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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. Postpartum psyschosis - .1 to .2%
the treatment for EtOH intox and withdrawal
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the stages of change in overcoming substance addiction
reward received after random number of responses - slowly extinguished - slot machine

2. Savant
How long episodes of major depressive episode usually last
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
autism with unusual abilities

3. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
in elderly patients who present with dementia - the concern
Is body weight maintained within nl range in bulimia nervosa
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

4. Cluster C personality disorder
anxious - fearful
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the non specific signs of stimulant intox and withdrawal
visual hallucinations common

5. Childhood disintegrative disorder
tactile hallucinations common
repeated stimulation lead sot increase response
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
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

6. Extinction
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Depression
exaggerated fear of embarrasment in social situations - disorder and tx
discontinuation of reinforcement eliminates behavior

7. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
DIG FAST
Number of major depressive episodes constitute major depressive disorder
the epi of physical child abuse

8. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
What ego dystonic means in relation to OCD
gender autism is more common in
milder form of depression lasting at least 2 years

9. EtOH withdrawal - cocaine abusers
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Where child neglect is reported
the types of cluster B personality disorder
tactile hallucinations common

10. Regression - seen in children under stress and in patients on dialysis (crying)
pieces of evidence for sexual child abuse
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
turning back the maturational clock and going back to earlier modes of dealing with the world

11. Substance withdrawal - signs are often opposite of intoxication
When to hypnopompic hallucinations take place
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
milder form of depression lasting at least 2 years
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

12. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
suboxone and the rational of adding an antagonist
Causes of dementia
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

13. Variable ratio reinforcement schedule
the tx of W- K syndrome
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the definition of alcoholism
reward received after random number of responses - slowly extinguished - slot machine

14. 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
the triad of Wernicke's encephalopathy
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
autism with unusual abilities

15. Manic episdoe
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
guilty feelings alleviated by unsolicitied generosity towards others
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

16. Body dysmorphic disorder
dramatic - emotional or erratic
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
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

17. Yes
the two types of schizoaffective disorder
Is body weight maintained within nl range in bulimia nervosa
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
How long infant deprivation can last before it leads to irreversible changes

18. Habituation - simple learning
When separation anxiety disorder usually presents
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
repeated stimulation leads to decrease response

19. 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
Alzheimers
appreciating the amusing nature of an anxiety provoking or adverse situation
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

20. Anxiety - tremor - seizures - insomnia
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Parkinsons
depressant withdrawal - nonspecific
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

21. Operant conditioning
intox = restlessness. Withdrawal = irritability - anxiety - craving
misinterpretations of actual external stimulus
learning in which a particular ation is elicited because it produces a reward
the tx for alcoholism

22. Illusion
<40 and <20
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
misinterpretations of actual external stimulus
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

23. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
associated with winter season - improves in response to full spectrum light exposure
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

24. Rett's disorder
Depression
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
discontinuation of reinforcement eliminates behavior
the common sx of PTSD

25. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
behavior acquired by watching others and assimilating actions into one's own repetoire
strong persistant cross gender identification
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

26. Precontemplation - contemplation - preparation - action - maintenance - relapse
the 3 types of cluster C personality disorder
Under these conditions do children regress to younger patterns of behavior
the stages of change in overcoming substance addiction
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

27. LSD
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
tantrums
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Moral values - conscience can lead to self blame and attacks of ego

28. Before 7
the age of onset of ADHD
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
DIG FAST
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

29. Sensitization
inbability to recall important personal information - usually subsequent to severe trauma or stress
Alzheimers
inability to remember things that occurred after CNS insult
repeated stimulation lead sot increase response

30. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
anterograde amnesia caused by thiamine deficiency
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

31. Cocaine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox = ataxia - minor respiratory depression
the types of cluster B personality disorder

32. Irreversible memory loss - confabulation - personality change

33. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
Under these conditions do children regress to younger patterns of behavior
pieces of evidence of physical child abuse
repeated stimulation lead sot increase response
How long infant deprivation can last before it leads to irreversible changes

34. Normal intel - trouble in school
the goal of the ego defenses
In ADHD - typical intelligence and school performance
gender autism is more common in
SIG E CAPS and the criteria for dx

35. 6 months
How long infant deprivation can last before it leads to irreversible changes
guilty feelings alleviated by unsolicitied generosity towards others
maladaptive pattern leading to clinically significant impairment or distress
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

36. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
heroin users at increased risk of...
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
PANICS
the various types of cluster A personality disorder

37. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
whenhypnagogic hallucinations take place
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

38. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
an unacceptable internal impulse is attributed to an external source
SAD PERSONS
learning in which a particular ation is elicited because it produces a reward
whenmen vs women present with schizophrenia

39. Periventricular hemorrhage/necrosis of mamillary bodies
inability to remember things that occurred before CNS insult
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
neurologic outcome associated with W- K syndrome
intox = ataxia - minor respiratory depression

40. Reaction formation - a patient with libidinous thoughts enters a monastery
behavior acquired by watching others and assimilating actions into one's own repetoire
an unacceptable internal impulse is attributed to an external source
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
inbability to recall important personal information - usually subsequent to severe trauma or stress

41. Dissociation - can lead to multiple personality 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
intense fear and discomfort peaking in 10 minutes
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
intox = ataxia - minor respiratory depression

42. Dysthymia followed by hypomania
gender autism is more common in
cyclothymia disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

43. ADHD
belief that people are either all good or all bad at different times due to intolerance or ambiguity
How long does the disturbance last in PTSD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
dramatic - emotional or erratic

44. Anterograde amnesia
inability to remember things that occurred after CNS insult
the tx for GAD
perceptions in the absence of external stimulus
the treatment for EtOH intox and withdrawal

45. Adjustment disorder
modeling behavior after another person is more powerful - though not necessarily admired
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
intense fear and discomfort peaking in 10 minutes
How long does the disturbance last in PTSD

46. Confusion - opthalmoplegia - and ataxia

47. Dissociative fatigue
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
doctor projects feelings about formative or other important persons onto patient
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
maladaptive pattern leading to clinically significant impairment or distress

48. Autism
Where child neglect is reported
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
inbability to recall important personal information - usually subsequent to severe trauma or stress
the stages of change in overcoming substance addiction

49. Disulfiram and supportive care
causes wernicke - korsakoff syndrome
How long infant deprivation can last before it leads to irreversible changes
the tx for alcoholism
the common causes of lack or orientation

50. CBT - SSRI - TCI - BDZ
the typical abuser in physical child abuse
neurologic outcome associated with W- K syndrome
intense fear and discomfort peaking in 10 minutes
the tx for panic disorder