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Psychiatry

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Answer 50 questions in 15 minutes.
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1. EtOH withdrawal - cocaine abusers
an unacceptable internal impulse is attributed to an external source
the time frame for brief pyschotic disorder
behavior achieved following reward of closer and closer approximations of desired behavior
tactile hallucinations common

2. Sublimation - actress using an experience of abuse to enhance her acting
the common causes of lack or orientation
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
auditory hallucinations common

3. The mean IQ and SD?
the treatment for maternal blues - depression - psychosis
learning in which a particular ation is elicited because it produces a reward
100 - 15
an unacceptable internal impulse is attributed to an external source

4. 85 percent
learning in which a particular ation is elicited because it produces a reward
DIG FAST
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
less than what percentage of ideal body weight is common in anorexia nervosa

5. The criteria for mental retardation?
less than what percentage of ideal body weight is common in anorexia nervosa
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
IQ<70
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

6. Mallory weiss syndrome
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

7. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the definition of alcoholism
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
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

8. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
modeling behavior after another person is more powerful - though not necessarily admired
the definition of alcoholism
psychiatric disorder associated with tourrettes - and the treatment

9. .1-1% of gen pop - 20% of obscene speech

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10. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Schizophrenia
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

11. Anorexia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
depressant withdrawal - nonspecific
This gross neurological finding is associated with ADHD
Diagnosis requres 2 of 5 of which sx

12. In what disease is ACH decrease?
How long does the disturbance last in PTSD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Alzheimers
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

13. Like manic but without marked impairement in fxning - no pyschotic features
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the 3 types of cluster C personality disorder
desire to live as the opposite sex - through surgery or hormone tx
a hypomanic episode

14. Time then place then person
How long does the disturbance last in PTSD
the order of loss of orientation
visual hallucinations common
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

15. Blacks=whites - males = females - 1.5% lifetime prev
the 4 W's of deprived babies?
potential tx for nicotine withdrawal
gets schizophrenia and the prev
100 - 15

16. >1month
neurologic outcome associated with W- K syndrome
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the tx for GAD
How long does the disturbance last in PTSD

17. Delirium
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Anxiety
guilty feelings alleviated by unsolicitied generosity towards others
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

18. Postpartum depression - 10 to 15%
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Where child neglect is reported
intox = ataxia - minor respiratory depression
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

19. Shared delusional disorder
autism with unusual abilities
anxious - fearful
development of delusions in a person in a close relationship with delusional disorder
the time frame for brief pyschotic disorder

20. Extinction
gets schizophrenia and the prev
discontinuation of reinforcement eliminates behavior
the tx for GAD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

21. Factitious disorder
Drugs with what kind of affect can lead to a state of delirium
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
maladaptive pattern leading to clinically significant impairment or distress
intox = restlessness - increase diureis - muscle twitching

22. Weed
the common causes of lack or orientation
Long acting oral opiate for heroine detox or long term maintenance
PANICS
this drug is a risk factor for schizophrenia in teens

23. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Long acting oral opiate for heroine detox or long term maintenance
repeated stimulation lead sot increase response

24. Gender identity disorder
strong persistant cross gender identification
Depression
the treatment for maternal blues - depression - psychosis
How long episodes of major depressive episode usually last

25. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
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
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
primal urges - freud

26. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
In ADHD - typical intelligence and school performance
the treatment for maternal blues - depression - psychosis
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 epi of sexual abuse

27. Body dysmorphic disorder
partially remaining at more childish level of development
Depression
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

28. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
strong persistant cross gender identification
DIG FAST
exaggerated fear of embarrasment in social situations - disorder and tx

29. Loose associations
disorders in the form of through - the way ideas are tied together
IQ<70
desire to live as the opposite sex - through surgery or hormone tx
causes wernicke - korsakoff syndrome

30. Patch - gum - losenge - buproprion - varenicline
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Alzheimers
factors are most important in the etiology of schizophrenia
potential tx for nicotine withdrawal

31. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
the typical abuser in sexual abuse
intox = restlessness. Withdrawal = irritability - anxiety - craving
inbability to recall important personal information - usually subsequent to severe trauma or stress

32. Personality trait
reward received after random number of responses - slowly extinguished - slot machine
When to hypnopompic hallucinations take place
SAD PERSONS
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

33. Displacement - mom places blame on kid because she's mad at husband
process whereby avoided ideas and feelings are transferred to some neutral person or object
Huntingtons
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
odd or eccentric; inability to develop meaningful social relationships

34. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
an unacceptable internal impulse is attributed to an external source
pieces of evidence for sexual child abuse
misinterpretations of actual external stimulus
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

35. Substance withdrawal - signs are often opposite of intoxication
cyclothymia disorder
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
milder form of depression lasting at least 2 years
the treatment for EtOH intox and withdrawal

36. Continuous reinforcement schedule
strong persistant cross gender identification
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
reward received after every response - rapidly extinguished - vending machine
inability to remember things that occurred before CNS insult

37. BDZ
application of aversive stimulus extinguishes unwanted behavior
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox = restlessness. Withdrawal = irritability - anxiety - craving
intox = ataxia - minor respiratory depression

38. Altruism - mafia boss makes a large donation to charity
belief that people are either all good or all bad at different times due to intolerance or ambiguity
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
disorders in the form of through - the way ideas are tied together
guilty feelings alleviated by unsolicitied generosity towards others

39. Severe and profound MR?
DIG FAST
<40 and <20
neurologic outcome associated with W- K syndrome
turning back the maturational clock and going back to earlier modes of dealing with the world

40. Caffeine
100 - 15
intox = restlessness - increase diureis - muscle twitching
potential tx for nicotine withdrawal
maladaptive pattern of substance use with 3 or more of these 7 criteria

41. Shaping (social learning)
whenhypnagogic hallucinations take place
the EEG findings in dementia
behavior achieved following reward of closer and closer approximations of desired behavior
Moral values - conscience can lead to self blame and attacks of ego

42. ECT - disorientation amnesia - usually resolves in 6 months
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
whenmen vs women present with schizophrenia
Causes of dementia

43. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the tx of W- K syndrome
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

44. Aspergers
strong persistant cross gender identification
the various types of cluster A personality disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

45. Conduct disorder <18 - antisocial personality disorder > 18
exaggerated fear of embarrasment in social situations - disorder and tx
the associations/complications of bulimia nervosa
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

46. Anterograde amnesia
associated with winter season - improves in response to full spectrum light exposure
inability to remember things that occurred after CNS insult
the goal of the ego defenses
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

47. LSD
patient projects feelings about formative or other important persons onto physician
gender autism is more common in
mediator between primal urges and accepted behavior
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

48. Transsexualism
discontinuation of reinforcement eliminates behavior
the tx for atypical depression
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
desire to live as the opposite sex - through surgery or hormone tx

49. Autism
intox = restlessness. Withdrawal = irritability - anxiety - craving
appreciating the amusing nature of an anxiety provoking or adverse situation
associated with winter season - improves in response to full spectrum light exposure
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

50. Cluster C personality disorder
psychiatric disorder associated with tourrettes - and the treatment
the tx for alcoholism
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
anxious - fearful

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Psychiatry

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