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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. Positive reinforcement
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
desired reward produces action - mouse presses button for food
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

2. Schizoaffective disorder
the EEG findings in dementia
the goal of the ego defenses
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
gustatroy hallucinations common

3. Regression - seen in children under stress and in patients on dialysis (crying)
patient projects feelings about formative or other important persons onto physician
the tx for opiod intox and withdrawal
repeated stimulation leads to decrease response
turning back the maturational clock and going back to earlier modes of dealing with the world

4. The criteria for mental retardation?
anxious - fearful
the central goa of freudian psychoanalysis
IQ<70
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

5. Calculates IQ as mental age/chronological age x 100
How long marijuana is detectable in the urine after last use
exaggerated fear of embarrasment in social situations - disorder and tx
Stanford - binet
strong persistant cross gender identification

6. Munchausen's syndrome
the typical abuser in physical child abuse
intox = restlessness. Withdrawal = irritability - anxiety - craving
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

7. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Alzheimers
tactile hallucinations common
100 - 15

8. Depersonalization disorder

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9. LSD
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
SIG E CAPS and the criteria for dx
behavior acquired by watching others and assimilating actions into one's own repetoire
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

10. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the triad of Wernicke's encephalopathy
Where child neglect is reported
the epi of sexual abuse

11. Supression - not thinking about the USMLE until the week of the exam
define bipolar disorder and distinguish I from II
process whereby avoided ideas and feelings are transferred to some neutral person or object
voluntary withholding of an idea or feeling fromk concious awareness
desire to live as the opposite sex - through surgery or hormone tx

12. Shared delusional disorder
less than what percentage of ideal body weight is common in anorexia nervosa
development of delusions in a person in a close relationship with delusional disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
process whereby avoided ideas and feelings are transferred to some neutral person or object

13. There are rare
causes wernicke - korsakoff syndrome
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
gustatroy hallucinations common
the 4 W's of deprived babies?

14. Like manic but without marked impairement in fxning - no pyschotic features
intox = ataxia - minor respiratory depression
heroin users at increased risk of...
Drugs with what kind of affect can lead to a state of delirium
a hypomanic episode

15. Gamma glutamyltransferase - GGT - AST 2x ALT
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the serum markers of alcohol use
auditory hallucinations common
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

16. Methadone
Long acting oral opiate for heroine detox or long term maintenance
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
strong persistant cross gender identification
turning back the maturational clock and going back to earlier modes of dealing with the world

17. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
the tx for OCD
the time frame for schizophreniform disorder
voluntary withholding of an idea or feeling fromk concious awareness

18. Manic episdoe
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

19. Naloxone - naltrexone - and symptomatic for withdrawal sx
heroin users at increased risk of...
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the tx for opiod intox and withdrawal
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

20. Transsexualism
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
dramatic - emotional or erratic
desire to live as the opposite sex - through surgery or hormone tx
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

21. Men early 20s - women late 20s early 30s
auditory hallucinations common
whenmen vs women present with schizophrenia
intense fear and discomfort peaking in 10 minutes
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

22. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
this drug is a risk factor for schizophrenia in teens
the typical abuser in sexual abuse
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the associations/complications of bulimia nervosa

23. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
autism with unusual abilities
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

24. Habituation - simple learning
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
repeated stimulation leads to decrease response
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Moral values - conscience can lead to self blame and attacks of ego

25. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
Schizophrenia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
auditory hallucinations common

26. Delirium
maladaptive pattern of substance use with 3 or more of these 7 criteria
visual hallucinations common
PANICS
milder form of depression lasting at least 2 years

27. Sensitization
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
How long marijuana is detectable in the urine after last use
modeling behavior after another person is more powerful - though not necessarily admired
repeated stimulation lead sot increase response

28. Peak incidence 9-12 years of age
persistent re - experiencing of a previous traumatic event
inbability to recall important personal information - usually subsequent to severe trauma or stress
the serum markers of alcohol use
the epi of sexual abuse

29. 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
the tx for opiod intox and withdrawal
dramatic - emotional or erratic
the triad of Wernicke's encephalopathy

30. CBT - SSRI - TCI - BDZ
the tx for panic disorder
IQ<70
primal urges - freud
the non specific signs of stimulant intox and withdrawal

31. Dissociative amnesia
milder form of depression lasting at least 2 years
inbability to recall important personal information - usually subsequent to severe trauma or stress
delerium tremens symptoms
the tx of W- K syndrome

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

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33. Anterograde amnesia
the tx for alcoholism
the common causes of lack or orientation
inability to remember things that occurred after CNS insult
milder form of depression lasting at least 2 years

34. Normal intel - trouble in school
tantrums
the 3 types of cluster C personality disorder
causes wernicke - korsakoff syndrome
In ADHD - typical intelligence and school performance

35. Mallory weiss syndrome
the central goa of freudian psychoanalysis
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
heroin users at increased risk of...
less than what percentage of ideal body weight is common in anorexia nervosa

36. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
How long infant deprivation can last before it leads to irreversible changes
behavior acquired by watching others and assimilating actions into one's own repetoire
the evidence for child neglect
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

37. Before 7
the age of onset of ADHD
the types of cluster B personality disorder
This gross neurological finding is associated with ADHD
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

38. Dissociation - can lead to multiple personality disorder
the typical abuser in sexual abuse
odd or eccentric; inability to develop meaningful social relationships
intense fear and discomfort peaking in 10 minutes
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

39. Anorexia nervosa
cyclothymia disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
intense fear and discomfort peaking in 10 minutes
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

40. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
Stanford - binet
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
tactile hallucinations common
the tx for bipolar disorder

41. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
inbability to recall important personal information - usually subsequent to severe trauma or stress
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

42. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
How long episodes of major depressive episode usually last
the definition of alcoholism
the tx for panic disorder
reward received after random number of responses - slowly extinguished - slot machine

43. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
potential tx for nicotine withdrawal
Diagnosis requres 2 of 5 of which sx
the age of onset of ADHD
Depression

44. Blacks=whites - males = females - 1.5% lifetime prev
gets schizophrenia and the prev
the typical abuser in physical child abuse
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

45. Dysthymia followed by hypomania
the common sx of PTSD
cyclothymia disorder
Under these conditions do children regress to younger patterns of behavior
involunatary withholding of an idea or feeling from conscious awareness

46. Naltrexone and BDZ
Schizophrenia
Is body weight maintained within nl range in bulimia nervosa
the treatment for EtOH intox and withdrawal
learning in which a particular ation is elicited because it produces a reward

47. Patch - gum - losenge - buproprion - varenicline
the various types of cluster A personality disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
potential tx for nicotine withdrawal
SAD PERSONS

48. Operant conditioning
partially remaining at more childish level of development
delerium tremens symptoms
learning in which a particular ation is elicited because it produces a reward
both illness and motivation are subconcious - sx not intentionally produced or feigned

49. Marijuana
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
learning in which a particular ation is elicited because it produces a reward
psychiatric disorder associated with tourrettes - and the treatment
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

50. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the non specific signs of stimulant intox and withdrawal
maladaptive pattern leading to clinically significant impairment or distress
process whereby avoided ideas and feelings are transferred to some neutral person or object