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Psychiatry

Instructions:

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. The mean IQ and SD?
behavior acquired by watching others and assimilating actions into one's own repetoire
100 - 15
the serum markers of alcohol use
maladaptive pattern leading to clinically significant impairment or distress

2. Marijuana
Huntingtons
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
What ego dystonic means in relation to OCD
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

3. Positive reinforcement
Alzheimers
the 3 types of cluster C personality disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
desired reward produces action - mouse presses button for food

4. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
potential tx for nicotine withdrawal
the common sx of PTSD
the various types of cluster A personality disorder
How long episodes of major depressive episode usually last

5. Childhood disintegrative disorder
the common causes of lack or orientation
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
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

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

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7. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
psychiatric disorder associated with tourrettes - and the treatment
desired reward produces action - mouse presses button for food
voluntary withholding of an idea or feeling fromk concious awareness
What ego dystonic means in relation to OCD

8. Anticholinergic
Drugs with what kind of affect can lead to a state of delirium
SIG E CAPS and the criteria for dx
the 4 W's of deprived babies?
the typical abuser in physical child abuse

9. Malingering
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
gets schizophrenia and the prev
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
the concern with use of antidepressants in pts with bipoloar disorder

10. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
Long acting oral opiate for heroine detox or long term maintenance
the tx for panic disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

11. Delirium/secondary to other illness
partially remaining at more childish level of development
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria

12. Countertransference
depressant withdrawal - nonspecific
the non specific signs of stimulant intox and withdrawal
neurologic outcome associated with W- K syndrome
doctor projects feelings about formative or other important persons onto patient

13. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
heroin users at increased risk of...
the goal of the ego defenses
Long acting oral opiate for heroine detox or long term maintenance
suboxone and the rational of adding an antagonist

14. Id - subconcious - I want it
primal urges - freud
IQ<70
doctor projects feelings about formative or other important persons onto patient
persistent re - experiencing of a previous traumatic event

15. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the treatment for maternal blues - depression - psychosis
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
intox = restlessness. Withdrawal = irritability - anxiety - craving

16. Paranoid - disorganized - catatonic - undifferentiated - residual
perceptions in the absence of external stimulus
the complications/associations of anorexia nervosa
the 5 types of schizophrenia
the age of onset of ADHD

17. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the complications/associations of anorexia nervosa
Korsakoff's psychosis
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
inbability to recall important personal information - usually subsequent to severe trauma or stress

18. Habituation - simple learning
the triad of Wernicke's encephalopathy
repeated stimulation leads to decrease response
this drug is a risk factor for schizophrenia in teens
appreciating the amusing nature of an anxiety provoking or adverse situation

19. Delusions
an unacceptable internal impulse is attributed to an external source
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the tx for atypical depression

20. Irreversible memory loss - confabulation - personality change

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21. Isolation of affect - describing murder in graphic detail with no emotional response
Separation of feelings from ideas and events
maladaptive pattern leading to clinically significant impairment or distress
the tx for bipolar disorder
When to hypnopompic hallucinations take place

22. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
intox = restlessness. Withdrawal = irritability - anxiety - craving
the complications of alcoholism

23. Hypochondriasis
behavior achieved following reward of closer and closer approximations of desired behavior
reward received after random number of responses - slowly extinguished - slot machine
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
this drug is a risk factor for schizophrenia in teens

24. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
primal urges - freud
the tx for atypical depression
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
DIG FAST

25. Regression - seen in children under stress and in patients on dialysis (crying)
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the tx for alcoholism
perceptions in the absence of external stimulus
turning back the maturational clock and going back to earlier modes of dealing with the world

26. 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
repeated stimulation lead sot increase response
Schizophrenia
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
SAD PERSONS

27. Rett's disorder
the definition of alcoholism
Separation of feelings from ideas and events
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
discontinuation of reinforcement eliminates behavior

28. Aura of psychomotor epilepsy and in brain tumors
cyclothymia disorder
strong persistant cross gender identification
olfactory hallucinations common
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

29. While going to sleep
guilty feelings alleviated by unsolicitied generosity towards others
behavior achieved following reward of closer and closer approximations of desired behavior
visual hallucinations common
whenhypnagogic hallucinations take place

30. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
psychiatric disorder associated with tourrettes - and the treatment
inbability to recall important personal information - usually subsequent to severe trauma or stress

31. Body dysmorphic disorder
Parkinsons
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
development of delusions in a person in a close relationship with delusional disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

32. Munchausen's syndrome
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the typical abuser in sexual abuse
the common sx of PTSD
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

33. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Anxiety
the stages of change in overcoming substance addiction
anterograde amnesia caused by thiamine deficiency
Parkinsons

34. Generalized anxiety disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
100 - 15
depressant withdrawal - nonspecific

35. OCD
less than what percentage of ideal body weight is common in anorexia nervosa
both illness and motivation are subconcious - sx not intentionally produced or feigned
desired reward produces action - mouse presses button for food
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

36. 7 to 9
inability to remember things that occurred before CNS insult
When separation anxiety disorder usually presents
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
factors are most important in the etiology of schizophrenia

37. .1-1% of gen pop - 20% of obscene speech

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38. Dissociative amnesia
appreciating the amusing nature of an anxiety provoking or adverse situation
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
inbability to recall important personal information - usually subsequent to severe trauma or stress
the treatment for maternal blues - depression - psychosis

39. Somatization disorders
reward received after random number of responses - slowly extinguished - slot machine
tactile hallucinations common
both illness and motivation are subconcious - sx not intentionally produced or feigned
desired reward produces action - mouse presses button for food

40. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
reward received after every response - rapidly extinguished - vending machine
the serum markers of alcohol use
the evidence for child neglect

41. Dementia
process whereby avoided ideas and feelings are transferred to some neutral person or object
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

42. Rationalization - after getting fired saying the job wasn't that important anyway
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
odd or eccentric; inability to develop meaningful social relationships
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
intox = restlessness - increase diureis - muscle twitching

43. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
Depression
appreciating the amusing nature of an anxiety provoking or adverse situation
Huntingtons

44. Dissociative fatigue
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
inability to remember things that occurred after CNS insult
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
When to hypnopompic hallucinations take place

45. Personality trait
guilty feelings alleviated by unsolicitied generosity towards others
desired reward produces action - mouse presses button for food
the tx for BDZ intox - MOA
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

46. Autonomic system hyperactivity - psychotic symptoms - confusion
the various types of cluster A personality disorder
delerium tremens symptoms
maladaptive pattern of substance use with 3 or more of these 7 criteria
Alzheimers

47. BDZ - busiprone - SSRIs
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the serum markers of alcohol use
the tx for GAD
whenmen vs women present with schizophrenia

48. The criteria for mental retardation?
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the epi of physical child abuse
IQ<70
Causes of dementia

49. Vit B1 - thiamine
the associations/complications of bulimia nervosa
perceptions in the absence of external stimulus
Number of major depressive episodes constitute major depressive disorder
the tx of W- K syndrome

50. 6-12 months
How long episodes of major depressive episode usually last
whenmen vs women present with schizophrenia
depressant withdrawal - nonspecific
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia