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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. Inc mania - high suicide risk
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
Drugs with what kind of affect can lead to a state of delirium
the concern with use of antidepressants in pts with bipoloar disorder

2. Caffeine
intox = restlessness - increase diureis - muscle twitching
Is body weight maintained within nl range in bulimia nervosa
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

3. Patch - gum - losenge - buproprion - varenicline
reward received after random number of responses - slowly extinguished - slot machine
potential tx for nicotine withdrawal
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
associated with winter season - improves in response to full spectrum light exposure

4. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
the typical abuser in sexual abuse
pieces of evidence of physical child abuse
reward received after random number of responses - slowly extinguished - slot machine
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

5. 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
How long does the disturbance last in PTSD
SAD PERSONS
Anxiety
disorders in the form of through - the way ideas are tied together

6. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
delerium tremens symptoms
the tx for panic disorder
the definition of alcoholism

7. Peak incidence 9-12 years of age
intox = restlessness - increase diureis - muscle twitching
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the epi of sexual abuse
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

8. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
Long acting oral opiate for heroine detox or long term maintenance
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Is body weight maintained within nl range in bulimia nervosa
DIG FAST

9. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
whenhypnagogic hallucinations take place
intense fear and discomfort peaking in 10 minutes
Separation of feelings from ideas and events

10. Methadone
anxious - fearful
SIG E CAPS and the criteria for dx
Long acting oral opiate for heroine detox or long term maintenance
depressant intoxication - nonspecific

11. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
whering clothes of the opposite sex
delerium tremens symptoms
repeated stimulation lead sot increase response

12. Schizophrenia
auditory hallucinations common
Schizophrenia
whenmen vs women present with schizophrenia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

13. Maternal blues 50 to 85%
a hypomanic episode
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the 4 W's of deprived babies?
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

14. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
cyclothymia disorder
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Is body weight maintained within nl range in bulimia nervosa

15. Dissociative fatigue
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 definition of alcoholism
the treatment for maternal blues - depression - psychosis
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

16. Like manic but without marked impairement in fxning - no pyschotic features
Diagnosis requres 2 of 5 of which sx
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
learning in which a particular ation is elicited because it produces a reward
a hypomanic episode

17. Atypical depression
behavior acquired by watching others and assimilating actions into one's own repetoire
When to hypnopompic hallucinations take place
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
this drug is a risk factor for schizophrenia in teens

18. Boys
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
gender autism is more common in
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
olfactory hallucinations common

19. Tourrette's
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
a hypomanic episode
whering clothes of the opposite sex

20. Methylphenidate - amphetamines - atomoxetine
the typical abuser in sexual abuse
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
suboxone and the rational of adding an antagonist
the treatments for ADHD

21. Barbituates
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

22. 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
the various types of cluster A personality disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Huntingtons

23. Cluster A personality disorder
PANICS
anxious - fearful
the typical abuser in physical child abuse
odd or eccentric; inability to develop meaningful social relationships

24. Cluster B personality disorder
dramatic - emotional or erratic
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
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 tx for atypical depression

25. Calculates IQ as mental age/chronological age x 100
anxious - fearful
maladaptive pattern leading to clinically significant impairment or distress
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Stanford - binet

26. Anticholinergic
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
Drugs with what kind of affect can lead to a state of delirium
the stages of change in overcoming substance addiction
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

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

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28. Hypochondriasis
pieces of evidence of physical child abuse
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the typical abuser in physical child abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

29. Isolation of affect - describing murder in graphic detail with no emotional response
the associations/complications of bulimia nervosa
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Separation of feelings from ideas and events
How long does the disturbance last in PTSD

30. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
This gross neurological finding is associated with ADHD
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
IQ<70

31. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
What ego dystonic means in relation to OCD
depressant withdrawal - nonspecific
the tx for opiod intox and withdrawal

32. Cluster C personality disorder
the tx for OCD
the serum markers of alcohol use
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
anxious - fearful

33. Postpartum psyschosis - .1 to .2%
the time frame for brief pyschotic disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
psychiatric disorder associated with tourrettes - and the treatment

34. Childhood disintegrative disorder
the tx for BDZ intox - MOA
the common sx of PTSD
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
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

35. Delusions
this drug is a risk factor for schizophrenia in teens
the treatment for EtOH intox and withdrawal
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
suboxone and the rational of adding an antagonist

36. Normal intel - trouble in school
Where child neglect is reported
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
In ADHD - typical intelligence and school performance

37. Illusion
the tx for OCD
the typical abuser in physical child abuse
When separation anxiety disorder usually presents
misinterpretations of actual external stimulus

38. 3000 deaths/yr in the US
the epi of physical child abuse
the serum markers of alcohol use
the tx for atypical depression
gustatroy hallucinations common

39. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the common sx of PTSD
the order of loss of orientation
the 3 types of cluster C personality disorder

40. Depression
Huntingtons
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
in elderly patients who present with dementia - the concern
mediator between primal urges and accepted behavior

41. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Where child neglect is reported
the 4 W's of deprived babies?

42. Genes > environment
Anxiety
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
exaggerated fear of embarrasment in social situations - disorder and tx
factors are most important in the etiology of schizophrenia

43. Habituation - simple learning
turning back the maturational clock and going back to earlier modes of dealing with the world
whering clothes of the opposite sex
repeated stimulation leads to decrease response
Huntingtons

44. Thiamine deficiency
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
causes wernicke - korsakoff syndrome
discontinuation of reinforcement eliminates behavior
behavior achieved following reward of closer and closer approximations of desired behavior

45. LSD
reward received after every response - rapidly extinguished - vending machine
primal urges - freud
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Huntingtons

46. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
Diagnosis requres 2 of 5 of which sx
the common causes of lack or orientation
Anxiety
child neglect

47. Hallucination
perceptions in the absence of external stimulus
the complications/associations of anorexia nervosa
This gross neurological finding is associated with ADHD
the two types of schizoaffective disorder

48. Sublimation - actress using an experience of abuse to enhance her acting
desired reward produces action - mouse presses button for food
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
discontinuation of reinforcement eliminates behavior
the central goa of freudian psychoanalysis

49. In what disease is DA increase?
Schizophrenia
patient projects feelings about formative or other important persons onto physician
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 4 W's of deprived babies?

50. 1 month
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the common sx of PTSD
How long marijuana is detectable in the urine after last use
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months