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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. Schizophrenia
the 5 types of schizophrenia
auditory hallucinations common
reward received after every response - rapidly extinguished - vending machine
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

2. OCD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the epi of sexual abuse
depressant withdrawal - nonspecific

3. Atypical depression
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
turning back the maturational clock and going back to earlier modes of dealing with the world

4. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
whenmen vs women present with schizophrenia
This gross neurological finding is associated with ADHD
Anxiety
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

5. 1-6 months
factors are most important in the etiology of schizophrenia
DIG FAST
odd or eccentric; inability to develop meaningful social relationships
the time frame for schizophreniform disorder

6. Delirium
pieces of evidence for sexual child abuse
gets schizophrenia and the prev
dramatic - emotional or erratic
visual hallucinations common

7. Disulfiram and supportive care
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the tx for alcoholism
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
When separation anxiety disorder usually presents

8. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
child neglect
maladaptive pattern leading to clinically significant impairment or distress

9. Schizoaffective disorder
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
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 tx for OCD

10. Occurs while waking up
When to hypnopompic hallucinations take place
the stages of change in overcoming substance addiction
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the tx for GAD

11. Classical conditioning - pavlov's dogs
associated with winter season - improves in response to full spectrum light exposure
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
doctor projects feelings about formative or other important persons onto patient
both illness and motivation are subconcious - sx not intentionally produced or feigned

12. Boys
gender autism is more common in
the treatment for EtOH intox and withdrawal
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
maladaptive pattern leading to clinically significant impairment or distress

13. Like manic but without marked impairement in fxning - no pyschotic features
a hypomanic episode
the stages of change in overcoming substance addiction
Alzheimers
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

14. Dec frontal lobe volumes
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
This gross neurological finding is associated with ADHD
Huntingtons

15. 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
SIG E CAPS and the criteria for dx
both illness and motivation are subconcious - sx not intentionally produced or feigned
neurologic outcome associated with W- K syndrome

16. Transvestism
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
intox = restlessness - increase diureis - muscle twitching
patient projects feelings about formative or other important persons onto physician
whering clothes of the opposite sex

17. Dipoloar or depressive
How long episodes of major depressive episode usually last
heroin users at increased risk of...
reward received after every response - rapidly extinguished - vending machine
the two types of schizoaffective disorder

18. Male - known to the victim
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the typical abuser in sexual abuse
the types of cluster B personality disorder

19. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
How long marijuana is detectable in the urine after last use
the tx for GAD
intense fear and discomfort peaking in 10 minutes

20. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
intox = restlessness - increase diureis - muscle twitching
the typical abuser in physical child abuse
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the complications/associations of anorexia nervosa

21. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

22. Panic disorder
IQ<70
intense fear and discomfort peaking in 10 minutes
100 - 15
the typical abuser in sexual abuse

23. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
appreciating the amusing nature of an anxiety provoking or adverse situation
auditory hallucinations common
the stages of change in overcoming substance addiction

24. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
persistent re - experiencing of a previous traumatic event
whering clothes of the opposite sex
depressant intoxication - nonspecific
the treatment for maternal blues - depression - psychosis

25. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
in elderly patients who present with dementia - the concern
the concern with use of antidepressants in pts with bipoloar disorder
anterograde amnesia caused by thiamine deficiency

26. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
reward received after random number of responses - slowly extinguished - slot machine
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Under these conditions do children regress to younger patterns of behavior

27. 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
Moral values - conscience can lead to self blame and attacks of ego
the common causes of lack or orientation
strong persistant cross gender identification
SIG E CAPS and the criteria for dx

28. Thiamine deficiency
child neglect
Where child neglect is reported
causes wernicke - korsakoff syndrome
avoidance of awareness of a some painful reality

29. Anorexia nervosa
depressant intoxication - nonspecific
the typical abuser in physical child abuse
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

30. Cluster C personality disorder
development of delusions in a person in a close relationship with delusional disorder
belief that people are either all good or all bad at different times due to intolerance or ambiguity
anxious - fearful
reward received after random number of responses - slowly extinguished - slot machine

31. Social phobias - tx SSRIs
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
exaggerated fear of embarrasment in social situations - disorder and tx
DIG FAST
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

32. Delirium
How long infant deprivation can last before it leads to irreversible changes
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
the tx of W- K syndrome
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

33. 1 month
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
How long marijuana is detectable in the urine after last use
autism with unusual abilities
intense fear and discomfort peaking in 10 minutes

34. Autism
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
This gross neurological finding is associated with ADHD

35. ECT - disorientation amnesia - usually resolves in 6 months
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the two types of schizoaffective disorder

36. Specific phobia
tantrums
the age of onset of ADHD
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
Huntingtons

37. BDZ - busiprone - SSRIs
the tx for GAD
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
anterograde amnesia caused by thiamine deficiency

38. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
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
the common sx of PTSD
Huntingtons
Number of major depressive episodes constitute major depressive disorder

39. Transsexualism
Korsakoff's psychosis
desire to live as the opposite sex - through surgery or hormone tx
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
potential tx for nicotine withdrawal

40. Oppositional defiant disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Korsakoff's psychosis
<40 and <20
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

41. 6-12 months
doctor projects feelings about formative or other important persons onto patient
Huntingtons
How long episodes of major depressive episode usually last
the evidence for child neglect

42. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
learning in which a particular ation is elicited because it produces a reward
avoidance of awareness of a some painful reality
child neglect
desired reward produces action - mouse presses button for food

43. Somatization disorders
behavior achieved following reward of closer and closer approximations of desired behavior
delerium tremens symptoms
perceptions in the absence of external stimulus
both illness and motivation are subconcious - sx not intentionally produced or feigned

44. Generalized anxiety disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the typical abuser in sexual abuse
the tx for opiod intox and withdrawal
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

45. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the 4 W's of deprived babies?
the tx for bipolar disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the time frame for brief pyschotic disorder

46. Substance abuse
a hypomanic episode
maladaptive pattern leading to clinically significant impairment or distress
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

47. Genes > environment
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the EEG findings in dementia
factors are most important in the etiology of schizophrenia
Stanford - binet

48. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the age of onset of ADHD
repeated stimulation leads to decrease response
cyclothymia disorder

49. Yes
the complications of alcoholism
Separation of feelings from ideas and events
the common causes of lack or orientation
Is body weight maintained within nl range in bulimia nervosa

50. Illusion
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 treatment for maternal blues - depression - psychosis
associated with winter season - improves in response to full spectrum light exposure
misinterpretations of actual external stimulus