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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. Illusion
the definition of alcoholism
misinterpretations of actual external stimulus
How long infant deprivation can last before it leads to irreversible changes
the non specific signs of stimulant intox and withdrawal

2. Transsexualism
How long episodes of major depressive episode usually last
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
desire to live as the opposite sex - through surgery or hormone tx
Stanford - binet

3. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the types of cluster B personality disorder
the tx for atypical depression
the tx for alcoholism

4. Transvestism
SAD PERSONS
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
whering clothes of the opposite sex
define bipolar disorder and distinguish I from II

5. Severe and profound MR?
<40 and <20
delerium tremens symptoms
development of delusions in a person in a close relationship with delusional disorder
the 5 types of schizophrenia

6. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
tactile hallucinations common
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
define bipolar disorder and distinguish I from II
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

7. Rett's disorder
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
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the triad of Wernicke's encephalopathy

8. Id - subconcious - I want it
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the non specific signs of stimulant intox and withdrawal
primal urges - freud
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

9. Continuous reinforcement schedule
depressant withdrawal - nonspecific
Number of major depressive episodes constitute major depressive disorder
reward received after every response - rapidly extinguished - vending machine
application of aversive stimulus extinguishes unwanted behavior

10. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
patient projects feelings about formative or other important persons onto physician
Diagnosis requres 2 of 5 of which sx
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

11. Classical conditioning - pavlov's dogs
the epi of sexual abuse
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
maladaptive pattern of substance use with 3 or more of these 7 criteria

12. 7 to 9
When separation anxiety disorder usually presents
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
anterograde amnesia caused by thiamine deficiency
partially remaining at more childish level of development

13. Rationalization - after getting fired saying the job wasn't that important anyway
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the treatments for ADHD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the typical abuser in physical child abuse

14. Methadone
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the complications/associations of anorexia nervosa
Long acting oral opiate for heroine detox or long term maintenance
turning back the maturational clock and going back to earlier modes of dealing with the world

15. Dissociation - can lead to multiple personality disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
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
causes wernicke - korsakoff syndrome

16. Body dysmorphic disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
Stanford - binet
What ego dystonic means in relation to OCD
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

17. Negative reinforcement
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
maladaptive pattern of substance use with 3 or more of these 7 criteria
causes wernicke - korsakoff syndrome
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

18. The mean IQ and SD?
Moral values - conscience can lead to self blame and attacks of ego
the central goa of freudian psychoanalysis
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
100 - 15

19. Schizophrenia
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the tx of W- K syndrome
auditory hallucinations common
perceptions in the absence of external stimulus

20. Altruism - mafia boss makes a large donation to charity
Long acting oral opiate for heroine detox or long term maintenance
When separation anxiety disorder usually presents
the types of cluster B personality disorder
guilty feelings alleviated by unsolicitied generosity towards others

21. Time then place then person
less than what percentage of ideal body weight is common in anorexia nervosa
the order of loss of orientation
When separation anxiety disorder usually presents
PANICS

22. Somatization disorder
dramatic - emotional or erratic
modeling behavior after another person is more powerful - though not necessarily admired
voluntary withholding of an idea or feeling fromk concious awareness
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

23. 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
cyclothymia disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
the treatments for ADHD
Drugs with what kind of affect can lead to a state of delirium

24. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
Separation of feelings from ideas and events
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
How long episodes of major depressive episode usually last
depressant intoxication - nonspecific

25. Inc mania - high suicide risk
gets schizophrenia and the prev
appreciating the amusing nature of an anxiety provoking or adverse situation
child neglect
the concern with use of antidepressants in pts with bipoloar disorder

26. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
delerium tremens symptoms
Schizophrenia
What ego dystonic means in relation to OCD

27. 1 month
How long marijuana is detectable in the urine after last use
reward received after random number of responses - slowly extinguished - slot machine
the complications of alcoholism
visual hallucinations common

28. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
olfactory hallucinations common
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
IQ<70

29. To make the patient aware of hidden in their unconcious
Korsakoff's psychosis
persistent re - experiencing of a previous traumatic event
the central goa of freudian psychoanalysis
Causes of dementia

30. 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
behavior acquired by watching others and assimilating actions into one's own repetoire
SAD PERSONS
less than what percentage of ideal body weight is common in anorexia nervosa
SIG E CAPS and the criteria for dx

31. Anxiety - tremor - seizures - insomnia
Schizophrenia
depressant withdrawal - nonspecific
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

32. In what disease is ACH decrease?
inability to remember things that occurred after CNS insult
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
When separation anxiety disorder usually presents
Alzheimers

33. Splitting - a pt that says all nurses are nice and all doctors are bad
SAD PERSONS
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the 4 W's of deprived babies?

34. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the definition of alcoholism
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
inability to remember things that occurred before CNS insult

35. Personality trait
exaggerated fear of embarrasment in social situations - disorder and tx
the order of loss of orientation
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
learning in which a particular ation is elicited because it produces a reward

36. Nl
Number of major depressive episodes constitute major depressive disorder
the EEG findings in dementia
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
guilty feelings alleviated by unsolicitied generosity towards others

37. Shaping (social learning)
the tx for OCD
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
belief that people are either all good or all bad at different times due to intolerance or ambiguity
behavior achieved following reward of closer and closer approximations of desired behavior

38. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
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
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the treatment for maternal blues - depression - psychosis

39. 6 months
appreciating the amusing nature of an anxiety provoking or adverse situation
How long infant deprivation can last before it leads to irreversible changes
psychiatric disorder associated with tourrettes - and the treatment
Parkinsons

40. Modeling (social learning)

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41. 1-6 months
the time frame for schizophreniform disorder
modeling behavior after another person is more powerful - though not necessarily admired
avoidance of awareness of a some painful reality
the non specific signs of stimulant intox and withdrawal

42. Peak incidence 9-12 years of age
pieces of evidence of physical child abuse
the 4 W's of deprived babies?
the epi of sexual abuse
This gross neurological finding is associated with ADHD

43. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
associated with winter season - improves in response to full spectrum light exposure
primal urges - freud
the definition of alcoholism
guilty feelings alleviated by unsolicitied generosity towards others

44. Loose associations
factors are most important in the etiology of schizophrenia
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
disorders in the form of through - the way ideas are tied together
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

45. Displacement - mom places blame on kid because she's mad at husband
tactile hallucinations common
belief that people are either all good or all bad at different times due to intolerance or ambiguity
process whereby avoided ideas and feelings are transferred to some neutral person or object
the time frame for schizophreniform disorder

46. Countertransference
doctor projects feelings about formative or other important persons onto patient
the order of loss of orientation
Parkinsons
<40 and <20

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

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48. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
pieces of evidence of physical child abuse
intense fear and discomfort peaking in 10 minutes
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

49. MAOi - SSRIs
the non specific signs of stimulant intox and withdrawal
the tx for atypical depression
modeling behavior after another person is more powerful - though not necessarily admired
suboxone and the rational of adding an antagonist

50. Before 7
the age of onset of ADHD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
When separation anxiety disorder usually presents
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis