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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. Acting out
development of delusions in a person in a close relationship with delusional disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
child neglect
tantrums

2. 3000 deaths/yr in the US
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the concern with use of antidepressants in pts with bipoloar disorder
the epi of physical child abuse

3. In what disease is DA increase?
<40 and <20
Schizophrenia
neurologic outcome associated with W- K syndrome
belief that people are either all good or all bad at different times due to intolerance or ambiguity

4. Punishment
Parkinsons
application of aversive stimulus extinguishes unwanted behavior
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
belief that people are either all good or all bad at different times due to intolerance or ambiguity

5. Nicotine
maladaptive pattern leading to clinically significant impairment or distress
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the tx for GAD
intox = restlessness. Withdrawal = irritability - anxiety - craving

6. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
mediator between primal urges and accepted behavior
visual hallucinations common
the definition of alcoholism
the stages of change in overcoming substance addiction

7. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
gender autism is more common in
avoidance of awareness of a some painful reality
the common causes of lack or orientation
DIG FAST

8. Boys
gender autism is more common in
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
auditory hallucinations common
IQ<70

9. Delirium
visual hallucinations common
repeated stimulation lead sot increase response
Schizophrenia
cyclothymia disorder

10. Supression - not thinking about the USMLE until the week of the exam
Number of major depressive episodes constitute major depressive disorder
olfactory hallucinations common
voluntary withholding of an idea or feeling fromk concious awareness
disorders in the form of through - the way ideas are tied together

11. OCD
this drug is a risk factor for schizophrenia in teens
anxious - fearful
psychiatric disorder associated with tourrettes - and the treatment
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

12. Dec frontal lobe volumes
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intox = restlessness. Withdrawal = irritability - anxiety - craving
Anxiety
This gross neurological finding is associated with ADHD

13. Female primary caregiver
100 - 15
the typical abuser in physical child abuse
the central goa of freudian psychoanalysis
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

14. Naltrexone and BDZ
dramatic - emotional or erratic
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
olfactory hallucinations common
the treatment for EtOH intox and withdrawal

15. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
the concern with use of antidepressants in pts with bipoloar disorder
Under these conditions do children regress to younger patterns of behavior
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

16. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
IQ<70
the common sx of PTSD
delerium tremens symptoms

17. Variable ratio reinforcement schedule
reward received after random number of responses - slowly extinguished - slot machine
partially remaining at more childish level of development
desire to live as the opposite sex - through surgery or hormone tx
the order of loss of orientation

18. Occurs while waking up
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
In ADHD - typical intelligence and school performance
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
When to hypnopompic hallucinations take place

19. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the goal of the ego defenses
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

20. Id - subconcious - I want it
primal urges - freud
the tx for panic disorder
100 - 15
the EEG findings in dementia

21. Countertransference
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 complications of alcoholism
doctor projects feelings about formative or other important persons onto patient
delerium tremens symptoms

22. Schizoaffective disorder
visual hallucinations common
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
Parkinsons

23. Opiods
Alzheimers
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 goal of the ego defenses
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

24. Retrograde amnesia
inability to remember things that occurred before CNS insult
the 3 types of cluster C personality disorder
persistent re - experiencing of a previous traumatic event
depressant intoxication - nonspecific

25. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
intox = restlessness. Withdrawal = irritability - anxiety - craving
the two types of schizoaffective disorder
the epi of sexual abuse

26. Extinction
discontinuation of reinforcement eliminates behavior
neurologic outcome associated with W- K syndrome
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
heroin users at increased risk of...

27. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
reward received after random number of responses - slowly extinguished - slot machine
the age of onset of ADHD
auditory hallucinations common

28. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the epi of physical child abuse
What ego dystonic means in relation to OCD
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

29. 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
SAD PERSONS
strong persistant cross gender identification
the 4 W's of deprived babies?
the various types of cluster A personality disorder

30. 6-12 months
How long episodes of major depressive episode usually last
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
auditory hallucinations common
This gross neurological finding is associated with ADHD

31. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
gets schizophrenia and the prev
Drugs with what kind of affect can lead to a state of delirium
delerium tremens symptoms

32. Habituation - simple learning
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the complications of alcoholism
depressant intoxication - nonspecific
repeated stimulation leads to decrease response

33. 2 or more within a symptom free interval of 2 months
development of delusions in a person in a close relationship with delusional disorder
depressant withdrawal - nonspecific
the complications/associations of anorexia nervosa
Number of major depressive episodes constitute major depressive disorder

34. Childhood disintegrative 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
Diagnosis requres 2 of 5 of which sx
the types of cluster B personality disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

35. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
factors are most important in the etiology of schizophrenia
heroin users at increased risk of...
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the tx for BDZ intox - MOA

36. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
tactile hallucinations common
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
learning in which a particular ation is elicited because it produces a reward
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

37. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
whering clothes of the opposite sex
the common sx of PTSD
gets schizophrenia and the prev

38. CPS
the complications of alcoholism
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Where child neglect is reported
the typical abuser in physical child abuse

39. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
DIG FAST
perceptions in the absence of external stimulus
suboxone and the rational of adding an antagonist
intox = restlessness - increase diureis - muscle twitching

40. Malingering
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
Under these conditions do children regress to younger patterns of behavior
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
pieces of evidence for sexual child abuse

41. Nl
a hypomanic episode
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the EEG findings in dementia

42. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the tx for OCD
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
associated with winter season - improves in response to full spectrum light exposure
the associations/complications of bulimia nervosa

43. Anorexia nervosa
Parkinsons
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
behavior achieved following reward of closer and closer approximations of desired behavior
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

44. Delirium/secondary to other illness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Drugs with what kind of affect can lead to a state of delirium
heroin users at increased risk of...
an unacceptable internal impulse is attributed to an external source

45. MAOi - SSRIs
This gross neurological finding is associated with ADHD
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the typical abuser in physical child abuse
the tx for atypical depression

46. Postpartum psyschosis - .1 to .2%
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
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
gender autism is more common in
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

47. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Parkinsons
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

48. EtOH withdrawal - cocaine abusers
the goal of the ego defenses
Number of major depressive episodes constitute major depressive disorder
tactile hallucinations common
When to hypnopompic hallucinations take place

49. Caffeine
intox = restlessness - increase diureis - muscle twitching
delerium tremens symptoms
development of delusions in a person in a close relationship with delusional disorder
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

50. Personality trait
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the order of loss of orientation
depressant withdrawal - nonspecific
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself