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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. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
<40 and <20
gender autism is more common in
Causes of dementia
pieces of evidence of physical child abuse

2. Paranoid - disorganized - catatonic - undifferentiated - residual
the tx for GAD
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
voluntary withholding of an idea or feeling fromk concious awareness
the 5 types of schizophrenia

3. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
the central goa of freudian psychoanalysis
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
depressant intoxication - nonspecific

4. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Is body weight maintained within nl range in bulimia nervosa
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Diagnosis requres 2 of 5 of which sx
When to hypnopompic hallucinations take place

5. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
dramatic - emotional or erratic
the central goa of freudian psychoanalysis
the 3 types of cluster C personality disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

6. Acting out
repeated stimulation leads to decrease response
tantrums
whering clothes of the opposite sex
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

7. Yes
in elderly patients who present with dementia - the concern
inability to remember things that occurred after CNS insult
Is body weight maintained within nl range in bulimia nervosa
application of aversive stimulus extinguishes unwanted behavior

8. Sensitization
the triad of Wernicke's encephalopathy
repeated stimulation lead sot increase response
Parkinsons
child neglect

9. CBT - SSRI - TCI - BDZ
the tx for panic disorder
gender autism is more common in
persistent re - experiencing of a previous traumatic event
Moral values - conscience can lead to self blame and attacks of ego

10. .1-1% of gen pop - 20% of obscene speech

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11. Negative reinforcement
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the tx for OCD
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

12. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
development of delusions in a person in a close relationship with delusional disorder
Is body weight maintained within nl range in bulimia nervosa
Parkinsons

13. Genital/anal trauma - STDs and UTIs
the non specific signs of stimulant 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
pieces of evidence for sexual child abuse
In ADHD - typical intelligence and school performance

14. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
application of aversive stimulus extinguishes unwanted behavior
behavior acquired by watching others and assimilating actions into one's own repetoire
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

15. Id - subconcious - I want it
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
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
depressant intoxication - nonspecific
primal urges - freud

16. Schizophrenia
In ADHD - typical intelligence and school performance
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
exaggerated fear of embarrasment in social situations - disorder and tx
the stages of change in overcoming substance addiction

17. The criteria for mental retardation?
tantrums
heroin users at increased risk of...
IQ<70
pieces of evidence for sexual child abuse

18. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
patient projects feelings about formative or other important persons onto physician
the serum markers of alcohol use
Under these conditions do children regress to younger patterns of behavior
desired reward produces action - mouse presses button for food

19. Pain disorder
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
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Diagnosis requres 2 of 5 of which sx

20. Depersonalization disorder

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21. Ego - take it and you will get in trouble
the associations/complications of bulimia nervosa
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
this drug is a risk factor for schizophrenia in teens
mediator between primal urges and accepted behavior

22. Delusional disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
whenmen vs women present with schizophrenia
milder form of depression lasting at least 2 years
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

23. In what disease is DA increase?
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
In ADHD - typical intelligence and school performance
Schizophrenia

24. Methadone
Long acting oral opiate for heroine detox or long term maintenance
odd or eccentric; inability to develop meaningful social relationships
the treatment for EtOH intox and withdrawal
Depression

25. Shared delusional disorder
100 - 15
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
development of delusions in a person in a close relationship with delusional disorder
dramatic - emotional or erratic

26. Classical conditioning - pavlov's dogs
the typical abuser in physical child abuse
the typical abuser in sexual abuse
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
define bipolar disorder and distinguish I from II

27. Conduct disorder <18 - antisocial personality disorder > 18
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the tx for GAD
How long episodes of major depressive episode usually last

28. 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
the serum markers of alcohol use
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
SAD PERSONS
child neglect

29. Disulfiram and supportive care
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
both illness and motivation are subconcious - sx not intentionally produced or feigned
the tx for alcoholism
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

30. Projection - a man who wants another women thinks his wife is cheating on him
SAD PERSONS
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
an unacceptable internal impulse is attributed to an external source
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

31. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
strong persistant cross gender identification

32. Repression - not remebering a conflictual or traumatic experience
involunatary withholding of an idea or feeling from conscious awareness
the typical abuser in physical child abuse
the serum markers of alcohol use
the time frame for schizophreniform disorder

33. ECT - disorientation amnesia - usually resolves in 6 months
Causes of dementia
Drugs with what kind of affect can lead to a state of delirium
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Korsakoff's psychosis

34. Inc mania - high suicide risk
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
tantrums
primal urges - freud
the concern with use of antidepressants in pts with bipoloar disorder

35. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Moral values - conscience can lead to self blame and attacks of ego

36. Displacement - mom places blame on kid because she's mad at husband
heroin users at increased risk of...
gender autism is more common in
process whereby avoided ideas and feelings are transferred to some neutral person or object
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

37. 6-12 months
gustatroy hallucinations common
How long episodes of major depressive episode usually last
the common sx of PTSD
pieces of evidence of physical child abuse

38. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
this drug is a risk factor for schizophrenia in teens
depressant withdrawal - nonspecific
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

39. OCD
disorders in the form of through - the way ideas are tied together
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the concern with use of antidepressants in pts with bipoloar disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

40. Depression
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
in elderly patients who present with dementia - the concern
behavior achieved following reward of closer and closer approximations of desired behavior
reward received after random number of responses - slowly extinguished - slot machine

41. Somatization disorder
the treatment for EtOH intox and withdrawal
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Causes of dementia
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

42. OCD - haloperidol
delerium tremens symptoms
psychiatric disorder associated with tourrettes - and the treatment
Stanford - binet
a hypomanic episode

43. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
misinterpretations of actual external stimulus
psychiatric disorder associated with tourrettes - and the treatment
pieces of evidence of physical child abuse
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

44. CPS
Where child neglect is reported
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
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

45. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the typical abuser in physical child abuse
the treatment for maternal blues - depression - psychosis
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the complications of alcoholism

46. Schizophrenia
auditory hallucinations common
desire to live as the opposite sex - through surgery or hormone tx
Diagnosis requres 2 of 5 of which sx
the epi of physical child abuse

47. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
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
the common causes of lack or orientation
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
How long does the disturbance last in PTSD

48. Panic disorder
100 - 15
How long does the disturbance last in PTSD
intense fear and discomfort peaking in 10 minutes
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

49. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
visual hallucinations common
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

50. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
DIG FAST
child neglect
This gross neurological finding is associated with ADHD
Stanford - binet