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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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1. BDZ - busiprone - SSRIs
the tx for GAD
patient projects feelings about formative or other important persons onto physician
Causes of dementia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

2. Boys
gender autism is more common in
the tx for opiod intox and withdrawal
depressant intoxication - nonspecific
appreciating the amusing nature of an anxiety provoking or adverse situation

3. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
causes wernicke - korsakoff syndrome
Separation of feelings from ideas and events
suboxone and the rational of adding an antagonist
<40 and <20

4. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

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5. Patch - gum - losenge - buproprion - varenicline
the tx for OCD
neurologic outcome associated with W- K syndrome
whenmen vs women present with schizophrenia
potential tx for nicotine withdrawal

6. Cluster C personality disorder
anxious - fearful
pieces of evidence for sexual child abuse
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
guilty feelings alleviated by unsolicitied generosity towards others

7. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
persistent re - experiencing of a previous traumatic event
the stages of change in overcoming substance addiction
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

8. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
the time frame for schizophreniform disorder
olfactory hallucinations common
repeated stimulation leads to decrease response

9. Paranoid - disorganized - catatonic - undifferentiated - residual
the 5 types of schizophrenia
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Depression
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

10. Manic episdoe
patient projects feelings about formative or other important persons onto physician
depressant withdrawal - nonspecific
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

11. Schizoaffective disorder
Drugs with what kind of affect can lead to a state of delirium
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
causes wernicke - korsakoff syndrome
SAD PERSONS

12. Cocaine
Under these conditions do children regress to younger patterns of behavior
How long infant deprivation can last before it leads to irreversible changes
the tx for BDZ intox - MOA
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

13. Before 7
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the age of onset of ADHD

14. Extinction
Anxiety
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
discontinuation of reinforcement eliminates behavior
the common causes of lack or orientation

15. Personality trait
the tx for bipolar disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
process whereby avoided ideas and feelings are transferred to some neutral person or object

16. CBT - SSRI - TCI - BDZ
the tx for panic disorder
auditory hallucinations common
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
In ADHD - typical intelligence and school performance

17. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
disorders in the form of through - the way ideas are tied together
maladaptive pattern of substance use with 3 or more of these 7 criteria
Causes of dementia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

18. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
belief that people are either all good or all bad at different times due to intolerance or ambiguity
intox = restlessness - increase diureis - muscle twitching
the treatment for maternal blues - depression - psychosis
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. Regression - seen in children under stress and in patients on dialysis (crying)
turning back the maturational clock and going back to earlier modes of dealing with the world
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the goal of the ego defenses
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

20. Disulfiram and supportive care
the tx for alcoholism
this drug is a risk factor for schizophrenia in teens
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the complications/associations of anorexia nervosa

21. Vit B1 - thiamine
the tx of W- K syndrome
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

22. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
olfactory hallucinations common
development of delusions in a person in a close relationship with delusional disorder
Stanford - binet

23. 85 percent
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Separation of feelings from ideas and events
less than what percentage of ideal body weight is common in anorexia nervosa
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

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
the order of loss of orientation
discontinuation of reinforcement eliminates behavior
the definition of alcoholism

25. Modeling (social learning)

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26. Specific phobia
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
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
milder form of depression lasting at least 2 years
Long acting oral opiate for heroine detox or long term maintenance

27. Yes
Is body weight maintained within nl range in bulimia nervosa
guilty feelings alleviated by unsolicitied generosity towards others
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the treatments for ADHD

28. Peak incidence 9-12 years of age
inability to remember things that occurred after CNS insult
Is body weight maintained within nl range in bulimia nervosa
the epi of sexual abuse
inability to remember things that occurred before CNS insult

29. Postpartum psyschosis - .1 to .2%
the associations/complications of bulimia nervosa
intox = ataxia - minor respiratory depression
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
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

30. Genital/anal trauma - STDs and UTIs
belief that people are either all good or all bad at different times due to intolerance or ambiguity
a hypomanic episode
desired reward produces action - mouse presses button for food
pieces of evidence for sexual child abuse

31. Variable ratio reinforcement schedule
the typical abuser in sexual abuse
desire to live as the opposite sex - through surgery or hormone tx
reward received after random number of responses - slowly extinguished - slot machine
depressant withdrawal - nonspecific

32. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
exaggerated fear of embarrasment in social situations - disorder and tx
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

33. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
discontinuation of reinforcement eliminates behavior
the age of onset of ADHD
heroin users at increased risk of...

34. Dissociation - can lead to multiple personality disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
involunatary withholding of an idea or feeling from conscious awareness
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
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

35. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
this drug is a risk factor for schizophrenia in teens
the tx for bipolar disorder
neurologic outcome associated with W- K syndrome

36. Dysthymia followed by hypomania
desired reward produces action - mouse presses button for food
the complications of alcoholism
cyclothymia disorder
odd or eccentric; inability to develop meaningful social relationships

37. Nicotine
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
gender autism is more common in
intox = restlessness. Withdrawal = irritability - anxiety - craving
patient projects feelings about formative or other important persons onto physician

38. Factitious disorder
guilty feelings alleviated by unsolicitied generosity towards others
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Is body weight maintained within nl range in bulimia nervosa
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

39. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
In ADHD - typical intelligence and school performance
milder form of depression lasting at least 2 years
potential tx for nicotine withdrawal
DIG FAST

40. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
primal urges - freud
odd or eccentric; inability to develop meaningful social relationships
the complications of alcoholism
tactile hallucinations common

41. MAOi - SSRIs
the EEG findings in dementia
the treatment for EtOH intox and withdrawal
the tx for opiod intox and withdrawal
the tx for atypical depression

42. Thiamine deficiency
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
less than what percentage of ideal body weight is common in anorexia nervosa
causes wernicke - korsakoff syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

43. Normal intel - trouble in school
intense fear and discomfort peaking in 10 minutes
the order of loss of orientation
In ADHD - typical intelligence and school performance
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

44. Anxiety - tremor - seizures - insomnia
strong persistant cross gender identification
maladaptive pattern leading to clinically significant impairment or distress
depressant withdrawal - nonspecific
patient projects feelings about formative or other important persons onto physician

45. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
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
tantrums
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

46. 7 to 9
behavior acquired by watching others and assimilating actions into one's own repetoire
intox = restlessness. Withdrawal = irritability - anxiety - craving
When separation anxiety disorder usually presents
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

47. Countertransference
olfactory hallucinations common
the two types of schizoaffective disorder
doctor projects feelings about formative or other important persons onto patient
tantrums

48. Malingering
Number of major depressive episodes constitute major depressive disorder
primal urges - freud
auditory hallucinations common
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

49. Men early 20s - women late 20s early 30s
application of aversive stimulus extinguishes unwanted behavior
whenmen vs women present with schizophrenia
the time frame for brief pyschotic disorder
the typical abuser in sexual abuse

50. In what disease is GABA decrease and ACH decrease?
Huntingtons
the time frame for brief pyschotic disorder
gets schizophrenia and the prev
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

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Psychiatry

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