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Psychiatry

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Answer 50 questions in 15 minutes.
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1. In what diseaese is DA decrease - 5HT increase - and increase ACH?
modeling behavior after another person is more powerful - though not necessarily admired
repeated stimulation leads to decrease response
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Parkinsons

2. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the evidence for child neglect
child neglect
the typical abuser in sexual abuse
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

3. Dysthymia followed by hypomania
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
cyclothymia disorder
persistent re - experiencing of a previous traumatic event
appreciating the amusing nature of an anxiety provoking or adverse situation

4. Vit B1 - thiamine
the non specific signs of stimulant intox and withdrawal
child neglect
intox = restlessness - increase diureis - muscle twitching
the tx of W- K syndrome

5. Somatization disorders
pieces of evidence of physical child abuse
Stanford - binet
both illness and motivation are subconcious - sx not intentionally produced or feigned
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

6. Variable ratio reinforcement schedule
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
factors are most important in the etiology of schizophrenia
reward received after random number of responses - slowly extinguished - slot machine

7. 1 month
child neglect
How long marijuana is detectable in the urine after last use
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
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

8. Boys
less than what percentage of ideal body weight is common in anorexia nervosa
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
gender autism is more common in
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

9. Periventricular hemorrhage/necrosis of mamillary bodies
belief that people are either all good or all bad at different times due to intolerance or ambiguity
This gross neurological finding is associated with ADHD
associated with winter season - improves in response to full spectrum light exposure
neurologic outcome associated with W- K syndrome

10. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
anterograde amnesia caused by thiamine deficiency
the central goa of freudian psychoanalysis
How long episodes of major depressive episode usually last
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

11. Adjustment disorder
intox = ataxia - minor respiratory depression
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
discontinuation of reinforcement eliminates behavior

12. CBT - SSRI - TCI - BDZ
the tx for panic disorder
the typical abuser in physical child abuse
Causes of dementia
appreciating the amusing nature of an anxiety provoking or adverse situation

13. Autism
How long does the disturbance last in PTSD
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the definition of alcoholism

14. Positive reinforcement
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the complications of alcoholism
desired reward produces action - mouse presses button for food
the 3 types of cluster C personality disorder

15. Displacement - mom places blame on kid because she's mad at husband
the tx for BDZ intox - MOA
process whereby avoided ideas and feelings are transferred to some neutral person or object
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
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

16. ADHD
gender autism is more common in
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the triad of Wernicke's encephalopathy
Is body weight maintained within nl range in bulimia nervosa

17. Dissociative fatigue
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
repeated stimulation leads to decrease response
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
appreciating the amusing nature of an anxiety provoking or adverse situation

18. Acting out
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
application of aversive stimulus extinguishes unwanted behavior
tantrums

19. Maternal blues 50 to 85%
repeated stimulation lead sot increase response
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
less than what percentage of ideal body weight is common in anorexia nervosa
How long episodes of major depressive episode usually last

20. Projection - a man who wants another women thinks his wife is cheating on him
pieces of evidence of physical child abuse
Stanford - binet
an unacceptable internal impulse is attributed to an external source
causes wernicke - korsakoff syndrome

21. Caffeine
intox = restlessness - increase diureis - muscle twitching
behavior acquired by watching others and assimilating actions into one's own repetoire
reward received after random number of responses - slowly extinguished - slot machine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

22. Splitting - a pt that says all nurses are nice and all doctors are bad
the serum markers of alcohol use
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the order of loss of orientation

23. Normal intel - trouble in school
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
<40 and <20
In ADHD - typical intelligence and school performance
tantrums

24. Delusional disorder
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
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the 5 types of schizophrenia
doctor projects feelings about formative or other important persons onto patient

25. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
Diagnosis requres 2 of 5 of which sx
Where child neglect is reported
the types of cluster B personality disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

26. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
the complications of alcoholism
modeling behavior after another person is more powerful - though not necessarily admired
intox = restlessness. Withdrawal = irritability - anxiety - craving

27. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
whering clothes of the opposite sex
Is body weight maintained within nl range in bulimia nervosa
causes wernicke - korsakoff syndrome
Diagnosis requres 2 of 5 of which sx

28. Male - known to the victim
When separation anxiety disorder usually presents
the typical abuser in sexual abuse
inbability to recall important personal information - usually subsequent to severe trauma or stress
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

29. Modeling (social learning)

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30. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
voluntary withholding of an idea or feeling fromk concious awareness
Where child neglect is reported

31. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
perceptions in the absence of external stimulus
the tx of W- K syndrome
PANICS

32. Loose associations
the non specific signs of stimulant intox and withdrawal
the serum markers of alcohol use
disorders in the form of through - the way ideas are tied together
depressant intoxication - nonspecific

33. In what disease is ACH decrease?
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Alzheimers
the tx for panic disorder
the stages of change in overcoming substance addiction

34. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
100 - 15
the tx for BDZ intox - MOA
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

35. Childhood disintegrative 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
whenhypnagogic hallucinations take place
the typical abuser in sexual abuse
the goal of the ego defenses

36. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the tx of W- K syndrome
patient projects feelings about formative or other important persons onto physician
SIG E CAPS and the criteria for dx
the common sx of PTSD

37. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
strong persistant cross gender identification
When separation anxiety disorder usually presents
the definition of alcoholism

38. Autonomic system hyperactivity - psychotic symptoms - confusion
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
delerium tremens symptoms
PANICS

39. Dissociative amnesia
discontinuation of reinforcement eliminates behavior
How long marijuana is detectable in the urine after last use
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
inbability to recall important personal information - usually subsequent to severe trauma or stress

40. Generalized anxiety disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
depressant intoxication - nonspecific
belief that people are either all good or all bad at different times due to intolerance or ambiguity
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

41. Countertransference
doctor projects feelings about formative or other important persons onto patient
in elderly patients who present with dementia - the concern
the central goa of freudian psychoanalysis
the tx for OCD

42. PCP
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
How long does the disturbance last in PTSD
olfactory hallucinations common

43. Supression - not thinking about the USMLE until the week of the exam
suboxone and the rational of adding an antagonist
voluntary withholding of an idea or feeling fromk concious awareness
olfactory hallucinations common
intox = restlessness - increase diureis - muscle twitching

44. Seasonal affective disorder
gender autism is more common in
associated with winter season - improves in response to full spectrum light exposure
modeling behavior after another person is more powerful - though not necessarily admired
the various types of cluster A personality disorder

45. EtOH withdrawal - cocaine abusers
Stanford - binet
tactile hallucinations common
the two types of schizoaffective disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

46. Thiamine deficiency
suboxone and the rational of adding an antagonist
causes wernicke - korsakoff syndrome
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
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

47. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
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?
Korsakoff's psychosis

48. Fixation - men fixating on sports games
development of delusions in a person in a close relationship with delusional disorder
the tx for OCD
the tx for panic disorder
partially remaining at more childish level of development

49. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the tx for GAD
in elderly patients who present with dementia - the concern
IQ<70
What ego dystonic means in relation to OCD

50. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the order of loss of orientation
the associations/complications of bulimia nervosa
the tx for panic disorder

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Psychiatry

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