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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. Separation anxiety disorder
the typical abuser in sexual abuse
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
This gross neurological finding is associated with ADHD

2. 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
the tx for opiod intox and withdrawal
cyclothymia disorder
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

3. Acting out
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
How long episodes of major depressive episode usually last
tantrums

4. Dissociative amnesia
Stanford - binet
the common sx of PTSD
neurologic outcome associated with W- K syndrome
inbability to recall important personal information - usually subsequent to severe trauma or stress

5. CPS
Where child neglect is reported
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
learning in which a particular ation is elicited because it produces a reward
modeling behavior after another person is more powerful - though not necessarily admired

6. Dysthymia followed by hypomania
cyclothymia disorder
suboxone and the rational of adding an antagonist
the EEG findings in dementia
<40 and <20

7. Specific phobia
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 associations/complications of bulimia nervosa
Drugs with what kind of affect can lead to a state of delirium
less than what percentage of ideal body weight is common in anorexia nervosa

8. Naloxone - naltrexone - and symptomatic for withdrawal sx
IQ<70
the time frame for brief pyschotic disorder
the tx for opiod intox and withdrawal
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

9. Substance abuse
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the tx for bipolar disorder
behavior achieved following reward of closer and closer approximations of desired behavior
maladaptive pattern leading to clinically significant impairment or distress

10. Methadone
define bipolar disorder and distinguish I from II
Long acting oral opiate for heroine detox or long term maintenance
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
mediator between primal urges and accepted behavior

11. Like manic but without marked impairement in fxning - no pyschotic features
suboxone and the rational of adding an antagonist
Separation of feelings from ideas and events
partially remaining at more childish level of development
a hypomanic episode

12. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
tactile hallucinations common
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the complications of alcoholism
behavior achieved following reward of closer and closer approximations of desired behavior

13. Punishment
involunatary withholding of an idea or feeling from conscious awareness
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
application of aversive stimulus extinguishes unwanted behavior
primal urges - freud

14. Vit B1 - thiamine
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the tx of W- K syndrome
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the definition of alcoholism

15. Dissociative identity disorder
neurologic outcome associated with W- K syndrome
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Number of major depressive episodes constitute major depressive disorder
Diagnosis requres 2 of 5 of which sx

16. Tourrette's
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
This gross neurological finding is associated with ADHD
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

17. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
repeated stimulation leads to decrease response

18. <1mo - usually stress related
the time frame for brief pyschotic disorder
the complications of alcoholism
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

19. Body dysmorphic disorder
the common causes of lack or orientation
application of aversive stimulus extinguishes unwanted behavior
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the time frame for brief pyschotic disorder

20. Retrograde amnesia
whenmen vs women present with schizophrenia
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
inability to remember things that occurred before CNS insult
the tx for alcoholism

21. In what diseaese is DA decrease - 5HT increase - and increase ACH?
persistent re - experiencing of a previous traumatic event
Parkinsons
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

22. Childhood disintegrative disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the concern with use of antidepressants in pts with bipoloar disorder
the tx for BDZ intox - MOA
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

23. 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 time frame for brief pyschotic disorder
modeling behavior after another person is more powerful - though not necessarily admired
pieces of evidence for sexual child abuse

24. Malingering
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
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 epi of sexual abuse
the types of cluster B personality disorder

25. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Alzheimers
the complications of alcoholism
Diagnosis requres 2 of 5 of which sx

26. The mean IQ and SD?
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
100 - 15
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

27. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
the tx of W- K syndrome
child neglect
gets schizophrenia and the prev
intox = restlessness - increase diureis - muscle twitching

28. Cluster B personality disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for opiod intox and withdrawal
This gross neurological finding is associated with ADHD
dramatic - emotional or erratic

29. Positive reinforcement
psychiatric disorder associated with tourrettes - and the treatment
intox = restlessness. Withdrawal = irritability - anxiety - craving
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
desired reward produces action - mouse presses button for food

30. Adjustment disorder
the treatment for EtOH intox and withdrawal
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
This gross neurological finding is associated with ADHD
persistent re - experiencing of a previous traumatic event

31. 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
the associations/complications of bulimia nervosa
SAD PERSONS
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the complications/associations of anorexia nervosa

32. Marijuana
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
less than what percentage of ideal body weight is common in anorexia nervosa
auditory hallucinations common
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

33. >1month
How long does the disturbance last in PTSD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
pieces of evidence of physical child abuse
depressant intoxication - nonspecific

34. Anterograde amnesia
Under these conditions do children regress to younger patterns of behavior
strong persistant cross gender identification
the tx for alcoholism
inability to remember things that occurred after CNS insult

35. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the various types of cluster A personality disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
PANICS

36. Dissociation - can lead to multiple personality disorder
inability to remember things that occurred after CNS insult
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

37. Hallucination
the triad of Wernicke's encephalopathy
perceptions in the absence of external stimulus
depressant withdrawal - nonspecific
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

38. Modeling (social learning)

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39. Delusional disorder
the common causes of lack or orientation
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
pieces of evidence for sexual child abuse
Long acting oral opiate for heroine detox or long term maintenance

40. BDZ - busiprone - SSRIs
When to hypnopompic hallucinations take place
When separation anxiety disorder usually presents
the tx for GAD
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

41. 1-6 months
the time frame for schizophreniform disorder
Parkinsons
Diagnosis requres 2 of 5 of which sx
the order of loss of orientation

42. Sublimation - actress using an experience of abuse to enhance her acting
both illness and motivation are subconcious - sx not intentionally produced or feigned
the tx for bipolar disorder
patient projects feelings about formative or other important persons onto physician
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

43. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
both illness and motivation are subconcious - sx not intentionally produced or feigned
depressant intoxication - nonspecific
How long does the disturbance last in PTSD

44. 85 percent
child neglect
whering clothes of the opposite sex
less than what percentage of ideal body weight is common in anorexia nervosa
the EEG findings in dementia

45. Anxiety - tremor - seizures - insomnia
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the concern with use of antidepressants in pts with bipoloar disorder
SIG E CAPS and the criteria for dx
depressant withdrawal - nonspecific

46. Isolation of affect - describing murder in graphic detail with no emotional response
Separation of feelings from ideas and events
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the tx for GAD
intox = restlessness - increase diureis - muscle twitching

47. Panic disorder
100 - 15
heroin users at increased risk of...
intense fear and discomfort peaking in 10 minutes
process whereby avoided ideas and feelings are transferred to some neutral person or object

48. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
less than what percentage of ideal body weight is common in anorexia nervosa
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

49. Fixation - men fixating on sports games
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
partially remaining at more childish level of development
intox = restlessness. Withdrawal = irritability - anxiety - craving
delerium tremens symptoms

50. 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
repeated stimulation lead sot increase response
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress