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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. EtOH withdrawal - cocaine abusers
Schizophrenia
an unacceptable internal impulse is attributed to an external source
tactile hallucinations common
the 3 types of cluster C personality disorder

2. Anxiety - tremor - seizures - insomnia
reward received after every response - rapidly extinguished - vending machine
Under these conditions do children regress to younger patterns of behavior
depressant withdrawal - nonspecific
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

3. Substance abuse
a hypomanic episode
maladaptive pattern leading to clinically significant impairment or distress
Long acting oral opiate for heroine detox or long term maintenance
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

4. CPS
anxious - fearful
inbability to recall important personal information - usually subsequent to severe trauma or stress
Where child neglect is reported
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

5. Caffeine
intox = restlessness. Withdrawal = irritability - anxiety - craving
primal urges - freud
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
intox = restlessness - increase diureis - muscle twitching

6. Rett's disorder
PANICS
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
define bipolar disorder and distinguish I from II
learning in which a particular ation is elicited because it produces a reward

7. Dissociation - can lead to multiple personality disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
patient projects feelings about formative or other important persons onto physician
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

8. Transference
inbability to recall important personal information - usually subsequent to severe trauma or stress
avoidance of awareness of a some painful reality
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
patient projects feelings about formative or other important persons onto physician

9. Periventricular hemorrhage/necrosis of mamillary bodies
turning back the maturational clock and going back to earlier modes of dealing with the world
neurologic outcome associated with W- K syndrome
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the definition of alcoholism

10. The mean IQ and SD?
inability to remember things that occurred before CNS insult
100 - 15
this drug is a risk factor for schizophrenia in teens
the concern with use of antidepressants in pts with bipoloar disorder

11. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
whenmen vs women present with schizophrenia
gustatroy hallucinations common

12. Gender identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
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
the types of cluster B personality disorder
strong persistant cross gender identification

13. In what disease does NE decrease - 5HT decrease and DA decrease?
associated with winter season - improves in response to full spectrum light exposure
inability to remember things that occurred before CNS insult
Depression
autism with unusual abilities

14. 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
This gross neurological finding is associated with ADHD
olfactory hallucinations common
SAD PERSONS
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

15. Disulfiram and supportive care
in elderly patients who present with dementia - the concern
intox = ataxia - minor respiratory depression
the tx for alcoholism
inability to remember things that occurred after CNS insult

16. SSRIs - clomipramine
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
anterograde amnesia caused by thiamine deficiency
the tx for OCD

17. Substance withdrawal - signs are often opposite of intoxication
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx for bipolar disorder
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
patient projects feelings about formative or other important persons onto physician

18. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
intense fear and discomfort peaking in 10 minutes

19. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
misinterpretations of actual external stimulus
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
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the types of cluster B personality disorder

20. Rationalization - after getting fired saying the job wasn't that important anyway
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the age of onset of ADHD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

21. There are rare
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Moral values - conscience can lead to self blame and attacks of ego
gustatroy hallucinations common

22. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
PANICS
the treatments for ADHD
perceptions in the absence of external stimulus
heroin users at increased risk of...

23. Variable ratio reinforcement schedule
depressant withdrawal - nonspecific
reward received after random number of responses - slowly extinguished - slot machine
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

24. Fixation - men fixating on sports games
partially remaining at more childish level of development
the time frame for brief pyschotic disorder
Causes of dementia
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

25. 1 month
the time frame for schizophreniform disorder
gets schizophrenia and the prev
How long marijuana is detectable in the urine after last use
the complications of alcoholism

26. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
a hypomanic episode
How long infant deprivation can last before it leads to irreversible changes

27. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
Separation of feelings from ideas and events
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 complications of alcoholism

28. .1-1% of gen pop - 20% of obscene speech

29. Anticholinergic
the 4 W's of deprived babies?
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
Drugs with what kind of affect can lead to a state of delirium
How long does the disturbance last in PTSD

30. Positive reinforcement
the common causes of lack or orientation
the tx for opiod intox and withdrawal
desired reward produces action - mouse presses button for food
odd or eccentric; inability to develop meaningful social relationships

31. In what diseaese is DA decrease - 5HT increase - and increase ACH?
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the tx for opiod intox and withdrawal
olfactory hallucinations common
Parkinsons

32. Delirium
voluntary withholding of an idea or feeling fromk concious awareness
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
visual hallucinations common
causes wernicke - korsakoff syndrome

33. Men early 20s - women late 20s early 30s
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
whenmen vs women present with schizophrenia
This gross neurological finding is associated with ADHD

34. Marijuana
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
depressant intoxication - nonspecific
whenhypnagogic hallucinations take place

35. Female primary caregiver
the typical abuser in physical child abuse
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
depressant intoxication - nonspecific
visual hallucinations common

36. Dysthymia
heroin users at increased risk of...
the common sx of PTSD
milder form of depression lasting at least 2 years
primal urges - freud

37. Dipoloar or depressive
the two types of schizoaffective disorder
this drug is a risk factor for schizophrenia in teens
the common sx of PTSD
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

38. Projection - a man who wants another women thinks his wife is cheating on him
patient projects feelings about formative or other important persons onto physician
an unacceptable internal impulse is attributed to an external source
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
misinterpretations of actual external stimulus

39. Male - known to the victim
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Drugs with what kind of affect can lead to a state of delirium
the triad of Wernicke's encephalopathy
the typical abuser in sexual abuse

40. Oppositional defiant disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the tx for bipolar disorder
the complications/associations of anorexia nervosa

41. Methadone
reward received after every response - rapidly extinguished - vending machine
Under these conditions do children regress to younger patterns of behavior
Long acting oral opiate for heroine detox or long term maintenance
pieces of evidence of physical child abuse

42. Before 7
inability to remember things that occurred after CNS insult
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
causes wernicke - korsakoff syndrome
the age of onset of ADHD

43. Identification - abused models abuser
whering clothes of the opposite sex
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
modeling behavior after another person is more powerful - though not necessarily admired
define bipolar disorder and distinguish I from II

44. 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
the time frame for schizophreniform disorder
suboxone and the rational of adding an antagonist
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
SIG E CAPS and the criteria for dx

45. Personality trait
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for BDZ intox - MOA
milder form of depression lasting at least 2 years
<40 and <20

46. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
application of aversive stimulus extinguishes unwanted behavior
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

47. Delusional disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
both illness and motivation are subconcious - sx not intentionally produced or feigned
intense fear and discomfort peaking in 10 minutes
modeling behavior after another person is more powerful - though not necessarily admired

48. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
the 3 types of cluster C personality disorder
depressant intoxication - nonspecific
the complications/associations of anorexia nervosa
voluntary withholding of an idea or feeling fromk concious awareness

49. Boys
olfactory hallucinations common
the various types of cluster A personality disorder
gender autism is more common in
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

50. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
Alzheimers
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
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 complications/associations of anorexia nervosa