite sex

10. Cluster C personality disorder
repeated stimulation lead sot increase response
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
anxious - fearful

11. Confusion - opthalmoplegia - and ataxia

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12. In what disease does NE decrease - 5HT decrease and DA decrease?
Depression
odd or eccentric; inability to develop meaningful social relationships
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
pieces of evidence of physical child abuse

13. 6 months
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
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Parkinsons
How long infant deprivation can last before it leads to irreversible changes

14. Dysthymia followed by hypomania
This gross neurological finding is associated with ADHD
cyclothymia disorder
dramatic - emotional or erratic
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

15. While going to sleep
whenmen vs women present with schizophrenia
the time frame for schizophreniform disorder
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
whenhypnagogic hallucinations take place

16. Personality trait
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
olfactory hallucinations common
anxious - fearful
this drug is a risk factor for schizophrenia in teens

17. Personality disorder
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
guilty feelings alleviated by unsolicitied generosity towards others
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
desired reward produces action - mouse presses button for food

18. Schizoaffective disorder
gets schizophrenia and the prev
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
anxious - fearful
the central goa of freudian psychoanalysis

19. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
maladaptive pattern of substance use with 3 or more of these 7 criteria
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
When separation anxiety disorder usually presents

20. Nl
pieces of evidence of physical child abuse
exaggerated fear of embarrasment in social situations - disorder and tx
the EEG findings in dementia
Parkinsons

21. Humor - nervous med student jokes about boards
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
appreciating the amusing nature of an anxiety provoking or adverse situation
autism with unusual abilities
the types of cluster B personality disorder

22. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
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
voluntary withholding of an idea or feeling fromk concious awareness
an unacceptable internal impulse is attributed to an external source

23. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Depression
Causes of dementia

24. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
the typical abuser in physical child abuse
child neglect
the tx for opiod intox and withdrawal
gustatroy hallucinations common

25. >1month
doctor projects feelings about formative or other important persons onto patient
How long does the disturbance last in PTSD
neurologic outcome associated with W- K syndrome
reward received after random number of responses - slowly extinguished - slot machine

26. Substance withdrawal - signs are often opposite of intoxication
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
dramatic - emotional or erratic
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

27. Yes
Is body weight maintained within nl range in bulimia nervosa
the common causes of lack or orientation
Korsakoff's psychosis
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

28. Postpartum psyschosis - .1 to .2%
the typical abuser in sexual abuse
Parkinsons
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
autism with unusual abilities

29. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the associations/complications of bulimia nervosa

30. 85 percent
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
less than what percentage of ideal body weight is common in anorexia nervosa
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

31. Mallory weiss syndrome
Anxiety
This gross neurological finding is associated with ADHD
maladaptive pattern of substance use with 3 or more of these 7 criteria
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

32. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the types of cluster B personality disorder
maladaptive pattern leading to clinically significant impairment or distress
autism with unusual abilities

33. 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
patient projects feelings about formative or other important persons onto physician
the goal of the ego defenses
gender autism is more common in

34. Seasonal affective disorder
depressant withdrawal - nonspecific
olfactory hallucinations common
associated with winter season - improves in response to full spectrum light exposure
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

35. Isolation of affect - describing murder in graphic detail with no emotional response
whenhypnagogic hallucinations take place
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
Huntingtons
Separation of feelings from ideas and events

36. Inc mania - high suicide risk
a hypomanic episode
delerium tremens symptoms
the concern with use of antidepressants in pts with bipoloar disorder
In ADHD - typical intelligence and school performance

37. Cluster A personality 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 most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
odd or eccentric; inability to develop meaningful social relationships
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

38. Retrograde amnesia
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
depressant withdrawal - nonspecific
inability to remember things that occurred before CNS insult
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

39. Modeling (social learning)

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40. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
whenhypnagogic hallucinations take place
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the treatment for maternal blues - depression - psychosis

41. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Is body weight maintained within nl range in bulimia nervosa
doctor projects feelings about formative or other important persons onto patient

42. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
When separation anxiety disorder usually presents
the common sx of PTSD
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the complications/associations of anorexia nervosa

43. Supression - not thinking about the USMLE until the week of the exam
the EEG findings in dementia
intox = restlessness. Withdrawal = irritability - anxiety - craving
voluntary withholding of an idea or feeling fromk concious awareness
intense fear and discomfort peaking in 10 minutes

44. Amphetamines
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the typical abuser in physical child abuse
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
factors are most important in the etiology of schizophrenia

45. Acting out
the goal of the ego defenses
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
anxious - fearful
tantrums

46. 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
Long acting oral opiate for heroine detox or long term maintenance
perceptions in the absence of external stimulus
SAD PERSONS
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

47. Gender identity disorder
strong persistant cross gender identification
whenmen vs women present with schizophrenia
Korsakoff's psychosis
In ADHD - typical intelligence and school performance

48. Irreversible memory loss - confabulation - personality change

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49. Anorexia nervosa
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Causes of dementia
intox = restlessness - increase diureis - muscle twitching
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

50. Dissociation - can lead to multiple personality disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
avoidance of awareness of a some painful reality
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode