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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. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
repeated stimulation lead sot increase response
heroin users at increased risk of...
the serum markers of alcohol use
gender autism is more common in

2. Operant conditioning
avoidance of awareness of a some painful reality
learning in which a particular ation is elicited because it produces a reward
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Is body weight maintained within nl range in bulimia nervosa

3. Inc mania - high suicide risk
the tx for GAD
Long acting oral opiate for heroine detox or long term maintenance
the concern with use of antidepressants in pts with bipoloar disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

4. Male - known to the victim
patient projects feelings about formative or other important persons onto physician
the typical abuser in sexual abuse
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

5. In what disease is GABA decrease and ACH decrease?
Huntingtons
delerium tremens symptoms
the 4 W's of deprived babies?
In ADHD - typical intelligence and school performance

6. Postpartum psyschosis - .1 to .2%
the tx for BDZ intox - MOA
When to hypnopompic hallucinations take place
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the typical abuser in physical child abuse

7. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the time frame for schizophreniform disorder
Diagnosis requres 2 of 5 of which sx
avoidance of awareness of a some painful reality
DIG FAST

8. Nicotine
depressant intoxication - nonspecific
intox = restlessness. Withdrawal = irritability - anxiety - craving
How long episodes of major depressive episode usually last
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

9. Delirium
belief that people are either all good or all bad at different times due to intolerance or ambiguity
neurologic outcome associated with W- K syndrome
visual hallucinations common
the two types of schizoaffective disorder

10. The criteria for mental retardation?
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
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
IQ<70
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

11. Rett's disorder
the treatment for EtOH intox and withdrawal
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the treatment for maternal blues - depression - psychosis
less than what percentage of ideal body weight is common in anorexia nervosa

12. Transsexualism
autism with unusual abilities
the typical abuser in sexual abuse
desire to live as the opposite sex - through surgery or hormone tx
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

13. Gamma glutamyltransferase - GGT - AST 2x ALT
the serum markers of alcohol use
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
repeated stimulation lead sot increase response

14. Before 7
the serum markers of alcohol use
SAD PERSONS
partially remaining at more childish level of development
the age of onset of ADHD

15. Seasonal affective disorder
behavior achieved following reward of closer and closer approximations of desired behavior
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
associated with winter season - improves in response to full spectrum light exposure
intense fear and discomfort peaking in 10 minutes

16. 1 month
the evidence for child neglect
How long marijuana is detectable in the urine after last use
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
inbability to recall important personal information - usually subsequent to severe trauma or stress

17. Conversion disorder
mediator between primal urges and accepted behavior
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the treatments for ADHD

18. Schizophrenia
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
primal urges - freud
auditory hallucinations common
associated with winter season - improves in response to full spectrum light exposure

19. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
Long acting oral opiate for heroine detox or long term maintenance
psychiatric disorder associated with tourrettes - and the treatment
What ego dystonic means in relation to OCD
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

20. 1-6 months
the tx for GAD
the time frame for schizophreniform disorder
the tx for bipolar disorder
gustatroy hallucinations common

21. Cocaine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the treatment for EtOH intox and withdrawal
pieces of evidence for sexual child abuse
application of aversive stimulus extinguishes unwanted behavior

22. Periventricular hemorrhage/necrosis of mamillary bodies
associated with winter season - improves in response to full spectrum light exposure
neurologic outcome associated with W- K syndrome
dramatic - emotional or erratic
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

23. There are rare
gustatroy hallucinations common
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
auditory hallucinations common
Korsakoff's psychosis

24. 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
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

25. Superego - you know you can't have it - taking it is wrong
less than what percentage of ideal body weight is common in anorexia nervosa
Moral values - conscience can lead to self blame and attacks of ego
Anxiety
avoidance of awareness of a some painful reality

26. Naltrexone and BDZ
dramatic - emotional or erratic
Korsakoff's psychosis
Long acting oral opiate for heroine detox or long term maintenance
the treatment for EtOH intox and withdrawal

27. 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
Parkinsons
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the treatments for ADHD

28. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
application of aversive stimulus extinguishes unwanted behavior
the goal of the ego defenses
Number of major depressive episodes constitute major depressive disorder

29. Blacks=whites - males = females - 1.5% lifetime prev
Parkinsons
gets schizophrenia and the prev
modeling behavior after another person is more powerful - though not necessarily admired
Where child neglect is reported

30. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
autism with unusual abilities
the complications of alcoholism
process whereby avoided ideas and feelings are transferred to some neutral person or object

31. Like manic but without marked impairement in fxning - no pyschotic features
a hypomanic episode
the tx for opiod intox and withdrawal
the types of cluster B personality disorder
the time frame for schizophreniform disorder

32. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the evidence for child neglect
learning in which a particular ation is elicited because it produces a reward
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

33. Precontemplation - contemplation - preparation - action - maintenance - relapse
define bipolar disorder and distinguish I from II
the stages of change in overcoming substance addiction
causes wernicke - korsakoff syndrome
associated with winter season - improves in response to full spectrum light exposure

34. Schizoaffective disorder
associated with winter season - improves in response to full spectrum light exposure
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
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
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

35. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
avoidance of awareness of a some painful reality
whenhypnagogic hallucinations take place
the tx for GAD
Under these conditions do children regress to younger patterns of behavior

36. MAOi - SSRIs
whering clothes of the opposite sex
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the tx for atypical depression
an unacceptable internal impulse is attributed to an external source

37. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the non specific signs of stimulant intox and withdrawal
100 - 15
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

38. Habituation - simple learning
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
repeated stimulation leads to decrease response
the 4 W's of deprived babies?
Diagnosis requres 2 of 5 of which sx

39. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
<40 and <20
the tx for OCD

40. Depersonalization disorder

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41. Personality trait
the epi of physical child abuse
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
milder form of depression lasting at least 2 years
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

42. Dissociative amnesia
in elderly patients who present with dementia - the concern
How long does the disturbance last in PTSD
inbability to recall important personal information - usually subsequent to severe trauma or stress
anxious - fearful

43. Disulfiram and supportive care
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the tx for alcoholism
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
gets schizophrenia and the prev

44. Rationalization - after getting fired saying the job wasn't that important anyway
maladaptive pattern of substance use with 3 or more of these 7 criteria
the goal of the ego defenses
the tx for panic disorder
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

45. 7 to 9
the tx for OCD
gustatroy hallucinations common
PANICS
When separation anxiety disorder usually presents

46. Normal intel - trouble in school
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
desire to live as the opposite sex - through surgery or hormone tx
In ADHD - typical intelligence and school performance
both illness and motivation are subconcious - sx not intentionally produced or feigned

47. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
odd or eccentric; inability to develop meaningful social relationships
this drug is a risk factor for schizophrenia in teens

48. Specific phobia
appreciating the amusing nature of an anxiety provoking or adverse situation
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 tx of W- K syndrome
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

49. Panic disorder
the two types of schizoaffective disorder
intense fear and discomfort peaking in 10 minutes
Stanford - binet
Schizophrenia

50. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
the tx for OCD
the age of onset of ADHD
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence