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Psychiatry

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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. Punishment
application of aversive stimulus extinguishes unwanted behavior
Depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
child neglect

2. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
DIG FAST
gender autism is more common in
SIG E CAPS and the criteria for dx
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

3. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
behavior acquired by watching others and assimilating actions into one's own repetoire
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
How long marijuana is detectable in the urine after last use
the non specific signs of stimulant intox and withdrawal

4. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
behavior acquired by watching others and assimilating actions into one's own repetoire
both illness and motivation are subconcious - sx not intentionally produced or feigned

5. Loose associations
disorders in the form of through - the way ideas are tied together
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 two types of schizoaffective disorder
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

6. Positive reinforcement
desired reward produces action - mouse presses button for food
Huntingtons
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the goal of the ego defenses

7. Transsexualism
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
anxious - fearful
desire to live as the opposite sex - through surgery or hormone tx
the common causes of lack or orientation

8. 3000 deaths/yr in the US
child neglect
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
whering clothes of the opposite sex
the epi of physical child abuse

9. In what disease is DA increase?
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
primal urges - freud
Schizophrenia
Moral values - conscience can lead to self blame and attacks of ego

10. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
<40 and <20
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the tx for alcoholism
the evidence for child neglect

11. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
the tx for atypical depression
avoidance of awareness of a some painful reality
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

12. Before 7
repeated stimulation leads to decrease response
milder form of depression lasting at least 2 years
the age of onset of ADHD
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

13. Shaping (social learning)
voluntary withholding of an idea or feeling fromk concious awareness
the triad of Wernicke's encephalopathy
How long does the disturbance last in PTSD
behavior achieved following reward of closer and closer approximations of desired behavior

14. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
voluntary withholding of an idea or feeling fromk concious awareness
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
100 - 15
child neglect

15. Sublimation - actress using an experience of abuse to enhance her acting
define bipolar disorder and distinguish I from II
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
100 - 15
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. Regression - seen in children under stress and in patients on dialysis (crying)
SIG E CAPS and the criteria for dx
the definition of alcoholism
turning back the maturational clock and going back to earlier modes of dealing with the world
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

17. 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
Separation of feelings from ideas and events
Where child neglect is reported
dramatic - emotional or erratic

18. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
this drug is a risk factor for schizophrenia in teens

19. ADHD
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
process whereby avoided ideas and feelings are transferred to some neutral person or object
the tx for alcoholism

20. Shared delusional disorder
the serum markers of alcohol use
the two types of schizoaffective disorder
gender autism is more common in
development of delusions in a person in a close relationship with delusional disorder

21. Oppositional defiant disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Parkinsons
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

22. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
the tx of W- K syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
define bipolar disorder and distinguish I from II
primal urges - freud

23. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
tantrums
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
gustatroy hallucinations common
the goal of the ego defenses

24. Severe and profound MR?
Alzheimers
misinterpretations of actual external stimulus
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
<40 and <20

25. Dysthymia followed by hypomania
autism with unusual abilities
persistent re - experiencing of a previous traumatic event
cyclothymia disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

26. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
the time frame for schizophreniform disorder
gets schizophrenia and the prev
exaggerated fear of embarrasment in social situations - disorder and tx
PANICS

27. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the typical abuser in physical child abuse
voluntary withholding of an idea or feeling fromk concious awareness
the concern with use of antidepressants in pts with bipoloar disorder

28. 85 percent
learning in which a particular ation is elicited because it produces a reward
less than what percentage of ideal body weight is common in anorexia nervosa
delerium tremens symptoms
whenhypnagogic hallucinations take place

29. Boys
the typical abuser in physical child abuse
the 5 types of schizophrenia
gender autism is more common in
the tx for alcoholism

30. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the typical abuser in sexual abuse
the epi of sexual abuse
the stages of change in overcoming substance addiction

31. Superego - you know you can't have it - taking it is wrong
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
development of delusions in a person in a close relationship with delusional disorder
Moral values - conscience can lead to self blame and attacks of ego
the complications/associations of anorexia nervosa

32. Transference
patient projects feelings about formative or other important persons onto physician
the typical abuser in physical child abuse
Where child neglect is reported
desired reward produces action - mouse presses button for food

33. Delirium
Huntingtons
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
visual hallucinations common
desired reward produces action - mouse presses button for food

34. Substance abuse
the types of cluster B personality disorder
maladaptive pattern leading to clinically significant impairment or distress
guilty feelings alleviated by unsolicitied generosity towards others
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

35. In what disease does NE decrease - 5HT decrease and DA decrease?
reward received after random number of responses - slowly extinguished - slot machine
Depression
the definition of alcoholism
the two types of schizoaffective disorder

36. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
depressant intoxication - nonspecific
Drugs with what kind of affect can lead to a state of delirium
the tx of W- K syndrome

37. Vit B1 - thiamine
the goal of the ego defenses
the tx of W- K syndrome
the non specific signs of stimulant intox and withdrawal
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

38. Autonomic system hyperactivity - psychotic symptoms - confusion
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
whenhypnagogic hallucinations take place
delerium tremens symptoms
desired reward produces action - mouse presses button for food

39. Aura of psychomotor epilepsy and in brain tumors
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
olfactory hallucinations common
the time frame for schizophreniform disorder
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

40. Occurs while waking up
auditory hallucinations common
When to hypnopompic hallucinations take place
in elderly patients who present with dementia - the concern
involunatary withholding of an idea or feeling from conscious awareness

41. Dysthymia
modeling behavior after another person is more powerful - though not necessarily admired
milder form of depression lasting at least 2 years
the definition of alcoholism
the serum markers of alcohol use

42. Flumazenil - competitive GABA antagonist
the tx for opiod intox and withdrawal
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the tx for BDZ intox - MOA

43. >1month
an unacceptable internal impulse is attributed to an external source
SIG E CAPS and the criteria for dx
DIG FAST
How long does the disturbance last in PTSD

44. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
the age of onset of ADHD
Causes of dementia
100 - 15
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

45. In what disease is ACH decrease?
Alzheimers
the order of loss of orientation
pieces of evidence for sexual child abuse
anxious - fearful

46. Fixation - men fixating on sports games
maladaptive pattern leading to clinically significant impairment or distress
intense fear and discomfort peaking in 10 minutes
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
partially remaining at more childish level of development

47. In what disease does NE increase - GABA decrease - and 5HT decrease?
Long acting oral opiate for heroine detox or long term maintenance
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Anxiety
whering clothes of the opposite sex

48. Negative reinforcement
the epi of physical child abuse
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Moral values - conscience can lead to self blame and attacks of ego
When separation anxiety disorder usually presents

49. Patch - gum - losenge - buproprion - varenicline
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Causes of dementia
potential tx for nicotine withdrawal
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

50. BDZ - busiprone - SSRIs
the tx for GAD
the tx for BDZ intox - MOA
whenhypnagogic hallucinations take place
<40 and <20

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Psychiatry

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