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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. Savant
this drug is a risk factor for schizophrenia in teens
potential tx for nicotine withdrawal
desired reward produces action - mouse presses button for food
autism with unusual abilities

2. 1-6 months
misinterpretations of actual external stimulus
dramatic - emotional or erratic
the time frame for schizophreniform disorder
repeated stimulation leads to decrease response

3. <1mo - usually stress related
doctor projects feelings about formative or other important persons onto patient
delerium tremens symptoms
the time frame for brief pyschotic disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

4. 2 or more within a symptom free interval of 2 months
the age of onset of ADHD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
depressant withdrawal - nonspecific
Number of major depressive episodes constitute major depressive disorder

5. ADHD
neurologic outcome associated with W- K syndrome
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
repeated stimulation leads to decrease response
partially remaining at more childish level of development

6. Disulfiram and supportive care
the time frame for schizophreniform disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Anxiety
the tx for alcoholism

7. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the tx of W- K syndrome
Anxiety
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Diagnosis requres 2 of 5 of which sx

8. Nl
Huntingtons
the EEG findings in dementia
gets schizophrenia and the prev
the time frame for brief pyschotic disorder

9. Altruism - mafia boss makes a large donation to charity
guilty feelings alleviated by unsolicitied generosity towards others
the 4 W's of deprived babies?
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

10. CBT - SSRI - TCI - BDZ
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the tx for panic disorder
the tx for GAD
desired reward produces action - mouse presses button for food

11. Men early 20s - women late 20s early 30s
Drugs with what kind of affect can lead to a state of delirium
whenmen vs women present with schizophrenia
define bipolar disorder and distinguish I from II
the 5 types of schizophrenia

12. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the two types of schizoaffective disorder
involunatary withholding of an idea or feeling from conscious awareness

13. Oppositional defiant disorder
odd or eccentric; inability to develop meaningful social relationships
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
anterograde amnesia caused by thiamine deficiency
psychiatric disorder associated with tourrettes - and the treatment

14. In what disease is GABA decrease and ACH decrease?
suboxone and the rational of adding an antagonist
gets schizophrenia and the prev
Huntingtons
<40 and <20

15. Retrograde amnesia
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the typical abuser in sexual abuse
inability to remember things that occurred before CNS insult
the typical abuser in physical child abuse

16. Separation anxiety disorder
Separation of feelings from ideas and events
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Huntingtons
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

17. Before 7
associated with winter season - improves in response to full spectrum light exposure
the age of onset of ADHD
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Stanford - binet

18. Personality disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
depressant withdrawal - nonspecific
100 - 15
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

19. Hallucination
perceptions in the absence of external stimulus
intox = ataxia - minor respiratory depression
the age of onset of ADHD
the 3 types of cluster C personality disorder

20. Denial - can occur in new AIDS or cancer diagnosis
the concern with use of antidepressants in pts with bipoloar disorder
factors are most important in the etiology of schizophrenia
Parkinsons
avoidance of awareness of a some painful reality

21. Dec frontal lobe volumes
doctor projects feelings about formative or other important persons onto patient
This gross neurological finding is associated with ADHD
child neglect
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

22. Postpartum psyschosis - .1 to .2%
SAD PERSONS
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the common causes of lack or orientation
the concern with use of antidepressants in pts with bipoloar disorder

23. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the stages of change in overcoming substance addiction
heroin users at increased risk of...
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
behavior acquired by watching others and assimilating actions into one's own repetoire

24. Barbituates
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
intox = restlessness. Withdrawal = irritability - anxiety - craving

25. Time then place then person
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the order of loss of orientation
the treatment for EtOH intox and withdrawal
In ADHD - typical intelligence and school performance

26. Schizophrenia
misinterpretations of actual external stimulus
anxious - fearful
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

27. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
SIG E CAPS and the criteria for dx
reward received after random number of responses - slowly extinguished - slot machine
Huntingtons

28. Panic disorder
both illness and motivation are subconcious - sx not intentionally produced or feigned
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
depressant withdrawal - nonspecific
intense fear and discomfort peaking in 10 minutes

29. Malingering
the typical abuser in physical child abuse
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
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
IQ<70

30. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
child neglect
the treatment for maternal blues - depression - psychosis
the common sx of PTSD
the types of cluster B personality disorder

31. Identification - abused models abuser
What ego dystonic means in relation to OCD
modeling behavior after another person is more powerful - though not necessarily admired
Causes of dementia
misinterpretations of actual external stimulus

32. Blacks=whites - males = females - 1.5% lifetime prev
appreciating the amusing nature of an anxiety provoking or adverse situation
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
gets schizophrenia and the prev
the tx for atypical depression

33. Patch - gum - losenge - buproprion - varenicline
olfactory hallucinations common
potential tx for nicotine withdrawal
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

34. 6 months
How long infant deprivation can last before it leads to irreversible changes
the treatments for ADHD
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
discontinuation of reinforcement eliminates behavior

35. BDZ
intox = ataxia - minor respiratory depression
the non specific signs of stimulant intox and withdrawal
reward received after random number of responses - slowly extinguished - slot machine
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

36. Generalized anxiety disorder
maladaptive pattern leading to clinically significant impairment or distress
misinterpretations of actual external stimulus
the 5 types of schizophrenia
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

37. 6-12 months
cyclothymia disorder
How long episodes of major depressive episode usually last
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

38. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the typical abuser in physical child abuse
the non specific signs of stimulant intox and withdrawal
This gross neurological finding is associated with ADHD

39. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
define bipolar disorder and distinguish I from II
Causes of dementia
mediator between primal urges and accepted behavior
the common causes of lack or orientation

40. Dysthymia followed by hypomania
the tx for opiod intox and withdrawal
cyclothymia disorder
heroin users at increased risk of...
autism with unusual abilities

41. Dysthymia
milder form of depression lasting at least 2 years
the triad of Wernicke's encephalopathy
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Long acting oral opiate for heroine detox or long term maintenance

42. Delirium
visual hallucinations common
reward received after random number of responses - slowly extinguished - slot machine
SIG E CAPS and the criteria for dx
the 3 types of cluster C personality disorder

43. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
misinterpretations of actual external stimulus
the definition of alcoholism
Separation of feelings from ideas and events

44. LSD
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the definition of alcoholism

45. Precontemplation - contemplation - preparation - action - maintenance - relapse
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the treatment for maternal blues - depression - psychosis
the stages of change in overcoming substance addiction
the order of loss of orientation

46. Occurs while waking up
How long does the disturbance last in PTSD
When to hypnopompic hallucinations take place
whenmen vs women present with schizophrenia
SAD PERSONS

47. Male - known to the victim
the typical abuser in sexual abuse
the evidence for child neglect
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
intox = restlessness - increase diureis - muscle twitching

48. Autonomic system hyperactivity - psychotic symptoms - confusion
the order of loss of orientation
the two types of schizoaffective disorder
the time frame for schizophreniform disorder
delerium tremens symptoms

49. Conduct disorder <18 - antisocial personality disorder > 18
Stanford - binet
gender autism is more common in
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

50. Marijuana
SIG E CAPS and the criteria for dx
belief that people are either all good or all bad at different times due to intolerance or ambiguity
patient projects feelings about formative or other important persons onto physician
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia