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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. Transsexualism
the concern with use of antidepressants in pts with bipoloar disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
desire to live as the opposite sex - through surgery or hormone tx
the complications/associations of anorexia nervosa

2. 7 to 9
the 4 W's of deprived babies?
disorders in the form of through - the way ideas are tied together
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
When separation anxiety disorder usually presents

3. Specific phobia
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
gender autism is more common in
suboxone and the rational of adding an antagonist
This gross neurological finding is associated with ADHD

4. Male - known to the victim
tantrums
disorders in the form of through - the way ideas are tied together
the typical abuser in sexual abuse
the age of onset of ADHD

5. Anticholinergic
Drugs with what kind of affect can lead to a state of delirium
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Number of major depressive episodes constitute major depressive disorder
whenmen vs women present with schizophrenia

6. Korsakoff's amnesia
guilty feelings alleviated by unsolicitied generosity towards others
anterograde amnesia caused by thiamine deficiency
Korsakoff's psychosis
inability to remember things that occurred after CNS insult

7. LSD
repeated stimulation lead sot increase response
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
SIG E CAPS and the criteria for dx

8. Habituation - simple learning
repeated stimulation leads to decrease response
whering clothes of the opposite sex
the types of cluster B personality disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

9. Caffeine
intox = restlessness - increase diureis - muscle twitching
How long does the disturbance last in PTSD
Anxiety
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

10. Nicotine
patient projects feelings about formative or other important persons onto physician
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
visual hallucinations common
intox = restlessness. Withdrawal = irritability - anxiety - craving

11. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
perceptions in the absence of external stimulus
PANICS
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
repeated stimulation leads to decrease response

12. Calculates IQ as mental age/chronological age x 100
Stanford - binet
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
tactile hallucinations common
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

13. Barbituates
the triad of Wernicke's encephalopathy
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Alzheimers
appreciating the amusing nature of an anxiety provoking or adverse situation

14. Autism
turning back the maturational clock and going back to earlier modes of dealing with the world
Under these conditions do children regress to younger patterns of behavior
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
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

15. In what disease is ACH decrease?
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
Alzheimers
Moral values - conscience can lead to self blame and attacks of ego
the epi of physical child abuse

16. Precontemplation - contemplation - preparation - action - maintenance - relapse
maladaptive pattern leading to clinically significant impairment or distress
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the stages of change in overcoming substance addiction
Moral values - conscience can lead to self blame and attacks of ego

17. Delirium/secondary to other illness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
repeated stimulation leads to decrease response
the non specific signs of stimulant intox and withdrawal
autism with unusual abilities

18. In what diseaese is DA decrease - 5HT increase - and increase ACH?
partially remaining at more childish level of development
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Parkinsons
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

19. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
PANICS
the two types of schizoaffective disorder
Separation of feelings from ideas and events
the common causes of lack or orientation

20. Patch - gum - losenge - buproprion - varenicline
autism with unusual abilities
potential tx for nicotine withdrawal
mediator between primal urges and accepted behavior
repeated stimulation lead sot increase response

21. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the 4 W's of deprived babies?
disorders in the form of through - the way ideas are tied together
doctor projects feelings about formative or other important persons onto patient

22. Personality disorder
define bipolar disorder and distinguish I from II
Separation of feelings from ideas and events
delerium tremens symptoms
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

23. 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
associated with winter season - improves in response to full spectrum light exposure
maladaptive pattern of substance use with 3 or more of these 7 criteria
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
SAD PERSONS

24. Nl
the EEG findings in dementia
heroin users at increased risk of...
perceptions in the absence of external stimulus
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

25. Fixation - men fixating on sports games
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
application of aversive stimulus extinguishes unwanted behavior
Under these conditions do children regress to younger patterns of behavior
partially remaining at more childish level of development

26. Regression - seen in children under stress and in patients on dialysis (crying)
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
turning back the maturational clock and going back to earlier modes of dealing with the world
intox = ataxia - minor respiratory depression
the typical abuser in sexual abuse

27. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
strong persistant cross gender identification
pieces of evidence for sexual child abuse
potential tx for nicotine withdrawal

28. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the tx for bipolar disorder
Korsakoff's psychosis
discontinuation of reinforcement eliminates behavior
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

29. Anorexia nervosa
the tx for alcoholism
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
whenmen vs women present with schizophrenia
the tx of W- K syndrome

30. Aura of psychomotor epilepsy and in brain tumors
appreciating the amusing nature of an anxiety provoking or adverse situation
gender autism is more common in
olfactory hallucinations common
SIG E CAPS and the criteria for dx

31. 1-6 months
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the time frame for schizophreniform 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
the 4 W's of deprived babies?

32. Irreversible memory loss - confabulation - personality change

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33. Dysthymia
the triad of Wernicke's encephalopathy
Stanford - binet
factors are most important in the etiology of schizophrenia
milder form of depression lasting at least 2 years

34. Identification - abused models abuser
auditory hallucinations common
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
a hypomanic episode
modeling behavior after another person is more powerful - though not necessarily admired

35. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for atypical depression
inbability to recall important personal information - usually subsequent to severe trauma or stress
the tx for opiod intox and withdrawal
Depression

36. Hallucination
appreciating the amusing nature of an anxiety provoking or adverse situation
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
perceptions in the absence of external stimulus

37. Naltrexone and BDZ
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the treatment for EtOH intox and withdrawal
the two types of schizoaffective disorder
patient projects feelings about formative or other important persons onto physician

38. Negative reinforcement
gender autism is more common in
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
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
reward received after every response - rapidly extinguished - vending machine

39. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
behavior acquired by watching others and assimilating actions into one's own repetoire
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

40. 6 months
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
How long infant deprivation can last before it leads to irreversible changes
<40 and <20
the order of loss of orientation

41. Genes > environment
the epi of sexual abuse
gustatroy hallucinations common
factors are most important in the etiology of schizophrenia
the common sx of PTSD

42. Dysthymia followed by hypomania
cyclothymia disorder
mediator between primal urges and accepted behavior
whering clothes of the opposite sex
avoidance of awareness of a some painful reality

43. While going to sleep
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
whenhypnagogic hallucinations take place
Alzheimers
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

44. Vit B1 - thiamine
the tx of W- K syndrome
Under these conditions do children regress to younger patterns of behavior
the treatment for maternal blues - depression - psychosis
the 3 types of cluster C personality disorder

45. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
Alzheimers
this drug is a risk factor for schizophrenia in teens
odd or eccentric; inability to develop meaningful social relationships

46. OCD - haloperidol
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
psychiatric disorder associated with tourrettes - and the treatment
delerium tremens symptoms
the tx for atypical depression

47. Acting out
tantrums
modeling behavior after another person is more powerful - though not necessarily admired
desired reward produces action - mouse presses button for food
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

48. Severe and profound MR?
<40 and <20
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the tx for OCD
heroin users at increased risk of...

49. Genital/anal trauma - STDs and UTIs
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
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
pieces of evidence for sexual child abuse

50. Weed
avoidance of awareness of a some painful reality
auditory hallucinations common
this drug is a risk factor for schizophrenia in teens
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

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Psychiatry

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