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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 withdrawal - signs are often opposite of intoxication
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the non specific signs of stimulant intox and withdrawal
In ADHD - typical intelligence and school performance

2. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
desire to live as the opposite sex - through surgery or hormone tx
gets schizophrenia and the prev
reward received after random number of responses - slowly extinguished - slot machine
Diagnosis requres 2 of 5 of which sx

3. Thiamine deficiency
tactile hallucinations common
persistent re - experiencing of a previous traumatic event
causes wernicke - korsakoff syndrome
visual hallucinations common

4. Somatization disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
When separation anxiety disorder usually presents
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

5. Depression
in elderly patients who present with dementia - the concern
the time frame for schizophreniform disorder
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
perceptions in the absence of external stimulus

6. Methadone
Long acting oral opiate for heroine detox or long term maintenance
the central goa of freudian psychoanalysis
maladaptive pattern of substance use with 3 or more of these 7 criteria
delerium tremens symptoms

7. Generalized anxiety disorder
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

8. Delusional disorder
less than what percentage of ideal body weight is common in anorexia nervosa
In ADHD - typical intelligence and school performance
maladaptive pattern leading to clinically significant impairment or distress
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

9. While going to sleep
discontinuation of reinforcement eliminates behavior
whenhypnagogic hallucinations take place
modeling behavior after another person is more powerful - though not necessarily admired
the time frame for schizophreniform disorder

10. There are rare
the tx for opiod intox and withdrawal
gustatroy hallucinations common
the types of cluster B personality disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

11. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
pieces of evidence for sexual child abuse
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

12. Inc mania - high suicide risk
tantrums
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
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the concern with use of antidepressants in pts with bipoloar disorder

13. Superego - you know you can't have it - taking it is wrong
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional 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
Moral values - conscience can lead to self blame and attacks of ego
the 4 W's of deprived babies?

14. ECT - disorientation amnesia - usually resolves in 6 months
the stages of change in overcoming substance addiction
neurologic outcome associated with W- K syndrome
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
voluntary withholding of an idea or feeling fromk concious awareness

15. PTSD
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Huntingtons
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
persistent re - experiencing of a previous traumatic event

16. Mallory weiss syndrome
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the EEG findings in dementia
the triad of Wernicke's encephalopathy
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

17. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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18. PCP
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Parkinsons
gets schizophrenia and the prev

19. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
mediator between primal urges and accepted behavior

20. CBT - SSRI - TCI - BDZ
the tx for panic disorder
whering clothes of the opposite sex
this drug is a risk factor for schizophrenia in teens
the common sx of PTSD

21. Specific phobia
the tx for GAD
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
tactile hallucinations common
misinterpretations of actual external stimulus

22. Dysthymia followed by hypomania
SIG E CAPS and the criteria for dx
cyclothymia disorder
repeated stimulation leads to decrease response
Schizophrenia

23. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
the concern with use of antidepressants in pts with bipoloar disorder
intense fear and discomfort peaking in 10 minutes
the typical abuser in sexual abuse
Under these conditions do children regress to younger patterns of behavior

24. Dissociation - can lead to multiple personality disorder
the central goa of freudian psychoanalysis
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the 3 types of cluster C personality disorder

25. Hypochondriasis
pieces of evidence of physical child abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the tx for OCD
turning back the maturational clock and going back to earlier modes of dealing with the world

26. Conduct disorder <18 - antisocial personality disorder > 18
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
<40 and <20
persistent re - experiencing of a previous traumatic event

27. Countertransference
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
doctor projects feelings about formative or other important persons onto patient
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
PANICS

28. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
pieces of evidence of physical child abuse
Parkinsons
the treatment for EtOH intox and withdrawal

29. Paranoid - disorganized - catatonic - undifferentiated - residual
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the evidence for child neglect
the 5 types of schizophrenia

30. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the 4 W's of deprived babies?
the common causes of lack or orientation
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

31. Hallucination
How long infant deprivation can last before it leads to irreversible changes
SAD PERSONS
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
perceptions in the absence of external stimulus

32. Manic episdoe
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
intox = restlessness - increase diureis - muscle twitching
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

33. Personality disorder
the types of cluster B personality disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the order of loss of orientation
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

34. Social phobias - tx SSRIs
the 3 types of cluster C personality disorder
exaggerated fear of embarrasment in social situations - disorder and tx
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Where child neglect is reported

35. Negative reinforcement
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

36. Seasonal affective disorder
Moral values - conscience can lead to self blame and attacks of ego
associated with winter season - improves in response to full spectrum light exposure
PANICS
process whereby avoided ideas and feelings are transferred to some neutral person or object

37. Positive reinforcement
the concern with use of antidepressants in pts with bipoloar disorder
desired reward produces action - mouse presses button for food
the treatment for EtOH intox and withdrawal
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

38. 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
pieces of evidence of physical child abuse
maladaptive pattern of substance use with 3 or more of these 7 criteria
the tx for BDZ intox - MOA
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

39. Marijuana
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
define bipolar disorder and distinguish I from II
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
behavior achieved following reward of closer and closer approximations of desired behavior

40. Cluster A personality disorder
intox = ataxia - minor respiratory depression
odd or eccentric; inability to develop meaningful social relationships
voluntary withholding of an idea or feeling fromk concious awareness
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

41. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
Causes of dementia
What ego dystonic means in relation to OCD
the two types of schizoaffective disorder
whenhypnagogic hallucinations take place

42. Confusion - opthalmoplegia - and ataxia

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43. Body dysmorphic disorder
avoidance of awareness of a some painful reality
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
discontinuation of reinforcement eliminates behavior

44. CPS
Where child neglect is reported
When to hypnopompic hallucinations take place
the EEG findings in dementia
primal urges - freud

45. Male - known to the victim
desire to live as the opposite sex - through surgery or hormone tx
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the typical abuser in sexual abuse
reward received after every response - rapidly extinguished - vending machine

46. EtOH withdrawal - cocaine abusers
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
Stanford - binet
tactile hallucinations common
this drug is a risk factor for schizophrenia in teens

47. Blacks=whites - males = females - 1.5% lifetime prev
the time frame for schizophreniform disorder
gets schizophrenia and the prev
psychiatric disorder associated with tourrettes - and the treatment
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

48. Panic disorder
intense fear and discomfort peaking in 10 minutes
This gross neurological finding is associated with ADHD
the complications of alcoholism
milder form of depression lasting at least 2 years

49. Severe and profound MR?
<40 and <20
Alzheimers
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
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

50. Anorexia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
neurologic outcome associated with W- K syndrome
delerium tremens symptoms
maladaptive pattern of substance use with 3 or more of these 7 criteria