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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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1. Anticholinergic
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
neurologic outcome associated with W- K syndrome
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Drugs with what kind of affect can lead to a state of delirium

2. Dissociative identity disorder
appreciating the amusing nature of an anxiety provoking or adverse situation
whenhypnagogic hallucinations take place
cyclothymia disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

3. Generalized anxiety disorder
This gross neurological finding is associated with ADHD
neurologic outcome associated with W- K syndrome
gender autism is more common in
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

4. Dissociation - can lead to multiple personality disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the epi of physical child abuse
suboxone and the rational of adding an antagonist
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

5. Classical conditioning - pavlov's dogs
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the treatments for ADHD
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Drugs with what kind of affect can lead to a state of delirium

6. Id - subconcious - I want it
perceptions in the absence of external stimulus
Diagnosis requres 2 of 5 of which sx
primal urges - freud
cyclothymia disorder

7. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Korsakoff's psychosis
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

8. 2 or more within a symptom free interval of 2 months
doctor projects feelings about formative or other important persons onto patient
the tx of W- K syndrome
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Number of major depressive episodes constitute major depressive disorder

9. Childhood disintegrative disorder
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
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 non specific signs of stimulant intox and withdrawal
the epi of physical child abuse

10. In what disease is GABA decrease and ACH decrease?
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Huntingtons
the epi of physical child abuse
Causes of dementia

11. 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
development of delusions in a person in a close relationship with delusional disorder
visual hallucinations common
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
SAD PERSONS

12. Body dysmorphic disorder
depressant withdrawal - nonspecific
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
tactile hallucinations common
pieces of evidence for sexual child abuse

13. Ego - take it and you will get in trouble
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
mediator between primal urges and accepted behavior
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

14. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
cyclothymia disorder
Causes of dementia
the 3 types of cluster C personality disorder
IQ<70

15. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
the tx for atypical depression
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
DIG FAST
IQ<70

16. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
the tx for panic disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
PANICS
visual hallucinations common

17. Depersonalization disorder

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18. Dementia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
<40 and <20
the common sx of PTSD
olfactory hallucinations common

19. In what disease does NE decrease - 5HT decrease and DA decrease?
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Depression
Causes of dementia
the central goa of freudian psychoanalysis

20. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
tactile hallucinations common
suboxone and the rational of adding an antagonist
the tx of W- K syndrome
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

21. BDZ
gustatroy hallucinations common
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
intox = ataxia - minor respiratory depression
Causes of dementia

22. Sublimation - actress using an experience of abuse to enhance her acting
reward received after random number of responses - slowly extinguished - slot machine
the triad of Wernicke's encephalopathy
the stages of change in overcoming substance addiction
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

23. Positive reinforcement
Drugs with what kind of affect can lead to a state of delirium
pieces of evidence of physical child abuse
desired reward produces action - mouse presses button for food
development of delusions in a person in a close relationship with delusional disorder

24. Social phobias - tx SSRIs
whering clothes of the opposite sex
exaggerated fear of embarrasment in social situations - disorder and tx
Long acting oral opiate for heroine detox or long term maintenance
the time frame for schizophreniform disorder

25. Nl
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the EEG findings in dementia
the common causes of lack or orientation

26. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
Number of major depressive episodes constitute major depressive disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
whenhypnagogic hallucinations take place
depressant intoxication - nonspecific

27. Malingering
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Depression
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
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

28. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the common sx of PTSD
Moral values - conscience can lead to self blame and attacks of ego
inability to remember things that occurred before CNS insult

29. Like manic but without marked impairement in fxning - no pyschotic features
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
modeling behavior after another person is more powerful - though not necessarily admired
a hypomanic episode
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

30. Loose associations
modeling behavior after another person is more powerful - though not necessarily admired
pieces of evidence for sexual child abuse
the complications of alcoholism
disorders in the form of through - the way ideas are tied together

31. Dissociative amnesia
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
inbability to recall important personal information - usually subsequent to severe trauma or stress
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

32. Schizophrenia
the treatments for ADHD
auditory hallucinations common
desire to live as the opposite sex - through surgery or hormone tx
the age of onset of ADHD

33. Orientation
Is body weight maintained within nl range in bulimia nervosa
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
exaggerated fear of embarrasment in social situations - disorder and tx

34. EtOH withdrawal - cocaine abusers
Causes of dementia
the tx of W- K syndrome
the order of loss of orientation
tactile hallucinations common

35. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
desired reward produces action - mouse presses button for food
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
persistent re - experiencing of a previous traumatic event

36. <1mo - usually stress related
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the time frame for brief pyschotic disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

37. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
the tx for atypical depression
belief that people are either all good or all bad at different times due to intolerance or ambiguity
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

38. Methylphenidate - amphetamines - atomoxetine
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
depressant intoxication - nonspecific
tactile hallucinations common
the treatments for ADHD

39. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
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
Depression
this drug is a risk factor for schizophrenia in teens
Diagnosis requres 2 of 5 of which sx

40. Denial - can occur in new AIDS or cancer diagnosis
reward received after every response - rapidly extinguished - vending machine
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
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
avoidance of awareness of a some painful reality

41. Somatization disorders
the time frame for brief pyschotic disorder
both illness and motivation are subconcious - sx not intentionally produced or feigned
SIG E CAPS and the criteria for dx
the tx for bipolar disorder

42. Caffeine
potential tx for nicotine withdrawal
intox = restlessness - increase diureis - muscle twitching
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
When separation anxiety disorder usually presents

43. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
strong persistant cross gender identification
<40 and <20
maladaptive pattern of substance use with 3 or more of these 7 criteria
the goal of the ego defenses

44. 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
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
maladaptive pattern of substance use with 3 or more of these 7 criteria

45. Flumazenil - competitive GABA antagonist
the central goa of freudian psychoanalysis
the tx for BDZ intox - MOA
modeling behavior after another person is more powerful - though not necessarily admired
the two types of schizoaffective disorder

46. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
desire to live as the opposite sex - through surgery or hormone tx

47. Rett's disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
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
behavior acquired by watching others and assimilating actions into one's own repetoire

48. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
SIG E CAPS and the criteria for dx
anxious - fearful
the central goa of freudian psychoanalysis
the typical abuser in sexual abuse

49. Splitting - a pt that says all nurses are nice and all doctors are bad
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the evidence for child neglect
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the 3 types of cluster C personality disorder

50. Superego - you know you can't have it - taking it is wrong
the stages of change in overcoming substance addiction
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
inbability to recall important personal information - usually subsequent to severe trauma or stress
Moral values - conscience can lead to self blame and attacks of ego