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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Countertransference
Huntingtons
Moral values - conscience can lead to self blame and attacks of ego
behavior acquired by watching others and assimilating actions into one's own repetoire
doctor projects feelings about formative or other important persons onto patient

2. Postpartum depression - 10 to 15%
partially remaining at more childish level of development
in elderly patients who present with dementia - the concern
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
anxious - fearful

3. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
Long acting oral opiate for heroine detox or long term maintenance
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the typical abuser in sexual abuse
the types of cluster B personality disorder

4. Marijuana
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

5. Depersonalization disorder

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6. BDZ - busiprone - SSRIs
the tx for GAD
desired reward produces action - mouse presses button for food
factors are most important in the etiology of schizophrenia
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

7. Dysthymia
the evidence for child neglect
milder form of depression lasting at least 2 years
the complications/associations of anorexia nervosa
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

8. Cluster C personality disorder
autism with unusual abilities
anxious - fearful
Is body weight maintained within nl range in bulimia nervosa
the order of loss of orientation

9. Adjustment disorder
Diagnosis requres 2 of 5 of which sx
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the complications of alcoholism
the tx for opiod intox and withdrawal

10. Schizoaffective disorder
suboxone and the rational of adding an antagonist
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the 4 W's of deprived babies?
odd or eccentric; inability to develop meaningful social relationships

11. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Number of major depressive episodes constitute major depressive disorder
Diagnosis requres 2 of 5 of which sx
the typical abuser in physical child abuse

12. Dissociation - can lead to multiple personality disorder
maladaptive pattern leading to clinically significant impairment or distress
pieces of evidence of physical child abuse
Number of major depressive episodes constitute major depressive disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

13. Rett's disorder
an unacceptable internal impulse is attributed to an external source
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
avoidance of awareness of a some painful reality
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

14. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the evidence for child neglect
appreciating the amusing nature of an anxiety provoking or adverse situation

15. Nicotine
Anxiety
discontinuation of reinforcement eliminates behavior
intox = restlessness. Withdrawal = irritability - anxiety - craving
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

16. Hypochondriasis
suboxone and the rational of adding an antagonist
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the two types of schizoaffective disorder
strong persistant cross gender identification

17. Malingering
the treatment for EtOH intox and withdrawal
dramatic - emotional or erratic
In ADHD - typical intelligence and school performance
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

18. Substance abuse
perceptions in the absence of external stimulus
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox = ataxia - minor respiratory depression
maladaptive pattern leading to clinically significant impairment or distress

19. Punishment
guilty feelings alleviated by unsolicitied generosity towards others
desire to live as the opposite sex - through surgery or hormone tx
milder form of depression lasting at least 2 years
application of aversive stimulus extinguishes unwanted behavior

20. Personality 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
intox = restlessness - increase diureis - muscle twitching
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the tx for bipolar disorder

21. Methylphenidate - amphetamines - atomoxetine
reward received after every response - rapidly extinguished - vending machine
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the treatments for ADHD
Korsakoff's psychosis

22. Dissociative amnesia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Schizophrenia
inbability to recall important personal information - usually subsequent to severe trauma or stress

23. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the typical abuser in physical child abuse
dramatic - emotional or erratic

24. Somatization disorder
the tx for OCD
the stages of change in overcoming substance addiction
intense fear and discomfort peaking in 10 minutes
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

25. Depression
in elderly patients who present with dementia - the concern
Long acting oral opiate for heroine detox or long term maintenance
When separation anxiety disorder usually presents
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

26. Munchausen's syndrome by proxy
the order of loss of orientation
application of aversive stimulus extinguishes unwanted behavior
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the complications of alcoholism

27. Humor - nervous med student jokes about boards
application of aversive stimulus extinguishes unwanted behavior
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the associations/complications of bulimia nervosa
appreciating the amusing nature of an anxiety provoking or adverse situation

28. Female primary caregiver
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the typical abuser in physical child abuse
anxious - fearful
the treatment for EtOH intox and withdrawal

29. Projection - a man who wants another women thinks his wife is cheating on him
an unacceptable internal impulse is attributed to an external source
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
primal urges - freud
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

30. Loose associations
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
disorders in the form of through - the way ideas are tied together

31. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
heroin users at increased risk of...
less than what percentage of ideal body weight is common in anorexia nervosa
the stages of change in overcoming substance addiction

32. Childhood disintegrative disorder
the associations/complications of bulimia nervosa
the tx for bipolar 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
How long marijuana is detectable in the urine after last use

33. Savant
Where child neglect is reported
autism with unusual abilities
olfactory hallucinations common
Drugs with what kind of affect can lead to a state of delirium

34. Ego - take it and you will get in trouble
reward received after random number of responses - slowly extinguished - slot machine
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
mediator between primal urges and accepted behavior
partially remaining at more childish level of development

35. CBT - SSRI - TCI - BDZ
the concern with use of antidepressants in pts with bipoloar disorder
the tx for panic disorder
the tx for opiod intox and withdrawal
the stages of change in overcoming substance addiction

36. Severe and profound MR?
<40 and <20
Diagnosis requres 2 of 5 of which sx
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox = ataxia - minor respiratory depression

37. In what disease does NE decrease - 5HT decrease and DA decrease?
Depression
the tx for alcoholism
intense fear and discomfort peaking in 10 minutes
potential tx for nicotine withdrawal

38. Cluster A personality disorder
the tx for OCD
the treatment for maternal blues - depression - psychosis
gustatroy hallucinations common
odd or eccentric; inability to develop meaningful social relationships

39. Delirium
visual hallucinations common
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

40. Seasonal affective disorder
the tx for opiod intox and withdrawal
associated with winter season - improves in response to full spectrum light exposure
the tx for atypical depression
IQ<70

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

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42. Transference
the common sx of PTSD
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = restlessness - increase diureis - muscle twitching
patient projects feelings about formative or other important persons onto physician

43. 6 months
the 4 W's of deprived babies?
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
discontinuation of reinforcement eliminates behavior
How long infant deprivation can last before it leads to irreversible changes

44. Irreversible memory loss - confabulation - personality change

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45. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
avoidance of awareness of a some painful reality
patient projects feelings about formative or other important persons onto physician
What ego dystonic means in relation to OCD
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

46. Barbituates
visual hallucinations common
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Drugs with what kind of affect can lead to a state of delirium
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

47. Caffeine
modeling behavior after another person is more powerful - though not necessarily admired
intox = restlessness - increase diureis - muscle twitching
Korsakoff's psychosis
psychiatric disorder associated with tourrettes - and the treatment

48. Anticholinergic
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 evidence for child neglect
Drugs with what kind of affect can lead to a state of delirium
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

49. Hallucination
How long marijuana is detectable in the urine after last use
cyclothymia disorder
perceptions in the absence of external stimulus
primal urges - freud

50. 1 month
How long marijuana is detectable in the urine after last use
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 tx for alcoholism
pieces of evidence for sexual child abuse

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Psychiatry

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