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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. Acting out
the typical abuser in physical child abuse
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
tantrums
gender autism is more common in

2. Rationalization - after getting fired saying the job wasn't that important anyway
the serum markers of alcohol use
the tx for BDZ intox - MOA
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

3. BDZ - busiprone - SSRIs
discontinuation of reinforcement eliminates behavior
How long does the disturbance last in PTSD
the tx for GAD
Huntingtons

4. <1mo - usually stress related
intense fear and discomfort peaking in 10 minutes
the time frame for brief pyschotic disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

5. Normal intel - trouble in school
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Where child neglect is reported
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
In ADHD - typical intelligence and school performance

6. Hallucination
less than what percentage of ideal body weight is common in anorexia nervosa
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
perceptions in the absence of external stimulus
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

7. Cluster B personality disorder
dramatic - emotional or erratic
the EEG findings in dementia
In ADHD - typical intelligence and school performance
the tx for panic disorder

8. Countertransference
doctor projects feelings about formative or other important persons onto patient
application of aversive stimulus extinguishes unwanted behavior
the time frame for brief pyschotic disorder
depressant withdrawal - nonspecific

9. Delirium
visual hallucinations common
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
perceptions in the absence of external stimulus
the associations/complications of bulimia nervosa

10. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
When to hypnopompic hallucinations take place
persistent re - experiencing of a previous traumatic event
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. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
less than what percentage of ideal body weight is common in anorexia nervosa
tactile hallucinations common
tantrums
PANICS

12. Modeling (social learning)

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13. Naltrexone and BDZ
doctor projects feelings about formative or other important persons onto patient
gustatroy hallucinations common
the treatment for EtOH intox and withdrawal
the associations/complications of bulimia nervosa

14. Depersonalization disorder

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15. Id - subconcious - I want it
primal urges - freud
reward received after every response - rapidly extinguished - vending machine
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

16. Positive reinforcement
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
desired reward produces action - mouse presses button for food

17. MAOi - SSRIs
Korsakoff's psychosis
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the tx for atypical depression
discontinuation of reinforcement eliminates behavior

18. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the evidence for child neglect
autism with unusual abilities
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
intox = restlessness - increase diureis - muscle twitching

19. Yes
Is body weight maintained within nl range in bulimia nervosa
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
How long does the disturbance last in PTSD
When separation anxiety disorder usually presents

20. Schizophrenia
When separation anxiety disorder usually presents
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Moral values - conscience can lead to self blame and attacks of ego
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

21. Substance abuse
perceptions in the absence of external stimulus
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
maladaptive pattern leading to clinically significant impairment or distress
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

22. Separation anxiety disorder
the complications/associations of anorexia nervosa
the tx for atypical depression
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

23. Identification - abused models abuser
the complications/associations of anorexia nervosa
Parkinsons
modeling behavior after another person is more powerful - though not necessarily admired
partially remaining at more childish level of development

24. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
dramatic - emotional or erratic
the triad of Wernicke's encephalopathy
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

25. Gamma glutamyltransferase - GGT - AST 2x ALT
milder form of depression lasting at least 2 years
a hypomanic episode
the serum markers of alcohol use
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

26. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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27. Anorexia nervosa
persistent re - experiencing of a previous traumatic event
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
causes wernicke - korsakoff syndrome
the tx of W- K syndrome

28. Rett's disorder
strong persistant cross gender identification
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Causes of dementia

29. Men early 20s - women late 20s early 30s
the epi of sexual abuse
whenmen vs women present with schizophrenia
the central goa of freudian psychoanalysis
the various types of cluster A personality disorder

30. Dissociation - can lead to multiple personality disorder
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
both illness and motivation are subconcious - sx not intentionally produced or feigned
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the epi of physical child abuse

31. Specific phobia
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
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 treatment for maternal blues - depression - psychosis

32. Before 7
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
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
inbability to recall important personal information - usually subsequent to severe trauma or stress
the age of onset of ADHD

33. Alcohol
the 5 types of schizophrenia
Number of major depressive episodes constitute major depressive disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

34. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Diagnosis requres 2 of 5 of which sx

35. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
pieces of evidence for sexual child abuse
neurologic outcome associated with W- K syndrome
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the time frame for brief pyschotic disorder

36. Calculates IQ as mental age/chronological age x 100
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
factors are most important in the etiology of schizophrenia
Stanford - binet
the tx for panic disorder

37. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the associations/complications of bulimia nervosa
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
reward received after every response - rapidly extinguished - vending machine

38. 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
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Schizophrenia

39. Munchausen's syndrome
the evidence for child neglect
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
perceptions in the absence of external stimulus

40. Schizophrenia
inability to remember things that occurred after CNS insult
the various types of cluster A personality disorder
auditory hallucinations common
the tx for opiod intox and withdrawal

41. Tourrette's
cyclothymia disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the EEG findings in dementia
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

42. PTSD
the 5 types of schizophrenia
both illness and motivation are subconcious - sx not intentionally produced or feigned
How long infant deprivation can last before it leads to irreversible changes
persistent re - experiencing of a previous traumatic event

43. Dysthymia followed by hypomania
the stages of change in overcoming substance addiction
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
cyclothymia disorder
the time frame for brief pyschotic disorder

44. Anxiety - tremor - seizures - insomnia
the typical abuser in physical child abuse
repeated stimulation leads to decrease response
depressant withdrawal - nonspecific
both illness and motivation are subconcious - sx not intentionally produced or feigned

45. Shaping (social learning)
Where child neglect is reported
maladaptive pattern leading to clinically significant impairment or distress
behavior achieved following reward of closer and closer approximations of desired behavior
the stages of change in overcoming substance addiction

46. While going to sleep
the time frame for brief pyschotic disorder
Parkinsons
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
whenhypnagogic hallucinations take place

47. Transsexualism
exaggerated fear of embarrasment in social situations - disorder and tx
the complications/associations of anorexia nervosa
odd or eccentric; inability to develop meaningful social relationships
desire to live as the opposite sex - through surgery or hormone tx

48. OCD
Parkinsons
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the order of loss of orientation
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

49. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
whenmen vs women present with schizophrenia
the two types of schizoaffective disorder
whering clothes of the opposite sex

50. 7 to 9
<40 and <20
When separation anxiety disorder usually presents
In ADHD - typical intelligence and school performance
less than what percentage of ideal body weight is common in anorexia nervosa