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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. Id - subconcious - I want it
Under these conditions do children regress to younger patterns of behavior
primal urges - freud
child neglect
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

2. Countertransference
Drugs with what kind of affect can lead to a state of delirium
doctor projects feelings about formative or other important persons onto patient
odd or eccentric; inability to develop meaningful social relationships
Huntingtons

3. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the 3 types of cluster C personality disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for GAD

4. The mean IQ and SD?
inbability to recall important personal information - usually subsequent to severe trauma or stress
behavior acquired by watching others and assimilating actions into one's own repetoire
100 - 15
turning back the maturational clock and going back to earlier modes of dealing with the world

5. Autonomic system hyperactivity - psychotic symptoms - confusion
learning in which a particular ation is elicited because it produces a reward
delerium tremens symptoms
voluntary withholding of an idea or feeling fromk concious awareness
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

6. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
pieces of evidence of physical child abuse
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

7. Seasonal affective disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
associated with winter season - improves in response to full spectrum light exposure
the concern with use of antidepressants in pts with bipoloar disorder

8. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
Alzheimers
Anxiety
visual hallucinations common
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

9. Personality disorder
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
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
behavior acquired by watching others and assimilating actions into one's own repetoire
the serum markers of alcohol use

10. Displacement - mom places blame on kid because she's mad at husband
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
process whereby avoided ideas and feelings are transferred to some neutral person or object
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

11. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
PANICS
psychiatric disorder associated with tourrettes - and the treatment
the epi of sexual abuse

12. 1-6 months
gustatroy hallucinations common
involunatary withholding of an idea or feeling from conscious awareness
the time frame for schizophreniform disorder
behavior acquired by watching others and assimilating actions into one's own repetoire

13. Anorexia nervosa
reward received after every response - rapidly extinguished - vending machine
the triad of Wernicke's encephalopathy
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

14. Aura of psychomotor epilepsy and in brain tumors
perceptions in the absence of external stimulus
pieces of evidence for sexual child abuse
inability to remember things that occurred before CNS insult
olfactory hallucinations common

15. Dec frontal lobe volumes
gets schizophrenia and the prev
This gross neurological finding is associated with ADHD
the typical abuser in physical child abuse
anterograde amnesia caused by thiamine deficiency

16. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the evidence for child neglect
What ego dystonic means in relation to OCD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

17. Delirium/secondary to other illness
psychiatric disorder associated with tourrettes - and the treatment
the tx for opiod intox and withdrawal
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

18. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
Where child neglect is reported
the treatment for EtOH intox and withdrawal
persistent re - experiencing of a previous traumatic event
the common causes of lack or orientation

19. In what disease does NE decrease - 5HT decrease and DA decrease?
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Depression
SAD PERSONS
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

20. Conduct disorder <18 - antisocial personality disorder > 18
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the stages of change in overcoming substance addiction
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

21. Male - known to the victim
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
less than what percentage of ideal body weight is common in anorexia nervosa
Depression
the typical abuser in sexual abuse

22. .1-1% of gen pop - 20% of obscene speech

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23. Cluster B personality disorder
dramatic - emotional or erratic
turning back the maturational clock and going back to earlier modes of dealing with the world
avoidance of awareness of a some painful reality
olfactory hallucinations common

24. Regression - seen in children under stress and in patients on dialysis (crying)
turning back the maturational clock and going back to earlier modes of dealing with the world
desired reward produces action - mouse presses button for food
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
whering clothes of the opposite sex

25. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
milder form of depression lasting at least 2 years
Under these conditions do children regress to younger patterns of behavior
the common sx of PTSD
reward received after random number of responses - slowly extinguished - slot machine

26. Patch - gum - losenge - buproprion - varenicline
potential tx for nicotine withdrawal
intox = ataxia - minor respiratory depression
the typical abuser in physical child abuse
autism with unusual abilities

27. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
Schizophrenia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
a hypomanic episode

28. Men early 20s - women late 20s early 30s
whenmen vs women present with schizophrenia
Korsakoff's psychosis
Long acting oral opiate for heroine detox or long term maintenance
less than what percentage of ideal body weight is common in anorexia nervosa

29. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
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
intense fear and discomfort peaking in 10 minutes
the 5 types of schizophrenia

30. While going to sleep
whenhypnagogic hallucinations take place
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Moral values - conscience can lead to self blame and attacks of ego
mediator between primal urges and accepted behavior

31. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the complications/associations of anorexia nervosa
cyclothymia disorder

32. 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
DIG FAST
SAD PERSONS
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

33. Isolation of affect - describing murder in graphic detail with no emotional response
the complications of alcoholism
tantrums
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Separation of feelings from ideas and events

34. Identification - abused models abuser
anxious - fearful
gets schizophrenia and the prev
Number of major depressive episodes constitute major depressive disorder
modeling behavior after another person is more powerful - though not necessarily admired

35. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
the order of loss of orientation
How long episodes of major depressive episode usually last
depressant intoxication - nonspecific
100 - 15

36. Punishment
strong persistant cross gender identification
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
application of aversive stimulus extinguishes unwanted behavior

37. Schizophrenia
Alzheimers
auditory hallucinations common
neurologic outcome associated with W- K syndrome
whenmen vs women present with schizophrenia

38. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
autism with unusual abilities
desire to live as the opposite sex - through surgery or hormone tx
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

39. Dementia
the treatment for EtOH intox and withdrawal
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
factors are most important in the etiology of schizophrenia
Separation of feelings from ideas and events

40. Illusion
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
neurologic outcome associated with W- K syndrome
misinterpretations of actual external stimulus
Schizophrenia

41. Transvestism
inability to remember things that occurred after CNS insult
the serum markers of alcohol use
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
whering clothes of the opposite sex

42. Dissociative amnesia
primal urges - freud
inbability to recall important personal information - usually subsequent to severe trauma or stress
modeling behavior after another person is more powerful - though not necessarily admired
heroin users at increased risk of...

43. Female primary caregiver
the typical abuser in physical child abuse
intense fear and discomfort peaking in 10 minutes
Drugs with what kind of affect can lead to a state of delirium
How long infant deprivation can last before it leads to irreversible changes

44. Dissociation - can lead to multiple personality disorder
Under these conditions do children regress to younger patterns of behavior
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
psychiatric disorder associated with tourrettes - and the treatment

45. Anterograde amnesia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
causes wernicke - korsakoff syndrome
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
inability to remember things that occurred after CNS insult

46. Aspergers
the age of onset of ADHD
the order of loss of orientation
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the stages of change in overcoming substance addiction

47. Separation anxiety disorder
the tx for OCD
the complications of alcoholism
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

48. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
this drug is a risk factor for schizophrenia in teens
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Stanford - binet

49. Operant conditioning
intox = ataxia - minor respiratory depression
learning in which a particular ation is elicited because it produces a reward
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

50. Shared delusional disorder
the associations/complications of bulimia nervosa
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
development of delusions in a person in a close relationship with delusional disorder
the treatment for maternal blues - depression - psychosis