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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. Generalized anxiety disorder
DIG FAST
IQ<70
the tx of W- K syndrome
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

2. Extinction
heroin users at increased risk of...
discontinuation of reinforcement eliminates behavior
How long marijuana is detectable in the urine after last use
Long acting oral opiate for heroine detox or long term maintenance

3. Positive reinforcement
the treatment for maternal blues - depression - psychosis
visual hallucinations common
desired reward produces action - mouse presses button for food
repeated stimulation leads to decrease response

4. Anterograde amnesia
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
inability to remember things that occurred after CNS insult
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

5. Personality disorder
suboxone and the rational of adding an antagonist
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
the 4 W's of deprived babies?
PANICS

6. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the time frame for brief pyschotic disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
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

7. Orientation
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the types of cluster B personality disorder

8. Blacks=whites - males = females - 1.5% lifetime prev
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
gets schizophrenia and the prev
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

9. Delusions
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the common causes of lack or orientation
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

10. Somatization disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Schizophrenia
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
voluntary withholding of an idea or feeling fromk concious awareness

11. Delusional disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
PANICS
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

12. Barbituates
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
neurologic outcome associated with W- K syndrome
tactile hallucinations common

13. Methadone
the common sx of PTSD
the tx for atypical depression
Long acting oral opiate for heroine detox or long term maintenance
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

14. Savant
avoidance of awareness of a some painful reality
autism with unusual abilities
the central goa of freudian psychoanalysis
How long episodes of major depressive episode usually last

15. Yes
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
development of delusions in a person in a close relationship with delusional disorder
heroin users at increased risk of...
Is body weight maintained within nl range in bulimia nervosa

16. Male - known to the victim
the typical abuser in physical child abuse
the typical abuser in sexual abuse
tactile hallucinations common
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

17. BDZ - busiprone - SSRIs
IQ<70
the tx for GAD
disorders in the form of through - the way ideas are tied together
anterograde amnesia caused by thiamine deficiency

18. 85 percent
an unacceptable internal impulse is attributed to an external source
whering clothes of the opposite sex
less than what percentage of ideal body weight is common in anorexia nervosa
SIG E CAPS and the criteria for dx

19. Illusion
disorders in the form of through - the way ideas are tied together
development of delusions in a person in a close relationship with delusional disorder
misinterpretations of actual external stimulus
depressant withdrawal - nonspecific

20. There are rare
the time frame for schizophreniform disorder
gustatroy hallucinations common
anxious - fearful
discontinuation of reinforcement eliminates behavior

21. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Causes of dementia
Moral values - conscience can lead to self blame and attacks of ego
whenhypnagogic hallucinations take place

22. Peak incidence 9-12 years of age
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
partially remaining at more childish level of development
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the epi of sexual abuse

23. Id - subconcious - I want it
learning in which a particular ation is elicited because it produces a reward
the typical abuser in physical child abuse
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
primal urges - freud

24. Genes > environment
partially remaining at more childish level of development
factors are most important in the etiology of schizophrenia
auditory hallucinations common
learning in which a particular ation is elicited because it produces a reward

25. Retrograde amnesia
the 4 W's of deprived babies?
the complications/associations of anorexia nervosa
inability to remember things that occurred before CNS insult
mediator between primal urges and accepted behavior

26. Flumazenil - competitive GABA antagonist
Number of major depressive episodes constitute major depressive disorder
the tx for panic disorder
Drugs with what kind of affect can lead to a state of delirium
the tx for BDZ intox - MOA

27. Paranoid - disorganized - catatonic - undifferentiated - residual
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
reward received after random number of responses - slowly extinguished - slot machine
SAD PERSONS
the 5 types of schizophrenia

28. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
auditory hallucinations common
mediator between primal urges and accepted behavior
behavior achieved following reward of closer and closer approximations of desired behavior

29. Panic disorder
the tx for panic disorder
Moral values - conscience can lead to self blame and attacks of ego
the tx for opiod intox and withdrawal
intense fear and discomfort peaking in 10 minutes

30. 2 or more within a symptom free interval of 2 months
repeated stimulation leads to decrease response
the tx for opiod intox and withdrawal
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

31. Genital/anal trauma - STDs and UTIs
visual hallucinations common
pieces of evidence for sexual child abuse
anxious - fearful
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

32. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
primal urges - freud
depressant intoxication - nonspecific
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

33. Factitious disorder
neurologic outcome associated with W- K syndrome
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

34. Regression - seen in children under stress and in patients on dialysis (crying)
olfactory hallucinations common
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
the treatment for EtOH intox and withdrawal

35. Severe and profound MR?
tactile hallucinations common
<40 and <20
the evidence for child neglect
discontinuation of reinforcement eliminates behavior

36. PTSD
Stanford - binet
SIG E CAPS and the criteria for dx
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
persistent re - experiencing of a previous traumatic event

37. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
a hypomanic episode
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
define bipolar disorder and distinguish I from II

38. Anxiety - tremor - seizures - insomnia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
primal urges - freud
Where child neglect is reported
depressant withdrawal - nonspecific

39. Aura of psychomotor epilepsy and in brain tumors
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
involunatary withholding of an idea or feeling from conscious awareness
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
olfactory hallucinations common

40. Altruism - mafia boss makes a large donation to charity
maladaptive pattern of substance use with 3 or more of these 7 criteria
guilty feelings alleviated by unsolicitied generosity towards others
IQ<70
depressant intoxication - nonspecific

41. Manic episdoe
odd or eccentric; inability to develop meaningful social relationships
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the various types of cluster A personality disorder

42. Transvestism
Under these conditions do children regress to younger patterns of behavior
partially remaining at more childish level of development
whering clothes of the opposite sex
the tx for alcoholism

43. Postpartum depression - 10 to 15%
the time frame for brief pyschotic disorder
Stanford - binet
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

44. Nl
gender autism is more common in
the EEG findings in dementia
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

45. PCP
the treatment for maternal blues - depression - psychosis
whenmen vs women present with schizophrenia
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

46. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
repeated stimulation leads to decrease response
intox = restlessness. Withdrawal = irritability - anxiety - craving
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Under these conditions do children regress to younger patterns of behavior

47. Atypical depression
both illness and motivation are subconcious - sx not intentionally produced or feigned
the treatments for ADHD
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

48. CPS
Where child neglect is reported
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
repeated stimulation lead sot increase response
heroin users at increased risk of...

49. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the tx for panic disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
the non specific signs of stimulant intox and withdrawal

50. Normal intel - trouble in school
development of delusions in a person in a close relationship with delusional disorder
the various types of cluster A personality disorder
discontinuation of reinforcement eliminates behavior
In ADHD - typical intelligence and school performance