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Psychiatry

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. Altruism - mafia boss makes a large donation to charity
disorders in the form of through - the way ideas are tied together
guilty feelings alleviated by unsolicitied generosity towards others
the epi of sexual abuse
whering clothes of the opposite sex

2. Munchausen's syndrome
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the various types of cluster A personality disorder
the complications of alcoholism
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

3. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
intense fear and discomfort peaking in 10 minutes
the common sx of PTSD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

4. Habituation - simple learning
the tx for panic disorder
repeated stimulation leads to decrease response
child neglect
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

5. Boys
gender autism is more common in
Causes of dementia
repeated stimulation lead sot increase response
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

6. In what disease does NE increase - GABA decrease - and 5HT decrease?
Anxiety
the typical abuser in physical child abuse
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Separation of feelings from ideas and events

7. Denial - can occur in new AIDS or cancer diagnosis
the typical abuser in physical child abuse
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
milder form of depression lasting at least 2 years
avoidance of awareness of a some painful reality

8. Peak incidence 9-12 years of age
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
visual hallucinations common
inability to remember things that occurred before CNS insult
the epi of sexual abuse

9. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the typical abuser in physical child abuse
the evidence for child neglect
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
<40 and <20

10. Isolation of affect - describing murder in graphic detail with no emotional response
pieces of evidence for sexual child abuse
Separation of feelings from ideas and events
intox = restlessness - increase diureis - muscle twitching
heroin users at increased risk of...

11. Male - known to the victim
the typical abuser in sexual abuse
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
cyclothymia disorder
reward received after random number of responses - slowly extinguished - slot machine

12. Malingering
the common causes of lack or orientation
less than what percentage of ideal body weight is common in anorexia nervosa
the concern with use of antidepressants in pts with bipoloar disorder
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

13. Illusion
reward received after every response - rapidly extinguished - vending machine
inability to remember things that occurred before CNS insult
misinterpretations of actual external stimulus
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

14. Dissociative amnesia
anxious - fearful
perceptions in the absence of external stimulus
repeated stimulation leads to decrease response
inbability to recall important personal information - usually subsequent to severe trauma or stress

15. Periventricular hemorrhage/necrosis of mamillary bodies
neurologic outcome associated with W- K syndrome
inability to remember things that occurred after CNS insult
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
inability to remember things that occurred before CNS insult

16. Postpartum psyschosis - .1 to .2%
delerium tremens symptoms
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
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

17. OCD
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
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
reward received after every response - rapidly extinguished - vending machine
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

18. Precontemplation - contemplation - preparation - action - maintenance - relapse
belief that people are either all good or all bad at different times due to intolerance or ambiguity
causes wernicke - korsakoff syndrome
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the stages of change in overcoming substance addiction

19. Marijuana
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the various types of cluster A personality disorder
the non specific signs of stimulant intox and withdrawal

20. 6-12 months
perceptions in the absence of external stimulus
How long episodes of major depressive episode usually last
neurologic outcome associated with W- K syndrome
whering clothes of the opposite sex

21. Korsakoff's amnesia
heroin users at increased risk of...
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
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
anterograde amnesia caused by thiamine deficiency

22. Positive reinforcement
patient projects feelings about formative or other important persons onto physician
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
desired reward produces action - mouse presses button for food
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

23. In what disease is ACH decrease?
pieces of evidence of physical child abuse
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Alzheimers
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

24. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the complications/associations of anorexia nervosa
behavior acquired by watching others and assimilating actions into one's own repetoire

25. Nl
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the EEG findings in dementia
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
causes wernicke - korsakoff syndrome

26. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
mediator between primal urges and accepted behavior
Schizophrenia
whering clothes of the opposite sex

27. Munchausen's syndrome by proxy
the age of onset of ADHD
psychiatric disorder associated with tourrettes - and the treatment
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intox = ataxia - minor respiratory depression

28. Bulimia nervosa
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
potential tx for nicotine withdrawal
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
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

29. Severe and profound MR?
the tx for panic disorder
Is body weight maintained within nl range in bulimia nervosa
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
<40 and <20

30. Methadone
Long acting oral opiate for heroine detox or long term maintenance
IQ<70
the treatment for EtOH intox and withdrawal
behavior acquired by watching others and assimilating actions into one's own repetoire

31. Savant
Long acting oral opiate for heroine detox or long term maintenance
autism with unusual abilities
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

32. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the non specific signs of stimulant intox and withdrawal
avoidance of awareness of a some painful reality
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for BDZ intox - MOA

33. LSD
intox = restlessness. Withdrawal = irritability - anxiety - craving
PANICS
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
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

34. Female primary caregiver
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the typical abuser in physical child abuse
an unacceptable internal impulse is attributed to an external source
the evidence for child neglect

35. Barbituates
gustatroy hallucinations common
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
milder form of depression lasting at least 2 years

36. Time then place then person
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the order of loss of orientation
disorders in the form of through - the way ideas are tied together
the typical abuser in physical child abuse

37. Yes
depressant intoxication - nonspecific
Where child neglect is reported
How long infant deprivation can last before it leads to irreversible changes
Is body weight maintained within nl range in bulimia nervosa

38. .1-1% of gen pop - 20% of obscene speech

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39. PTSD
intox = ataxia - minor respiratory depression
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
persistent re - experiencing of a previous traumatic event
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

40. MAOi - SSRIs
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
the tx for atypical depression
Parkinsons

41. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
the treatment for maternal blues - depression - psychosis
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the goal of the ego defenses

42. Postpartum depression - 10 to 15%
delerium tremens symptoms
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
this drug is a risk factor for schizophrenia in teens
the evidence for child neglect

43. Displacement - mom places blame on kid because she's mad at husband
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
process whereby avoided ideas and feelings are transferred to some neutral person or object
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the various types of cluster A personality disorder

44. Dissociative identity disorder
the tx for atypical depression
gustatroy hallucinations common
Anxiety
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

45. Reaction formation - a patient with libidinous thoughts enters a monastery
Stanford - binet
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
Schizophrenia
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

46. Dementia
the non specific signs of stimulant intox and withdrawal
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
mediator between primal urges and accepted behavior
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

47. Naltrexone and BDZ
visual hallucinations common
guilty feelings alleviated by unsolicitied generosity towards others
the treatment for EtOH intox and withdrawal
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

48. Extinction
<40 and <20
Is body weight maintained within nl range in bulimia nervosa
discontinuation of reinforcement eliminates behavior
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

49. Shared delusional disorder
milder form of depression lasting at least 2 years
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the epi of sexual abuse
development of delusions in a person in a close relationship with delusional disorder

50. PCP
appreciating the amusing nature of an anxiety provoking or adverse situation
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock