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Psychiatry

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Answer 50 questions in 15 minutes.
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1. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
maladaptive pattern leading to clinically significant impairment or distress
When to hypnopompic hallucinations take place
behavior achieved following reward of closer and closer approximations of desired behavior

2. Cluster A personality disorder
repeated stimulation lead sot increase response
mediator between primal urges and accepted behavior
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
odd or eccentric; inability to develop meaningful social relationships

3. Normal intel - trouble in school
voluntary withholding of an idea or feeling fromk concious awareness
In ADHD - typical intelligence and school performance
How long marijuana is detectable in the urine after last use
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

4. Orientation
the common sx of PTSD
dramatic - emotional or erratic
reward received after every response - rapidly extinguished - vending machine
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

5. SSRIs - clomipramine
the tx for OCD
reward received after random number of responses - slowly extinguished - slot machine
pieces of evidence for sexual child abuse
factors are most important in the etiology of schizophrenia

6. 6-12 months
dramatic - emotional or erratic
the tx for alcoholism
How long episodes of major depressive episode usually last
appreciating the amusing nature of an anxiety provoking or adverse situation

7. There are rare
disorders in the form of through - the way ideas are tied together
discontinuation of reinforcement eliminates behavior
gustatroy hallucinations common
doctor projects feelings about formative or other important persons onto patient

8. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
SAD PERSONS
the 3 types of cluster C personality disorder
the definition of alcoholism
autism with unusual abilities

9. Oppositional defiant disorder
mediator between primal urges and accepted behavior
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
IQ<70
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

10. Depression
inability to remember things that occurred before CNS insult
DIG FAST
in elderly patients who present with dementia - the concern
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

11. Peak incidence 9-12 years of age
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Korsakoff's psychosis
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the epi of sexual abuse

12. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
IQ<70
the common causes of lack or orientation
behavior acquired by watching others and assimilating actions into one's own repetoire

13. Amphetamines
the associations/complications of bulimia nervosa
the treatment for EtOH intox and withdrawal
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

14. ECT - disorientation amnesia - usually resolves in 6 months
Causes of dementia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
maladaptive pattern leading to clinically significant impairment or distress
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

15. Naltrexone and BDZ
the treatment for EtOH intox and withdrawal
the stages of change in overcoming substance addiction
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
mediator between primal urges and accepted behavior

16. Anorexia nervosa
odd or eccentric; inability to develop meaningful social relationships
intox = restlessness - increase diureis - muscle twitching
the 4 W's of deprived babies?
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

17. <1mo - usually stress related
the time frame for brief pyschotic disorder
the non specific signs of stimulant intox and withdrawal
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
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

18. Illusion
This gross neurological finding is associated with ADHD
misinterpretations of actual external stimulus
development of delusions in a person in a close relationship with delusional disorder
100 - 15

19. Social phobias - tx SSRIs
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
100 - 15
tantrums
exaggerated fear of embarrasment in social situations - disorder and tx

20. Alcohol
development of delusions in a person in a close relationship with delusional disorder
Separation of feelings from ideas and events
the tx for opiod intox and withdrawal
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

21. Transsexualism
the tx for OCD
behavior acquired by watching others and assimilating actions into one's own repetoire
desire to live as the opposite sex - through surgery or hormone tx
depressant withdrawal - nonspecific

22. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the treatment for maternal blues - depression - psychosis
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
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

23. Somatization disorder
intox = ataxia - minor respiratory depression
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

24. Isolation of affect - describing murder in graphic detail with no emotional response
inability to remember things that occurred after CNS insult
pieces of evidence for sexual child abuse
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Separation of feelings from ideas and events

25. Generalized anxiety disorder
repeated stimulation lead sot increase response
the typical abuser in physical child abuse
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
involunatary withholding of an idea or feeling from conscious awareness

26. Precontemplation - contemplation - preparation - action - maintenance - relapse
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
involunatary withholding of an idea or feeling from conscious awareness
the stages of change in overcoming substance addiction
SAD PERSONS

27. Anterograde amnesia
inability to remember things that occurred after CNS insult
intox = restlessness - increase diureis - muscle twitching
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the tx for opiod intox and withdrawal

28. Transvestism
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
whering clothes of the opposite sex
in elderly patients who present with dementia - the concern

29. In what disease is GABA decrease and ACH decrease?
Huntingtons
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
Depression
the two types of schizoaffective disorder

30. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
the central goa of freudian psychoanalysis
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

31. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
How long does the disturbance last in PTSD
tantrums
pieces of evidence of physical child abuse
the common sx of PTSD

32. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
appreciating the amusing nature of an anxiety provoking or adverse situation
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the stages of change in overcoming substance addiction

33. In what disease does NE decrease - 5HT decrease and DA decrease?
Depression
the EEG findings in dementia
How long marijuana is detectable in the urine after last use
the age of onset of ADHD

34. To make the patient aware of hidden in their unconcious
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
the central goa of freudian psychoanalysis
Diagnosis requres 2 of 5 of which sx
This gross neurological finding is associated with ADHD

35. Projection - a man who wants another women thinks his wife is cheating on him
exaggerated fear of embarrasment in social situations - disorder and tx
desired reward produces action - mouse presses button for food
the types of cluster B personality disorder
an unacceptable internal impulse is attributed to an external source

36. Anxiety - tremor - seizures - insomnia
causes wernicke - korsakoff syndrome
depressant withdrawal - nonspecific
the tx for alcoholism
involunatary withholding of an idea or feeling from conscious awareness

37. Delusions
the types of cluster B personality disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the stages of change in overcoming substance addiction

38. Yes
Is body weight maintained within nl range in bulimia nervosa
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
modeling behavior after another person is more powerful - though not necessarily admired
Alzheimers

39. Modeling (social learning)

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40. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
repeated stimulation leads to decrease response
Causes of dementia
gets schizophrenia and the prev

41. Time then place then person
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the order of loss of orientation
inbability to recall important personal information - usually subsequent to severe trauma or stress
the EEG findings in dementia

42. .1-1% of gen pop - 20% of obscene speech

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43. Factitious disorder
the treatment for EtOH intox and withdrawal
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Separation of feelings from ideas and events
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

44. CBT - SSRI - TCI - BDZ
the tx for panic disorder
SIG E CAPS and the criteria for dx
the tx for GAD
desired reward produces action - mouse presses button for food

45. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the central goa of freudian psychoanalysis
What ego dystonic means in relation to OCD
an unacceptable internal impulse is attributed to an external source
in elderly patients who present with dementia - the concern

46. Savant
autism with unusual abilities
whenhypnagogic hallucinations take place
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the tx for alcoholism

47. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
intox = restlessness. Withdrawal = irritability - anxiety - craving
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Under these conditions do children regress to younger patterns of behavior
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

48. Altruism - mafia boss makes a large donation to charity
the 5 types of schizophrenia
odd or eccentric; inability to develop meaningful social relationships
whenmen vs women present with schizophrenia
guilty feelings alleviated by unsolicitied generosity towards others

49. Displacement - mom places blame on kid because she's mad at husband
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
turning back the maturational clock and going back to earlier modes of dealing with the world
the epi of physical child abuse
process whereby avoided ideas and feelings are transferred to some neutral person or object

50. Body dysmorphic disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
process whereby avoided ideas and feelings are transferred to some neutral person or object
pieces of evidence of physical child abuse
primal urges - freud

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Psychiatry

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