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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. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the common sx of PTSD
the 3 types of cluster C personality disorder
the tx for opiod intox and withdrawal
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

2. Rett's disorder
psychiatric disorder associated with tourrettes - and the treatment
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
repeated stimulation lead sot increase response
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

3. Depression
behavior acquired by watching others and assimilating actions into one's own repetoire
misinterpretations of actual external stimulus
patient projects feelings about formative or other important persons onto physician
in elderly patients who present with dementia - the concern

4. Nicotine
psychiatric disorder associated with tourrettes - and the treatment
the epi of physical child abuse
gets schizophrenia and the prev
intox = restlessness. Withdrawal = irritability - anxiety - craving

5. The mean IQ and SD?
the non specific signs of stimulant intox and withdrawal
100 - 15
the tx for panic disorder
child neglect

6. Extinction
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Huntingtons
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
discontinuation of reinforcement eliminates behavior

7. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the complications/associations of anorexia nervosa
a hypomanic episode

8. 2 or more within a symptom free interval of 2 months
voluntary withholding of an idea or feeling fromk concious awareness
the epi of physical child abuse
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
Number of major depressive episodes constitute major depressive disorder

9. Generalized anxiety disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Long acting oral opiate for heroine detox or long term maintenance
whering clothes of the opposite sex
reward received after every response - rapidly extinguished - vending machine

10. PTSD
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Diagnosis requres 2 of 5 of which sx
persistent re - experiencing of a previous traumatic event
voluntary withholding of an idea or feeling fromk concious awareness

11. Irreversible memory loss - confabulation - personality change

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12. Caffeine
intox = restlessness - increase diureis - muscle twitching
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
exaggerated fear of embarrasment in social situations - disorder and tx
less than what percentage of ideal body weight is common in anorexia nervosa

13. The criteria for mental retardation?
IQ<70
Where child neglect is reported
the two types of schizoaffective disorder
the tx for OCD

14. BDZ - busiprone - SSRIs
primal urges - freud
the tx for GAD
this drug is a risk factor for schizophrenia in teens
inbability to recall important personal information - usually subsequent to severe trauma or stress

15. OCD - haloperidol
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the time frame for schizophreniform disorder
psychiatric disorder associated with tourrettes - and the treatment
neurologic outcome associated with W- K syndrome

16. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Separation of feelings from ideas and events
Under these conditions do children regress to younger patterns of behavior
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

17. Isolation of affect - describing murder in graphic detail with no emotional response
How long episodes of major depressive episode usually last
Separation of feelings from ideas and events
DIG FAST
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

18. Paranoid - disorganized - catatonic - undifferentiated - residual
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
mediator between primal urges and accepted behavior
pieces of evidence for sexual child abuse
the 5 types of schizophrenia

19. Men early 20s - women late 20s early 30s
whenmen vs women present with schizophrenia
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the treatment for EtOH intox and withdrawal
Huntingtons

20. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
100 - 15
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
the complications of alcoholism
autism with unusual abilities

21. Schizophrenia
auditory hallucinations common
the evidence for child neglect
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
repeated stimulation lead sot increase response

22. Personality disorder
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
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 concern with use of antidepressants in pts with bipoloar disorder
the triad of Wernicke's encephalopathy

23. Transference
patient projects feelings about formative or other important persons onto physician
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
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 treatment for EtOH intox and withdrawal

24. Rationalization - after getting fired saying the job wasn't that important anyway
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
This gross neurological finding is associated with ADHD
anxious - fearful
the common causes of lack or orientation

25. Conduct disorder <18 - antisocial personality disorder > 18
odd or eccentric; inability to develop meaningful social relationships
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
development of delusions in a person in a close relationship with delusional disorder
This gross neurological finding is associated with ADHD

26. Delirium
repeated stimulation lead sot increase response
psychiatric disorder associated with tourrettes - and the treatment
visual hallucinations common
maladaptive pattern of substance use with 3 or more of these 7 criteria

27. Normal intel - trouble in school
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
In ADHD - typical intelligence and school performance
auditory hallucinations common
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

28. CBT - SSRI - TCI - BDZ
Stanford - binet
patient projects feelings about formative or other important persons onto physician
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the tx for panic disorder

29. Male - known to the victim
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the typical abuser in sexual abuse
both illness and motivation are subconcious - sx not intentionally produced or feigned
reward received after every response - rapidly extinguished - vending machine

30. Dec frontal lobe volumes
Number of major depressive episodes constitute major depressive disorder
this drug is a risk factor for schizophrenia in teens
This gross neurological finding is associated with ADHD
the goal of the ego defenses

31. Yes
causes wernicke - korsakoff syndrome
Is body weight maintained within nl range in bulimia nervosa
Long acting oral opiate for heroine detox or long term maintenance
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

32. Illusion
persistent re - experiencing of a previous traumatic event
misinterpretations of actual external stimulus
inbability to recall important personal information - usually subsequent to severe trauma or stress
pieces of evidence for sexual child abuse

33. Sublimation - actress using an experience of abuse to enhance her acting
the two types of schizoaffective disorder
Long acting oral opiate for heroine detox or long term maintenance
DIG FAST
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

34. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
development of delusions in a person in a close relationship with delusional disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
depressant withdrawal - nonspecific

35. Opiods
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Parkinsons
behavior achieved following reward of closer and closer approximations of desired behavior
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

36. Aura of psychomotor epilepsy and in brain tumors
milder form of depression lasting at least 2 years
How long does the disturbance last in PTSD
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
olfactory hallucinations common

37. Before 7
whenhypnagogic hallucinations take place
the epi of physical child abuse
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the age of onset of ADHD

38. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
Korsakoff's psychosis
inbability to recall important personal information - usually subsequent to severe trauma or stress
application of aversive stimulus extinguishes unwanted behavior
define bipolar disorder and distinguish I from II

39. Bulimia nervosa
involunatary withholding of an idea or feeling from conscious awareness
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
misinterpretations of actual external stimulus
the complications of alcoholism

40. OCD
the tx for GAD
the tx for atypical depression
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
pieces of evidence for sexual child abuse

41. CPS
Where child neglect is reported
the common causes of lack or orientation
define bipolar disorder and distinguish I from II
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

42. Cluster C personality disorder
tactile hallucinations common
intox = restlessness. Withdrawal = irritability - anxiety - craving
anxious - fearful
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

43. 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
gets schizophrenia and the prev
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

44. While going to sleep
in elderly patients who present with dementia - the concern
define bipolar disorder and distinguish I from II
whenhypnagogic hallucinations take place
maladaptive pattern leading to clinically significant impairment or distress

45. Adjustment disorder
intense fear and discomfort peaking in 10 minutes
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
application of aversive stimulus extinguishes unwanted behavior
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

46. 6-12 months
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
How long episodes of major depressive episode usually last
doctor projects feelings about formative or other important persons onto patient
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

47. Anterograde amnesia
the 5 types of schizophrenia
inability to remember things that occurred after CNS insult
cyclothymia disorder
the tx for opiod intox and withdrawal

48. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

49. Operant conditioning
the common causes of lack or orientation
the tx for BDZ intox - MOA
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
learning in which a particular ation is elicited because it produces a reward

50. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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 associations/complications of bulimia nervosa
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment