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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. Autonomic system hyperactivity - psychotic symptoms - confusion
child neglect
delerium tremens symptoms
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
reward received after random number of responses - slowly extinguished - slot machine

2. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
milder form of depression lasting at least 2 years
the common sx of PTSD
Under these conditions do children regress to younger patterns of behavior
disorders in the form of through - the way ideas are tied together

3. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
cyclothymia disorder
What ego dystonic means in relation to OCD
the typical abuser in sexual abuse
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

4. The criteria for mental retardation?
psychiatric disorder associated with tourrettes - and the treatment
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
IQ<70
involunatary withholding of an idea or feeling from conscious awareness

5. Displacement - mom places blame on kid because she's mad at husband
process whereby avoided ideas and feelings are transferred to some neutral person or object
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the definition of alcoholism
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

6. Alcohol
In ADHD - typical intelligence and school performance
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the tx for OCD
factors are most important in the etiology of schizophrenia

7. Korsakoff's amnesia
Is body weight maintained within nl range in bulimia nervosa
gustatroy hallucinations common
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
anterograde amnesia caused by thiamine deficiency

8. Dysthymia
milder form of depression lasting at least 2 years
avoidance of awareness of a some painful reality
auditory hallucinations common
cyclothymia disorder

9. .1-1% of gen pop - 20% of obscene speech

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10. CBT - SSRI - TCI - BDZ
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the tx for panic disorder
behavior achieved following reward of closer and closer approximations of desired behavior
learning in which a particular ation is elicited because it produces a reward

11. Opiods
Long acting oral opiate for heroine detox or long term maintenance
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
an unacceptable internal impulse is attributed to an external source
anxious - fearful

12. LSD
the typical abuser in sexual abuse
doctor projects feelings about formative or other important persons onto patient
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

13. 3000 deaths/yr in the US
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
process whereby avoided ideas and feelings are transferred to some neutral person or object
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the epi of physical child abuse

14. To make the patient aware of hidden in their unconcious
the goal of the ego defenses
Schizophrenia
the central goa of freudian psychoanalysis
milder form of depression lasting at least 2 years

15. Periventricular hemorrhage/necrosis of mamillary bodies
the serum markers of alcohol use
voluntary withholding of an idea or feeling fromk concious awareness
neurologic outcome associated with W- K syndrome
How long infant deprivation can last before it leads to irreversible changes

16. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
application of aversive stimulus extinguishes unwanted behavior
How long does the disturbance last in PTSD

17. Oppositional defiant disorder
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
inability to remember things that occurred before CNS insult
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the associations/complications of bulimia nervosa

18. 6 months
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
How long infant deprivation can last before it leads to irreversible changes
IQ<70
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

19. Naloxone - naltrexone - and symptomatic for withdrawal sx
an unacceptable internal impulse is attributed to an external source
the tx for opiod intox and withdrawal
Anxiety
intox = restlessness. Withdrawal = irritability - anxiety - craving

20. Seasonal affective disorder
the 3 types of cluster C personality disorder
whenhypnagogic hallucinations take place
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
associated with winter season - improves in response to full spectrum light exposure

21. Severe and profound MR?
this drug is a risk factor for schizophrenia in teens
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
<40 and <20
odd or eccentric; inability to develop meaningful social relationships

22. Postpartum depression - 10 to 15%
development of delusions in a person in a close relationship with delusional disorder
the epi of sexual abuse
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
involunatary withholding of an idea or feeling from conscious awareness

23. 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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24. Calculates IQ as mental age/chronological age x 100
100 - 15
Stanford - binet
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
inbability to recall important personal information - usually subsequent to severe trauma or stress

25. Disulfiram and supportive care
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the tx for alcoholism
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

26. Irreversible memory loss - confabulation - personality change

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27. ECT - disorientation amnesia - usually resolves in 6 months
maladaptive pattern of substance use with 3 or more of these 7 criteria
tantrums
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
behavior acquired by watching others and assimilating actions into one's own repetoire

28. Illusion
misinterpretations of actual external stimulus
Korsakoff's psychosis
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the two types of schizoaffective disorder

29. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
less than what percentage of ideal body weight is common in anorexia nervosa
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

30. Before 7
the epi of sexual abuse
the common causes of lack or orientation
the age of onset of ADHD
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

31. Hallucination
perceptions in the absence of external stimulus
the central goa of freudian psychoanalysis
desire to live as the opposite sex - through surgery or hormone tx
gender autism is more common in

32. Genital/anal trauma - STDs and UTIs
Is body weight maintained within nl range in bulimia nervosa
maladaptive pattern leading to clinically significant impairment or distress
When separation anxiety disorder usually presents
pieces of evidence for sexual child abuse

33. Gender identity disorder
reward received after every response - rapidly extinguished - vending machine
strong persistant cross gender identification
inbability to recall important personal information - usually subsequent to severe trauma or stress
depressant intoxication - nonspecific

34. Shaping (social learning)
Where child neglect is reported
behavior achieved following reward of closer and closer approximations of desired behavior
Stanford - binet
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

35. BDZ
the various types of cluster A personality disorder
intox = ataxia - minor respiratory depression
both illness and motivation are subconcious - sx not intentionally produced or feigned
the common sx of PTSD

36. Confusion - opthalmoplegia - and ataxia

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37. Delusions
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the common causes of lack or orientation
gustatroy hallucinations common
the tx for alcoholism

38. Countertransference
doctor projects feelings about formative or other important persons onto patient
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 treatment for EtOH intox and withdrawal
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

39. Gamma glutamyltransferase - GGT - AST 2x ALT
the serum markers of alcohol use
factors are most important in the etiology of schizophrenia
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
reward received after random number of responses - slowly extinguished - slot machine

40. Denial - can occur in new AIDS or cancer diagnosis
the concern with use of antidepressants in pts with bipoloar disorder
avoidance of awareness of a some painful reality
inability to remember things that occurred before CNS insult
behavior achieved following reward of closer and closer approximations of desired behavior

41. Cocaine
process whereby avoided ideas and feelings are transferred to some neutral person or object
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
visual hallucinations common

42. Extinction
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
causes wernicke - korsakoff syndrome
discontinuation of reinforcement eliminates behavior
<40 and <20

43. Cluster A personality disorder
the 5 types of schizophrenia
odd or eccentric; inability to develop meaningful social relationships
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

44. Altruism - mafia boss makes a large donation to charity
guilty feelings alleviated by unsolicitied generosity towards others
the epi of sexual abuse
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the 4 W's of deprived babies?

45. PTSD
cyclothymia disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
Huntingtons
persistent re - experiencing of a previous traumatic event

46. Thiamine deficiency
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
pieces of evidence of physical child abuse
autism with unusual abilities
causes wernicke - korsakoff syndrome

47. Methadone
the 3 types of cluster C personality disorder
Long acting oral opiate for heroine detox or long term maintenance
the 5 types of schizophrenia
suboxone and the rational of adding an antagonist

48. Transsexualism
Where child neglect is reported
desire to live as the opposite sex - through surgery or hormone tx
IQ<70
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

49. In what diseaese is DA decrease - 5HT increase - and increase ACH?
the stages of change in overcoming substance addiction
Parkinsons
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
less than what percentage of ideal body weight is common in anorexia nervosa

50. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the complications/associations of anorexia nervosa
Causes of dementia
This gross neurological finding is associated with ADHD
auditory hallucinations common