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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. Thiamine deficiency
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
reward received after random number of responses - slowly extinguished - slot machine
causes wernicke - korsakoff syndrome
the typical abuser in sexual abuse

2. Ego - take it and you will get in trouble
development of delusions in a person in a close relationship with delusional disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
appreciating the amusing nature of an anxiety provoking or adverse situation
mediator between primal urges and accepted behavior

3. In what disease is ACH decrease?
potential tx for nicotine withdrawal
Alzheimers
appreciating the amusing nature of an anxiety provoking or adverse situation
Is body weight maintained within nl range in bulimia nervosa

4. Modeling (social learning)

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5. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the evidence for child neglect
persistent re - experiencing of a previous traumatic event
How long episodes of major depressive episode usually last

6. Postpartum depression - 10 to 15%
psychiatric disorder associated with tourrettes - and the treatment
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
100 - 15
the tx for opiod intox and withdrawal

7. Sublimation - actress using an experience of abuse to enhance her acting
intox = restlessness - increase diureis - muscle twitching
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
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
depressant intoxication - nonspecific

8. Amphetamines
maladaptive pattern leading to clinically significant impairment or distress
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
primal urges - freud
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

9. Retrograde amnesia
pieces of evidence of physical child abuse
inability to remember things that occurred before CNS insult
dramatic - emotional or erratic
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

10. Anterograde amnesia
inability to remember things that occurred after CNS insult
Anxiety
turning back the maturational clock and going back to earlier modes of dealing with the world
tantrums

11. Acting out
gender autism is more common in
tantrums
the tx for alcoholism
intense fear and discomfort peaking in 10 minutes

12. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
intense fear and discomfort peaking in 10 minutes
the time frame for brief pyschotic disorder
the definition of alcoholism

13. Fixation - men fixating on sports games
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
potential tx for nicotine withdrawal
partially remaining at more childish level of development
the tx for bipolar disorder

14. Flumazenil - competitive GABA antagonist
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
visual hallucinations common
the tx for BDZ intox - MOA
guilty feelings alleviated by unsolicitied generosity towards others

15. Time then place then person
application of aversive stimulus extinguishes unwanted behavior
the two types of schizoaffective disorder
turning back the maturational clock and going back to earlier modes of dealing with the world
the order of loss of orientation

16. Superego - you know you can't have it - taking it is wrong
application of aversive stimulus extinguishes unwanted behavior
Moral values - conscience can lead to self blame and attacks of ego
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Causes of dementia

17. Somatization disorders
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
both illness and motivation are subconcious - sx not intentionally produced or feigned
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

18. Habituation - simple learning
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the tx for OCD
Schizophrenia
repeated stimulation leads to decrease response

19. Panic disorder
intense fear and discomfort peaking in 10 minutes
the order of loss of orientation
the tx for GAD
partially remaining at more childish level of development

20. LSD
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Depression
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
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

21. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
the tx for OCD
child neglect
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

22. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
behavior acquired by watching others and assimilating actions into one's own repetoire
repeated stimulation lead sot increase response
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

23. Dipoloar or depressive
the two types of schizoaffective disorder
factors are most important in the etiology of schizophrenia
Depression
visual hallucinations common

24. Korsakoff's amnesia
heroin users at increased risk of...
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
anterograde amnesia caused by thiamine deficiency
persistent re - experiencing of a previous traumatic event

25. Dissociative amnesia
associated with winter season - improves in response to full spectrum light exposure
inbability to recall important personal information - usually subsequent to severe trauma or stress
DIG FAST
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

26. Extinction
the two types of schizoaffective disorder
the 5 types of schizophrenia
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
discontinuation of reinforcement eliminates behavior

27. Illusion
misinterpretations of actual external stimulus
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
This gross neurological finding is associated with ADHD
Korsakoff's psychosis

28. PCP
the associations/complications of bulimia nervosa
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
primal urges - freud
the tx for BDZ intox - MOA

29. Substance abuse
persistent re - experiencing of a previous traumatic event
maladaptive pattern leading to clinically significant impairment or distress
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the serum markers of alcohol use

30. Blacks=whites - males = females - 1.5% lifetime prev
gets schizophrenia and the prev
reward received after random number of responses - slowly extinguished - slot machine
the 4 W's of deprived babies?
misinterpretations of actual external stimulus

31. Identification - abused models abuser
modeling behavior after another person is more powerful - though not necessarily admired
factors are most important in the etiology of schizophrenia
neurologic outcome associated with W- K syndrome
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

32. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the complications of alcoholism
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

33. Atypical depression
When separation anxiety disorder usually presents
How long does the disturbance last in PTSD
belief that people are either all good or all bad at different times due to intolerance or ambiguity
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

34. Social phobias - tx SSRIs
exaggerated fear of embarrasment in social situations - disorder and tx
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
tactile hallucinations common
auditory hallucinations common

35. Delirium/secondary to other illness
Parkinsons
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the tx for opiod intox and withdrawal
depressant intoxication - nonspecific

36. CBT - SSRI - TCI - BDZ
the tx for panic disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
How long marijuana is detectable in the urine after last use
Moral values - conscience can lead to self blame and attacks of ego

37. Adjustment disorder
visual hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
autism with unusual abilities
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

38. Patch - gum - losenge - buproprion - varenicline
anxious - fearful
What ego dystonic means in relation to OCD
potential tx for nicotine withdrawal
the treatment for EtOH intox and withdrawal

39. Separation anxiety disorder
behavior acquired by watching others and assimilating actions into one's own repetoire
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
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

40. Nl
the EEG findings in dementia
voluntary withholding of an idea or feeling fromk concious awareness
the typical abuser in physical child abuse
the concern with use of antidepressants in pts with bipoloar disorder

41. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
Depression
When to hypnopompic hallucinations take place
the 3 types of cluster C personality disorder
Moral values - conscience can lead to self blame and attacks of ego

42. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
IQ<70
gets schizophrenia and the prev
depressant intoxication - nonspecific

43. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the tx for GAD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
When to hypnopompic hallucinations take place

44. Calculates IQ as mental age/chronological age x 100
Stanford - binet
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
exaggerated fear of embarrasment in social situations - disorder and tx
the age of onset of ADHD

45. There are rare
Depression
a hypomanic episode
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
gustatroy hallucinations common

46. MAOi - SSRIs
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
auditory hallucinations common
Stanford - binet
the tx for atypical depression

47. Caffeine
intox = restlessness - increase diureis - muscle twitching
the epi of sexual abuse
misinterpretations of actual external stimulus
visual hallucinations common

48. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

49. Disulfiram and supportive care
the tx for panic disorder
anxious - fearful
the tx for alcoholism
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

50. Severe and profound MR?
the two types of schizoaffective disorder
100 - 15
the age of onset of ADHD
<40 and <20