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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Cocaine
How long does the disturbance last in PTSD
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
the typical abuser in physical child abuse

2. In what diseaese is DA decrease - 5HT increase - and increase ACH?
the central goa of freudian psychoanalysis
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Causes of dementia
Parkinsons

3. Time then place then person
misinterpretations of actual external stimulus
Diagnosis requres 2 of 5 of which sx
the order of loss of orientation
whering clothes of the opposite sex

4. 6 months
gender autism is more common in
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
How long infant deprivation can last before it leads to irreversible changes

5. Occurs while waking up
desire to live as the opposite sex - through surgery or hormone tx
cyclothymia disorder
When to hypnopompic hallucinations take place
the tx for OCD

6. ADHD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

7. Modeling (social learning)

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8. 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
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
maladaptive pattern of substance use with 3 or more of these 7 criteria
This gross neurological finding is associated with ADHD

9. CPS
Where child neglect is reported
the non specific signs of stimulant intox and withdrawal
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
How long marijuana is detectable in the urine after last use

10. ECT - disorientation amnesia - usually resolves in 6 months
reward received after random number of responses - slowly extinguished - slot machine
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
IQ<70
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

11. Like manic but without marked impairement in fxning - no pyschotic features
a hypomanic episode
inability to remember things that occurred before CNS insult
the typical abuser in physical child abuse
When separation anxiety disorder usually presents

12. Extinction
How long does the disturbance last in PTSD
repeated stimulation leads to decrease response
discontinuation of reinforcement eliminates behavior
cyclothymia disorder

13. Projection - a man who wants another women thinks his wife is cheating on him
gender autism is more common in
an unacceptable internal impulse is attributed to an external source
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
behavior acquired by watching others and assimilating actions into one's own repetoire

14. Nl
the EEG findings in dementia
intox = restlessness. Withdrawal = irritability - anxiety - craving
Separation of feelings from ideas and events
Is body weight maintained within nl range in bulimia nervosa

15. Calculates IQ as mental age/chronological age x 100
the time frame for brief pyschotic disorder
Under these conditions do children regress to younger patterns of behavior
Stanford - binet
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

16. Dissociation - can lead to multiple personality disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
both illness and motivation are subconcious - sx not intentionally produced or feigned
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

17. Munchausen's syndrome
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the serum markers of alcohol use
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

18. Separation anxiety disorder
behavior achieved following reward of closer and closer approximations of desired behavior
perceptions in the absence of external stimulus
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
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

19. Anticholinergic
Is body weight maintained within nl range in bulimia nervosa
the complications of alcoholism
Drugs with what kind of affect can lead to a state of delirium
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

20. In what disease is DA increase?
Schizophrenia
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
When to hypnopompic hallucinations take place
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

21. Naltrexone and BDZ
the treatment for EtOH intox and withdrawal
the tx for GAD
Parkinsons
the definition of alcoholism

22. 6-12 months
Number of major depressive episodes constitute major depressive disorder
voluntary withholding of an idea or feeling fromk concious awareness
How long episodes of major depressive episode usually last
the goal of the ego defenses

23. Anxiety - tremor - seizures - insomnia
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
depressant withdrawal - nonspecific
the tx for atypical depression

24. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
modeling behavior after another person is more powerful - though not necessarily admired
the tx for atypical depression

25. Methadone
Long acting oral opiate for heroine detox or long term maintenance
process whereby avoided ideas and feelings are transferred to some neutral person or object
strong persistant cross gender identification
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

26. LSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the tx for BDZ intox - MOA
depressant intoxication - nonspecific

27. Dementia
gustatroy hallucinations common
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
patient projects feelings about formative or other important persons onto physician

28. Marijuana
When to hypnopompic hallucinations take place
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
an unacceptable internal impulse is attributed to an external source
strong persistant cross gender identification

29. Bulimia nervosa
the complications/associations of anorexia nervosa
gets schizophrenia and the prev
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

30. Schizophrenia
the tx for panic disorder
auditory hallucinations common
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the serum markers of alcohol use

31. Sublimation - actress using an experience of abuse to enhance her acting
the typical abuser in sexual abuse
the goal of the ego defenses
define bipolar disorder and distinguish I from II
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

32. 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 typical abuser in sexual abuse
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the associations/complications of bulimia nervosa

33. Depersonalization disorder

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34. 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
in elderly patients who present with dementia - the concern
the complications/associations of anorexia nervosa
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

35. Retrograde amnesia
anxious - fearful
inability to remember things that occurred before CNS insult
factors are most important in the etiology of schizophrenia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

36. Savant
autism with unusual abilities
doctor projects feelings about formative or other important persons onto patient
depressant intoxication - nonspecific
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

37. Dipoloar or depressive
the two types of schizoaffective disorder
the non specific signs of stimulant intox and withdrawal
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
in elderly patients who present with dementia - the concern

38. Body dysmorphic disorder
intox = ataxia - minor respiratory depression
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
patient projects feelings about formative or other important persons onto physician
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

39. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
Long acting oral opiate for heroine detox or long term maintenance
PANICS
the common sx of PTSD

40. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
belief that people are either all good or all bad at different times due to intolerance or ambiguity
PANICS
whenhypnagogic hallucinations take place
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

41. Delirium
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
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 time frame for brief pyschotic disorder
Anxiety

42. Personality disorder
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
neurologic outcome associated with W- K syndrome
perceptions in the absence of external stimulus
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

43. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Under these conditions do children regress to younger patterns of behavior
the EEG findings in dementia
inability to remember things that occurred after CNS insult

44. Factitious disorder
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the stages of change in overcoming substance addiction

45. Supression - not thinking about the USMLE until the week of the exam
SIG E CAPS and the criteria for dx
voluntary withholding of an idea or feeling fromk concious awareness
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Drugs with what kind of affect can lead to a state of delirium

46. Aspergers
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the time frame for brief pyschotic disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

47. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
SIG E CAPS and the criteria for dx
anxious - fearful
the 4 W's of deprived babies?
Diagnosis requres 2 of 5 of which sx

48. .1-1% of gen pop - 20% of obscene speech

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49. Shared delusional disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Drugs with what kind of affect can lead to a state of delirium
the tx of W- K syndrome
development of delusions in a person in a close relationship with delusional disorder

50. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Huntingtons
the tx for bipolar disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

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Psychiatry

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