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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. Body dysmorphic disorder
the treatment for maternal blues - depression - psychosis
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
pieces of evidence for sexual child abuse
100 - 15

2. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
guilty feelings alleviated by unsolicitied generosity towards others
the tx for alcoholism
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the associations/complications of bulimia nervosa

3. Displacement - mom places blame on kid because she's mad at husband
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
process whereby avoided ideas and feelings are transferred to some neutral person or object
patient projects feelings about formative or other important persons onto physician
psychiatric disorder associated with tourrettes - and the treatment

4. Men early 20s - women late 20s early 30s
whenmen vs women present with schizophrenia
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

5. MAOi - SSRIs
the tx for atypical depression
this drug is a risk factor for schizophrenia in teens
dramatic - emotional or erratic
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

6. EtOH withdrawal - cocaine abusers
the treatment for EtOH intox and withdrawal
tactile hallucinations common
disorders in the form of through - the way ideas are tied together
the 5 types of schizophrenia

7. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
whenhypnagogic hallucinations take place
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
milder form of depression lasting at least 2 years

8. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
When to hypnopompic hallucinations take place
desired reward produces action - mouse presses button for food
maladaptive pattern leading to clinically significant impairment or distress

9. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
application of aversive stimulus extinguishes unwanted behavior
the various types of cluster A personality disorder
the complications of alcoholism
anxious - fearful

10. Marijuana
reward received after every response - rapidly extinguished - vending machine
milder form of depression lasting at least 2 years
IQ<70
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

11. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

12. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
modeling behavior after another person is more powerful - though not necessarily admired
Separation of feelings from ideas and events
Is body weight maintained within nl range in bulimia nervosa
the complications/associations of anorexia nervosa

13. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
less than what percentage of ideal body weight is common in anorexia nervosa
milder form of depression lasting at least 2 years

14. Fixation - men fixating on sports games
tactile hallucinations common
partially remaining at more childish level of development
repeated stimulation leads to decrease response
the associations/complications of bulimia nervosa

15. 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
persistent re - experiencing of a previous traumatic event
intox = ataxia - minor respiratory depression
Moral values - conscience can lead to self blame and attacks of ego

16. Calculates IQ as mental age/chronological age x 100
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the evidence for child neglect
Stanford - binet
less than what percentage of ideal body weight is common in anorexia nervosa

17. Humor - nervous med student jokes about boards
intox = restlessness. Withdrawal = irritability - anxiety - craving
Parkinsons
this drug is a risk factor for schizophrenia in teens
appreciating the amusing nature of an anxiety provoking or adverse situation

18. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
strong persistant cross gender identification
appreciating the amusing nature of an anxiety provoking or adverse situation
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
define bipolar disorder and distinguish I from II

19. Dissociation - can lead to multiple personality disorder
the order of loss of orientation
desire to live as the opposite sex - through surgery or hormone tx
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

20. Postpartum psyschosis - .1 to .2%
auditory hallucinations common
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
behavior acquired by watching others and assimilating actions into one's own repetoire
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

21. Dysthymia
What ego dystonic means in relation to OCD
the goal of the ego defenses
milder form of depression lasting at least 2 years
maladaptive pattern of substance use with 3 or more of these 7 criteria

22. Boys
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
gender autism is more common in
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
modeling behavior after another person is more powerful - though not necessarily admired

23. Rett's disorder
autism with unusual abilities
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

24. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
the tx of W- K syndrome
less than what percentage of ideal body weight is common in anorexia nervosa
Causes of dementia
intox = restlessness - increase diureis - muscle twitching

25. Severe and profound MR?
define bipolar disorder and distinguish I from II
SIG E CAPS and the criteria for dx
<40 and <20
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

26. Weed
this drug is a risk factor for schizophrenia in teens
the order of loss of orientation
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
Long acting oral opiate for heroine detox or long term maintenance

27. Gender identity disorder
strong persistant cross gender identification
gustatroy hallucinations common
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for GAD

28. Naltrexone and BDZ
the treatment for EtOH intox and withdrawal
intox = restlessness - increase diureis - muscle twitching
potential tx for nicotine withdrawal
anterograde amnesia caused by thiamine deficiency

29. >1month
anterograde amnesia caused by thiamine deficiency
How long does the disturbance last in PTSD
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
modeling behavior after another person is more powerful - though not necessarily admired

30. Paranoid - disorganized - catatonic - undifferentiated - residual
the complications of alcoholism
the 5 types of schizophrenia
DIG FAST
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

31. Hypochondriasis
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
Anxiety
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

32. Schizophrenia
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
auditory hallucinations common
behavior acquired by watching others and assimilating actions into one's own repetoire
Causes of dementia

33. Hallucination
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Separation of feelings from ideas and events
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
perceptions in the absence of external stimulus

34. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
mediator between primal urges and accepted behavior
factors are most important in the etiology of schizophrenia
gustatroy hallucinations common
PANICS

35. Vit B1 - thiamine
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
SAD PERSONS
behavior acquired by watching others and assimilating actions into one's own repetoire
the tx of W- K syndrome

36. Irreversible memory loss - confabulation - personality change

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37. Personality trait
the central goa of freudian psychoanalysis
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
autism with unusual abilities
tactile hallucinations common

38. In what disease is GABA decrease and ACH decrease?
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
misinterpretations of actual external stimulus
Huntingtons
pieces of evidence of physical child abuse

39. Confusion - opthalmoplegia - and ataxia

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40. ADHD
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
exaggerated fear of embarrasment in social situations - disorder and tx
involunatary withholding of an idea or feeling from conscious awareness
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

41. .1-1% of gen pop - 20% of obscene speech

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42. Transference
the age of onset of ADHD
Parkinsons
How long marijuana is detectable in the urine after last use
patient projects feelings about formative or other important persons onto physician

43. Social phobias - tx SSRIs
exaggerated fear of embarrasment in social situations - disorder and tx
Drugs with what kind of affect can lead to a state of delirium
the treatment for maternal blues - depression - psychosis
psychiatric disorder associated with tourrettes - and the treatment

44. LSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the epi of sexual abuse
the common sx of PTSD

45. Projection - a man who wants another women thinks his wife is cheating on him
an unacceptable internal impulse is attributed to an external source
learning in which a particular ation is elicited because it produces a reward
DIG FAST
PANICS

46. 6 months
How long infant deprivation can last before it leads to irreversible changes
the triad of Wernicke's encephalopathy
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the order of loss of orientation

47. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the 4 W's of deprived babies?
Diagnosis requres 2 of 5 of which sx
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

48. BDZ
intox = ataxia - minor respiratory depression
the time frame for brief pyschotic disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
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

49. Patch - gum - losenge - buproprion - varenicline
less than what percentage of ideal body weight is common in anorexia nervosa
potential tx for nicotine withdrawal
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
pieces of evidence for sexual child abuse

50. Delirium/secondary to other illness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
the various types of cluster A personality disorder
perceptions in the absence of external stimulus