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Psychiatry

Instructions:

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. Male - known to the victim
the time frame for schizophreniform disorder
mediator between primal urges and accepted behavior
How long does the disturbance last in PTSD
the typical abuser in sexual abuse

2. Dysthymia
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
milder form of depression lasting at least 2 years
Korsakoff's psychosis
When separation anxiety disorder usually presents

3. Anorexia nervosa
the goal of the ego defenses
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the tx for alcoholism
delerium tremens symptoms

4. Boys
gender autism is more common in
appreciating the amusing nature of an anxiety provoking or adverse situation
Stanford - binet
guilty feelings alleviated by unsolicitied generosity towards others

5. Oppositional defiant disorder
the various types of cluster A personality disorder
modeling behavior after another person is more powerful - though not necessarily admired
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
gets schizophrenia and the prev

6. Severe and profound MR?
Where child neglect is reported
<40 and <20
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
visual hallucinations common

7. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
Depression
the order of loss of orientation
What ego dystonic means in relation to OCD
How long infant deprivation can last before it leads to irreversible changes

8. Korsakoff's amnesia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
anterograde amnesia caused by thiamine deficiency
DIG FAST
application of aversive stimulus extinguishes unwanted behavior

9. MAOi - SSRIs
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 tx for atypical depression
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

10. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the tx of W- K syndrome
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

11. Yes
an unacceptable internal impulse is attributed to an external source
both illness and motivation are subconcious - sx not intentionally produced or feigned
Is body weight maintained within nl range in bulimia nervosa
factors are most important in the etiology of schizophrenia

12. Depersonalization disorder

13. Panic disorder
visual hallucinations common
intense fear and discomfort peaking in 10 minutes
the tx for BDZ intox - MOA
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

14. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
the typical abuser in physical child abuse
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the tx for GAD

15. Punishment
Huntingtons
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
application of aversive stimulus extinguishes unwanted behavior

16. Hypochondriasis
the treatment for maternal blues - depression - psychosis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
tantrums
Drugs with what kind of affect can lead to a state of delirium

17. Loose associations
the EEG findings in dementia
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
disorders in the form of through - the way ideas are tied together
behavior achieved following reward of closer and closer approximations of desired behavior

18. In what diseaese is DA decrease - 5HT increase - and increase ACH?
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
modeling behavior after another person is more powerful - though not necessarily admired
Parkinsons
the typical abuser in sexual abuse

19. Dipoloar or depressive
anxious - fearful
the two types of schizoaffective disorder
the age of onset of ADHD
repeated stimulation lead sot increase response

20. Malingering
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
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
disorders in the form of through - the way ideas are tied together
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

21. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
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
the goal of the ego defenses
maladaptive pattern leading to clinically significant impairment or distress
the various types of cluster A personality disorder

22. In what disease does NE increase - GABA decrease - and 5HT decrease?
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the time frame for schizophreniform disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Anxiety

23. Methadone
Long acting oral opiate for heroine detox or long term maintenance
intense fear and discomfort peaking in 10 minutes
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

24. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the tx for atypical depression
inbability to recall important personal information - usually subsequent to severe trauma or stress
the associations/complications of bulimia nervosa

25. Extinction
guilty feelings alleviated by unsolicitied generosity towards others
Separation of feelings from ideas and events
discontinuation of reinforcement eliminates behavior
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

26. Fixation - men fixating on sports games
anxious - fearful
less than what percentage of ideal body weight is common in anorexia nervosa
partially remaining at more childish level of development
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

27. 6 months
How long infant deprivation can last before it leads to irreversible changes
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the tx of W- K syndrome
the tx for panic disorder

28. Delirium/secondary to other illness
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
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
whenhypnagogic hallucinations take place
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

29. 3000 deaths/yr in the US
process whereby avoided ideas and feelings are transferred to some neutral person or object
the epi of physical child abuse
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

30. ECT - disorientation amnesia - usually resolves in 6 months
potential tx for nicotine withdrawal
misinterpretations of actual external stimulus
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

31. Opiods
whenhypnagogic hallucinations take place
What ego dystonic means in relation to OCD
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the 3 types of cluster C personality disorder

32. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
development of delusions in a person in a close relationship with delusional disorder
DIG FAST
gender autism is more common in
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

33. Aspergers
learning in which a particular ation is elicited because it produces a reward
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Where child neglect is reported
How long marijuana is detectable in the urine after last use

34. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
exaggerated fear of embarrasment in social situations - disorder and tx
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

35. OCD
causes wernicke - korsakoff syndrome
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
maladaptive pattern leading to clinically significant impairment or distress

36. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Parkinsons
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
discontinuation of reinforcement eliminates behavior

37. Isolation of affect - describing murder in graphic detail with no emotional response
maladaptive pattern of substance use with 3 or more of these 7 criteria
child neglect
the triad of Wernicke's encephalopathy
Separation of feelings from ideas and events

38. CPS
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
Where child neglect is reported
IQ<70

39. Hallucination
perceptions in the absence of external stimulus
define bipolar disorder and distinguish I from II
autism with unusual abilities
olfactory hallucinations common

40. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the complications/associations of anorexia nervosa
the triad of Wernicke's encephalopathy
process whereby avoided ideas and feelings are transferred to some neutral person or object
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

41. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
Causes of dementia
Under these conditions do children regress to younger patterns of behavior
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

42. Barbituates
turning back the maturational clock and going back to earlier modes of dealing with the world
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
anxious - fearful

43. CBT - SSRI - TCI - BDZ
development of delusions in a person in a close relationship with delusional disorder
the tx for panic disorder
autism with unusual abilities
intox = restlessness. Withdrawal = irritability - anxiety - craving

44. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
visual hallucinations common
discontinuation of reinforcement eliminates behavior
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

45. 7 to 9
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
When separation anxiety disorder usually presents
suboxone and the rational of adding an antagonist
gustatroy hallucinations common

46. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
maladaptive pattern of substance use with 3 or more of these 7 criteria
the epi of sexual abuse
Schizophrenia

47. Munchausen's syndrome
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
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the serum markers of alcohol use

48. Reaction formation - a patient with libidinous thoughts enters a monastery
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
whering clothes of the opposite sex
behavior achieved following reward of closer and closer approximations of desired behavior

49. Vit B1 - thiamine
the tx of W- K syndrome
maladaptive pattern leading to clinically significant impairment or distress
persistent re - experiencing of a previous traumatic event
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

50. PTSD
Is body weight maintained within nl range in bulimia nervosa
persistent re - experiencing of a previous traumatic event
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent