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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Vit B1 - thiamine
the time frame for schizophreniform disorder
the EEG findings in dementia
Long acting oral opiate for heroine detox or long term maintenance
the tx of W- K syndrome

2. The criteria for mental retardation?
IQ<70
gender autism is more common in
voluntary withholding of an idea or feeling fromk concious awareness
less than what percentage of ideal body weight is common in anorexia nervosa

3. CPS
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
How long marijuana is detectable in the urine after last use
causes wernicke - korsakoff syndrome

4. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the complications of alcoholism
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
development of delusions in a person in a close relationship with delusional disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

5. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
olfactory hallucinations common
Depression
the common sx of PTSD

6. Depression
in elderly patients who present with dementia - the concern
the treatments for ADHD
the EEG findings in dementia
the types of cluster B personality disorder

7. Schizophrenia
strong persistant cross gender identification
inbability to recall important personal information - usually subsequent to severe trauma or stress
auditory hallucinations common
an unacceptable internal impulse is attributed to an external source

8. While going to sleep
whenhypnagogic hallucinations take place
depressant withdrawal - nonspecific
perceptions in the absence of external stimulus
the associations/complications of bulimia nervosa

9. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
this drug is a risk factor for schizophrenia in teens
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the tx for BDZ intox - MOA
repeated stimulation leads to decrease response

10. Oppositional defiant disorder
less than what percentage of ideal body weight is common in anorexia nervosa
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

11. Dysthymia
odd or eccentric; inability to develop meaningful social relationships
Diagnosis requres 2 of 5 of which sx
milder form of depression lasting at least 2 years
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

12. Separation anxiety disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Number of major depressive episodes constitute major depressive disorder
IQ<70
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

13. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
reward received after every response - rapidly extinguished - vending machine
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the associations/complications of bulimia nervosa

14. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
the complications/associations of anorexia nervosa
the 4 W's of deprived babies?
Causes of dementia
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

15. Delirium/secondary to other illness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
IQ<70
pieces of evidence for sexual child abuse
turning back the maturational clock and going back to earlier modes of dealing with the world

16. Anticholinergic
the triad of Wernicke's encephalopathy
reward received after random number of responses - slowly extinguished - slot machine
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Drugs with what kind of affect can lead to a state of delirium

17. Thiamine deficiency
associated with winter season - improves in response to full spectrum light exposure
causes wernicke - korsakoff syndrome
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the serum markers of alcohol use

18. Operant conditioning
delerium tremens symptoms
persistent re - experiencing of a previous traumatic event
learning in which a particular ation is elicited because it produces a reward
guilty feelings alleviated by unsolicitied generosity towards others

19. Depersonalization disorder

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20. Amphetamines
the treatment for maternal blues - depression - psychosis
tantrums
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

21. Flumazenil - competitive GABA antagonist
the various types of cluster A personality disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the tx for BDZ intox - MOA
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

22. In what diseaese is DA decrease - 5HT increase - and increase ACH?
repeated stimulation lead sot increase response
the triad of Wernicke's encephalopathy
Parkinsons
development of delusions in a person in a close relationship with delusional disorder

23. Conduct disorder <18 - antisocial personality disorder > 18
appreciating the amusing nature of an anxiety provoking or adverse situation
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the treatment for EtOH intox and withdrawal
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

24. 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
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the complications/associations of anorexia nervosa
the treatment for maternal blues - depression - psychosis

25. Postpartum depression - 10 to 15%
milder form of depression lasting at least 2 years
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
heroin users at increased risk of...
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

26. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
reward received after random number of responses - slowly extinguished - slot machine
the triad of Wernicke's encephalopathy
maladaptive pattern of substance use with 3 or more of these 7 criteria

27. Periventricular hemorrhage/necrosis of mamillary bodies
neurologic outcome associated with W- K syndrome
the types of cluster B personality disorder
avoidance of awareness of a some painful reality
gets schizophrenia and the prev

28. Reaction formation - a patient with libidinous thoughts enters a monastery
Is body weight maintained within nl range in bulimia nervosa
the tx for GAD
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Separation of feelings from ideas and events

29. Patch - gum - losenge - buproprion - varenicline
Moral values - conscience can lead to self blame and attacks of ego
potential tx for nicotine withdrawal
associated with winter season - improves in response to full spectrum light exposure
discontinuation of reinforcement eliminates behavior

30. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
depressant intoxication - nonspecific
anterograde amnesia caused by thiamine deficiency
patient projects feelings about formative or other important persons onto physician

31. Genes > environment
the time frame for schizophreniform disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
factors are most important in the etiology of schizophrenia

32. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
factors are most important in the etiology of schizophrenia
disorders in the form of through - the way ideas are tied together
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the types of cluster B personality disorder

33. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
Drugs with what kind of affect can lead to a state of delirium
inability to remember things that occurred after CNS insult
the non specific signs of stimulant intox and withdrawal
PANICS

34. Genital/anal trauma - STDs and UTIs
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
application of aversive stimulus extinguishes unwanted behavior
the definition of alcoholism
pieces of evidence for sexual child abuse

35. CBT - SSRI - TCI - BDZ
the tx for panic disorder
repeated stimulation leads to decrease response
whering clothes of the opposite sex
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

36. Fixation - men fixating on sports games
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
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
partially remaining at more childish level of development
the two types of schizoaffective disorder

37. Continuous reinforcement schedule
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
intox = restlessness - increase diureis - muscle twitching
reward received after every response - rapidly extinguished - vending machine
involunatary withholding of an idea or feeling from conscious awareness

38. PCP
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
psychiatric disorder associated with tourrettes - and the treatment
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

39. <1mo - usually stress related
PANICS
In ADHD - typical intelligence and school performance
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the time frame for brief pyschotic disorder

40. Nicotine
delerium tremens symptoms
process whereby avoided ideas and feelings are transferred to some neutral person or object
intox = restlessness. Withdrawal = irritability - anxiety - craving
repeated stimulation leads to decrease response

41. ADHD
the triad of Wernicke's encephalopathy
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the epi of sexual abuse
the types of cluster B personality disorder

42. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
Diagnosis requres 2 of 5 of which sx
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the treatment for maternal blues - depression - psychosis

43. 7 to 9
Diagnosis requres 2 of 5 of which sx
patient projects feelings about formative or other important persons onto physician
When separation anxiety disorder usually presents
inbability to recall important personal information - usually subsequent to severe trauma or stress

44. Sensitization
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
repeated stimulation lead sot increase response
the order of loss of orientation
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

45. Dementia
tactile hallucinations common
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
guilty feelings alleviated by unsolicitied generosity towards others

46. Panic disorder
a hypomanic episode
neurologic outcome associated with W- K syndrome
intense fear and discomfort peaking in 10 minutes
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

47. Personality trait
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intox = restlessness - increase diureis - muscle twitching
milder form of depression lasting at least 2 years

48. ECT - disorientation amnesia - usually resolves in 6 months
the 5 types of schizophrenia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
gustatroy hallucinations common

49. Somatization disorder
patient projects feelings about formative or other important persons onto physician
the tx for opiod intox and withdrawal
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

50. Calculates IQ as mental age/chronological age x 100
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
Stanford - binet
the tx for alcoholism
the tx for atypical depression

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Psychiatry

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