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Psychiatry
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Subject
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health-sciences
Instructions:
Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
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. Yes
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
In ADHD - typical intelligence and school performance
Is body weight maintained within nl range in bulimia nervosa
perceptions in the absence of external stimulus
2. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
SIG E CAPS and the criteria for dx
a hypomanic episode
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
intense fear and discomfort peaking in 10 minutes
3. Delusions
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
factors are most important in the etiology of schizophrenia
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
4. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
the goal of the ego defenses
Under these conditions do children regress to younger patterns of behavior
delerium tremens symptoms
less than what percentage of ideal body weight is common in anorexia nervosa
5. Specific phobia
Diagnosis requres 2 of 5 of which sx
modeling behavior after another person is more powerful - though not necessarily admired
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 serum markers of alcohol use
6. There are rare
gustatroy hallucinations common
dramatic - emotional or erratic
maladaptive pattern leading to clinically significant impairment or distress
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
7. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the complications of alcoholism
anterograde amnesia caused by thiamine deficiency
8. Habituation - simple learning
repeated stimulation leads to decrease response
inability to remember things that occurred before CNS insult
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
9. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the non specific signs of stimulant intox and withdrawal
the treatments for ADHD
persistent re - experiencing of a previous traumatic event
10. Blacks=whites - males = females - 1.5% lifetime prev
gets schizophrenia and the prev
When separation anxiety disorder usually presents
the age of onset of ADHD
the common sx of PTSD
11. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
desire to live as the opposite sex - through surgery or hormone tx
Diagnosis requres 2 of 5 of which sx
perceptions in the absence of external stimulus
discontinuation of reinforcement eliminates behavior
12. Retrograde amnesia
pieces of evidence for sexual child abuse
inability to remember things that occurred before CNS insult
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
13. Marijuana
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the stages of change in overcoming substance addiction
Korsakoff's psychosis
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
14. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
the order of loss of orientation
the serum markers of alcohol use
What ego dystonic means in relation to OCD
15. Dec frontal lobe volumes
Korsakoff's psychosis
This gross neurological finding is associated with ADHD
gets schizophrenia and the prev
the triad of Wernicke's encephalopathy
16. Thiamine deficiency
causes wernicke - korsakoff syndrome
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
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
17. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the common sx of PTSD
the EEG findings in dementia
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
18. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
tactile hallucinations common
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the 3 types of cluster C personality disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
19. Id - subconcious - I want it
misinterpretations of actual external stimulus
primal urges - freud
the complications/associations of anorexia nervosa
odd or eccentric; inability to develop meaningful social relationships
20. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
heroin users at increased risk of...
Where child neglect is reported
maladaptive pattern leading to clinically significant impairment or distress
21. Dipoloar or depressive
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
exaggerated fear of embarrasment in social situations - disorder and tx
the two types of schizoaffective disorder
the various types of cluster A personality disorder
22. Naltrexone and BDZ
Under these conditions do children regress to younger patterns of behavior
Diagnosis requres 2 of 5 of which sx
whenmen vs women present with schizophrenia
the treatment for EtOH intox and withdrawal
23. Delusional disorder
auditory hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
tactile hallucinations common
child neglect
24. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
DIG FAST
25. Extinction
discontinuation of reinforcement eliminates behavior
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
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
26. Depression
autism with unusual abilities
gets schizophrenia and the prev
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
in elderly patients who present with dementia - the concern
27. Fixation - men fixating on sports games
partially remaining at more childish level of development
the 3 types of cluster C personality 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
modeling behavior after another person is more powerful - though not necessarily admired
28. Conduct disorder <18 - antisocial personality disorder > 18
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
autism with unusual abilities
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
29. Hypochondriasis
avoidance of awareness of a some painful reality
disorders in the form of through - the way ideas are tied together
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
30. Transsexualism
depressant withdrawal - nonspecific
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
100 - 15
desire to live as the opposite sex - through surgery or hormone tx
31. 6-12 months
the epi of physical child abuse
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
How long episodes of major depressive episode usually last
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
32. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
disorders in the form of through - the way ideas are tied together
gender autism is more common in
partially remaining at more childish level of development
33. Calculates IQ as mental age/chronological age x 100
Stanford - binet
Alzheimers
autism with unusual abilities
application of aversive stimulus extinguishes unwanted behavior
34. Superego - you know you can't have it - taking it is wrong
the various types of cluster A personality disorder
milder form of depression lasting at least 2 years
Moral values - conscience can lead to self blame and attacks of ego
pieces of evidence for sexual child abuse
35. Alcohol
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
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
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
36. Delirium
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
visual hallucinations common
desired reward produces action - mouse presses button for food
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
37. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
visual hallucinations common
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the associations/complications of bulimia nervosa
38. Precontemplation - contemplation - preparation - action - maintenance - relapse
the stages of change in overcoming substance addiction
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
primal urges - freud
39. Reaction formation - a patient with libidinous thoughts enters a monastery
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
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
this drug is a risk factor for schizophrenia in teens
40. Dysthymia followed by hypomania
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
cyclothymia disorder
guilty feelings alleviated by unsolicitied generosity towards others
How long episodes of major depressive episode usually last
41. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
potential tx for nicotine withdrawal
the common sx of PTSD
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
42. Anorexia nervosa
100 - 15
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
voluntary withholding of an idea or feeling fromk concious awareness
persistent re - experiencing of a previous traumatic event
43. .1-1% of gen pop - 20% of obscene speech
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44. Dissociative fatigue
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
persistent re - experiencing of a previous traumatic event
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Under these conditions do children regress to younger patterns of behavior
45. Substance abuse
child neglect
inflexible - maladaptive - and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning - persons usually not aware of problem - presents early in adulthood
maladaptive pattern leading to clinically significant impairment or distress
desired reward produces action - mouse presses button for food
46. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
development of delusions in a person in a close relationship with delusional disorder
visual hallucinations common
pieces of evidence of physical child abuse
Korsakoff's psychosis
47. 6 months
delerium tremens symptoms
the non specific signs of stimulant intox and withdrawal
How long infant deprivation can last before it leads to irreversible changes
Parkinsons
48. Body dysmorphic disorder
voluntary withholding of an idea or feeling fromk concious awareness
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the serum markers of alcohol use
inability to remember things that occurred after CNS insult
49. Irreversible memory loss - confabulation - personality change
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50. OCD
Moral values - conscience can lead to self blame and attacks of ego
the time frame for schizophreniform disorder
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
gets schizophrenia and the prev
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