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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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1. Inc mania - high suicide risk
How long marijuana is detectable in the urine after last use
the concern with use of antidepressants in pts with bipoloar disorder
depressant intoxication - nonspecific
desire to live as the opposite sex - through surgery or hormone tx

2. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the typical abuser in physical child abuse

3. Dissociative identity disorder
odd or eccentric; inability to develop meaningful social relationships
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the complications/associations of anorexia nervosa
tactile hallucinations common

4. 3000 deaths/yr in the US
the tx for atypical depression
the epi of physical child abuse
Parkinsons
maladaptive pattern leading to clinically significant impairment or distress

5. Denial - can occur in new AIDS or cancer diagnosis
whenhypnagogic hallucinations take place
the time frame for brief pyschotic disorder
desire to live as the opposite sex - through surgery or hormone tx
avoidance of awareness of a some painful reality

6. Precontemplation - contemplation - preparation - action - maintenance - relapse
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
gets schizophrenia and the prev
the stages of change in overcoming substance addiction
Anxiety

7. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
How long does the disturbance last in PTSD
Korsakoff's psychosis
the tx for BDZ intox - MOA
suboxone and the rational of adding an antagonist

8. Yes
Is body weight maintained within nl range in bulimia nervosa
Separation of feelings from ideas and events
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

9. Variable ratio reinforcement schedule
in elderly patients who present with dementia - the concern
reward received after random number of responses - slowly extinguished - slot machine
associated with winter season - improves in response to full spectrum light exposure
voluntary withholding of an idea or feeling fromk concious awareness

10. The mean IQ and SD?
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
Separation of feelings from ideas and events
How long does the disturbance last in PTSD
100 - 15

11. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the tx for bipolar disorder
inability to remember things that occurred after CNS insult
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

12. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
the 4 W's of deprived babies?
inbability to recall important personal information - usually subsequent to severe trauma or stress
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

13. Orientation
belief that people are either all good or all bad at different times due to intolerance or ambiguity
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the types of cluster B personality disorder
repeated stimulation leads to decrease response

14. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
pieces of evidence for sexual child abuse
<40 and <20
dramatic - emotional or erratic

15. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the common causes of lack or orientation
the definition of alcoholism
the serum markers of alcohol use
modeling behavior after another person is more powerful - though not necessarily admired

16. Delirium
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
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
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
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

17. Dementia
<40 and <20
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
mediator between primal urges and accepted behavior
appreciating the amusing nature of an anxiety provoking or adverse situation

18. Weed
the order of loss of orientation
guilty feelings alleviated by unsolicitied generosity towards others
visual hallucinations common
this drug is a risk factor for schizophrenia in teens

19. Confusion - opthalmoplegia - and ataxia

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20. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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21. CBT - SSRI - TCI - BDZ
exaggerated fear of embarrasment in social situations - disorder and tx
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the tx for panic disorder

22. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
When to hypnopompic hallucinations take place
intox = ataxia - minor respiratory depression
reward received after random number of responses - slowly extinguished - slot machine

23. .1-1% of gen pop - 20% of obscene speech

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24. LSD
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the central goa of freudian psychoanalysis
How long episodes of major depressive episode usually last
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

25. Shared delusional disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
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
development of delusions in a person in a close relationship with delusional disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

26. Panic disorder
repeated stimulation leads to decrease response
intense fear and discomfort peaking in 10 minutes
the complications of alcoholism
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

27. Postpartum depression - 10 to 15%
the EEG findings in dementia
visual hallucinations common
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

28. Pain disorder
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
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
inbability to recall important personal information - usually subsequent to severe trauma or stress
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

29. Loose associations
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
define bipolar disorder and distinguish I from II
disorders in the form of through - the way ideas are tied together
<40 and <20

30. Time then place then person
this drug is a risk factor for schizophrenia in teens
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the order of loss of orientation
How long episodes of major depressive episode usually last

31. Humor - nervous med student jokes about boards
modeling behavior after another person is more powerful - though not necessarily admired
belief that people are either all good or all bad at different times due to intolerance or ambiguity
appreciating the amusing nature of an anxiety provoking or adverse situation
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

32. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
desire to live as the opposite sex - through surgery or hormone tx
depressant intoxication - nonspecific
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
IQ<70

33. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
odd or eccentric; inability to develop meaningful social relationships
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
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

34. Childhood disintegrative disorder
partially remaining at more childish level of development
the epi of physical child abuse
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
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

35. Somatization disorders
Korsakoff's psychosis
the tx for GAD
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
both illness and motivation are subconcious - sx not intentionally produced or feigned

36. 2 or more within a symptom free interval of 2 months
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Number of major depressive episodes constitute major depressive disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

37. While going to sleep
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
psychiatric disorder associated with tourrettes - and the treatment
whenhypnagogic hallucinations take place
exaggerated fear of embarrasment in social situations - disorder and tx

38. Dysthymia followed by hypomania
the epi of sexual abuse
discontinuation of reinforcement eliminates behavior
cyclothymia disorder
Long acting oral opiate for heroine detox or long term maintenance

39. Alcohol
disorders in the form of through - the way ideas are tied together
How long does the disturbance last in PTSD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

40. Sublimation - actress using an experience of abuse to enhance her acting
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
neurologic outcome associated with W- K 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
the tx for atypical depression

41. In what disease does NE decrease - 5HT decrease and DA decrease?
the definition of alcoholism
maladaptive pattern of substance use with 3 or more of these 7 criteria
Depression
cyclothymia disorder

42. Severe and profound MR?
partially remaining at more childish level of development
<40 and <20
whenhypnagogic hallucinations take place
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

43. Schizophrenia
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
auditory hallucinations common
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
desire to live as the opposite sex - through surgery or hormone tx

44. Naltrexone and BDZ
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
application of aversive stimulus extinguishes unwanted behavior
the treatment for EtOH intox and withdrawal
gustatroy hallucinations common

45. Delusional disorder
gustatroy hallucinations common
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
odd or eccentric; inability to develop meaningful social relationships
partially remaining at more childish level of development

46. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
Schizophrenia
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the non specific signs of stimulant intox and withdrawal

47. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
the tx for opiod intox and withdrawal
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

48. Projection - a man who wants another women thinks his wife is cheating on him
a hypomanic episode
an unacceptable internal impulse is attributed to an external source
Under these conditions do children regress to younger patterns of behavior
anxious - fearful

49. Countertransference
doctor projects feelings about formative or other important persons onto patient
the 3 types of cluster C personality disorder
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
whenhypnagogic hallucinations take place

50. Displacement - mom places blame on kid because she's mad at husband
psychiatric disorder associated with tourrettes - and the treatment
process whereby avoided ideas and feelings are transferred to some neutral person or object
the treatment for EtOH intox and withdrawal
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

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Psychiatry

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