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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. Dissociative identity disorder
How long episodes of major depressive episode usually last
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the triad of Wernicke's encephalopathy

2. Mallory weiss syndrome
the common sx of PTSD
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
whenhypnagogic hallucinations take place

3. <1mo - usually stress related
the common sx of PTSD
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the time frame for brief pyschotic disorder
the age of onset of ADHD

4. Oppositional defiant disorder
depressant withdrawal - nonspecific
PANICS
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
visual hallucinations common

5. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
SAD PERSONS
the types of cluster B personality disorder
the typical abuser in sexual abuse
Under these conditions do children regress to younger patterns of behavior

6. Time then place then person
the order of loss of orientation
repeated stimulation leads to decrease response
whenmen vs women present with schizophrenia
the common causes of lack or orientation

7. Methadone
Schizophrenia
Depression
Long acting oral opiate for heroine detox or long term maintenance
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

8. Schizoaffective disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the concern with use of antidepressants in pts with bipoloar disorder
delerium tremens symptoms
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

9. Amphetamines
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Anxiety
behavior achieved following reward of closer and closer approximations of desired behavior
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

10. Dysthymia
Depression
disorders in the form of through - the way ideas are tied together
gets schizophrenia and the prev
milder form of depression lasting at least 2 years

11. Peak incidence 9-12 years of age
gustatroy hallucinations common
the serum markers of alcohol use
turning back the maturational clock and going back to earlier modes of dealing with the world
the epi of sexual abuse

12. The mean IQ and SD?
factors are most important in the etiology of schizophrenia
strong persistant cross gender identification
intox = restlessness. Withdrawal = irritability - anxiety - craving
100 - 15

13. Dysthymia followed by hypomania
cyclothymia disorder
the tx for atypical depression
doctor projects feelings about formative or other important persons onto patient
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

14. Naloxone - naltrexone - and symptomatic for withdrawal sx
the stages of change in overcoming substance addiction
suboxone and the rational of adding an antagonist
guilty feelings alleviated by unsolicitied generosity towards others
the tx for opiod intox and withdrawal

15. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the EEG findings in dementia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

16. BDZ
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
milder form of depression lasting at least 2 years
intox = ataxia - minor respiratory depression
the treatment for EtOH intox and withdrawal

17. Rett's disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
How long infant deprivation can last before it leads to irreversible changes
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

18. Hallucination
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the definition of alcoholism
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
perceptions in the absence of external stimulus

19. Depression
Huntingtons
in elderly patients who present with dementia - the concern
psychiatric disorder associated with tourrettes - and the treatment
whenmen vs women present with schizophrenia

20. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
autism with unusual abilities
What ego dystonic means in relation to OCD
repeated stimulation lead sot increase response
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

21. In what disease does NE increase - GABA decrease - and 5HT decrease?
Long acting oral opiate for heroine detox or long term maintenance
associated with winter season - improves in response to full spectrum light exposure
partially remaining at more childish level of development
Anxiety

22. Transsexualism
the epi of physical child 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
desire to live as the opposite sex - through surgery or hormone tx
the age of onset of ADHD

23. Marijuana
Long acting oral opiate for heroine detox or long term maintenance
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
depressant withdrawal - nonspecific
the triad of Wernicke's encephalopathy

24. Sensitization
repeated stimulation lead sot increase response
heroin users at increased risk of...
When to hypnopompic hallucinations take place
Drugs with what kind of affect can lead to a state of delirium

25. Delirium
less than what percentage of ideal body weight is common in anorexia nervosa
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
How long marijuana is detectable in the urine after last use
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

26. Gamma glutamyltransferase - GGT - AST 2x ALT
behavior acquired by watching others and assimilating actions into one's own repetoire
the serum markers of alcohol use
How long does the disturbance last in PTSD
reward received after random number of responses - slowly extinguished - slot machine

27. Postpartum psyschosis - .1 to .2%
causes wernicke - korsakoff syndrome
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
visual hallucinations common
tantrums

28. Genital/anal trauma - STDs and UTIs
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
whenhypnagogic hallucinations take place
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
pieces of evidence for sexual child abuse

29. Transvestism
whering clothes of the opposite sex
milder form of depression lasting at least 2 years
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Parkinsons

30. Female primary caregiver
the typical abuser in physical child abuse
an unacceptable internal impulse is attributed to an external source
both illness and motivation are subconcious - sx not intentionally produced or feigned
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

31. Methylphenidate - amphetamines - atomoxetine
the treatment for EtOH intox and withdrawal
the treatments for ADHD
the epi of sexual abuse
SIG E CAPS and the criteria for dx

32. Extinction
exaggerated fear of embarrasment in social situations - disorder and tx
discontinuation of reinforcement eliminates behavior
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
gets schizophrenia and the prev

33. Savant
the tx of W- K syndrome
the goal of the ego defenses
autism with unusual abilities
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

34. Aspergers
100 - 15
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
child neglect

35. Repression - not remebering a conflictual or traumatic experience
the complications/associations of anorexia nervosa
involunatary withholding of an idea or feeling from conscious awareness
the tx for bipolar disorder
pieces of evidence of physical child abuse

36. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
PANICS
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
pieces of evidence of physical child abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

37. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the non specific signs of stimulant intox and withdrawal
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
exaggerated fear of embarrasment in social situations - disorder and tx
the common sx of PTSD

38. Displacement - mom places blame on kid because she's mad at husband
the common sx of PTSD
process whereby avoided ideas and feelings are transferred to some neutral person or object
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
When to hypnopompic hallucinations take place

39. Dementia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the 5 types of schizophrenia

40. 1-6 months
intox = restlessness - increase diureis - muscle twitching
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the 4 W's of deprived babies?
the time frame for schizophreniform disorder

41. Yes
Causes of dementia
Depression
Is body weight maintained within nl range in bulimia nervosa
Parkinsons

42. Anxiety - tremor - seizures - insomnia
repeated stimulation leads to decrease response
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
depressant withdrawal - nonspecific

43. Countertransference
the tx for GAD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
doctor projects feelings about formative or other important persons onto patient

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

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45. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
PANICS
milder form of depression lasting at least 2 years

46. 7 to 9
behavior acquired by watching others and assimilating actions into one's own repetoire
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
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
When separation anxiety disorder usually presents

47. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
How long marijuana is detectable in the urine after last use
Diagnosis requres 2 of 5 of which sx
the tx for OCD

48. SSRIs - clomipramine
In ADHD - typical intelligence and school performance
desired reward produces action - mouse presses button for food
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
the tx for OCD

49. Weed
this drug is a risk factor for schizophrenia in teens
the tx for alcoholism
maladaptive pattern of substance use with 3 or more of these 7 criteria
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

50. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
When to hypnopompic hallucinations take place
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the stages of change in overcoming substance addiction