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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. Dementia
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the 3 types of cluster C personality disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

2. Peak incidence 9-12 years of age
whering clothes of the opposite sex
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the epi of sexual abuse
whenmen vs women present with schizophrenia

3. Confusion - opthalmoplegia - and ataxia

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4. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the evidence for child neglect
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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 complications/associations of anorexia nervosa

5. Tourrette's
anxious - fearful
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the common sx of PTSD
inbability to recall important personal information - usually subsequent to severe trauma or stress

6. Aspergers
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
whenmen vs women present with schizophrenia

7. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
reward received after every response - rapidly extinguished - vending machine
this drug is a risk factor for schizophrenia in teens
Anxiety

8. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the types of cluster B personality disorder
inability to remember things that occurred before CNS insult

9. Occurs while waking up
When to hypnopompic hallucinations take place
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the tx for GAD
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

10. Dissociation - can lead to multiple personality disorder
pieces of evidence for sexual child abuse
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

11. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
<40 and <20
the tx for alcoholism
mediator between primal urges and accepted behavior
the common sx of PTSD

12. SSRIs - clomipramine
depressant withdrawal - nonspecific
partially remaining at more childish level of development
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the tx for OCD

13. Irreversible memory loss - confabulation - personality change

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14. Cocaine
anterograde amnesia caused by thiamine deficiency
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the central goa of freudian psychoanalysis
100 - 15

15. Dissociative amnesia
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Number of major depressive episodes constitute major depressive disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
discontinuation of reinforcement eliminates behavior

16. Illusion
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
misinterpretations of actual external stimulus
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

17. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant withdrawal - nonspecific
Depression
100 - 15
depressant intoxication - nonspecific

18. 1 month
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
suboxone and the rational of adding an antagonist
How long marijuana is detectable in the urine after last use

19. Acting out
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
behavior acquired by watching others and assimilating actions into one's own repetoire
factors are most important in the etiology of schizophrenia
tantrums

20. CBT - SSRI - TCI - BDZ
the tx for panic disorder
exaggerated fear of embarrasment in social situations - disorder and tx
voluntary withholding of an idea or feeling fromk concious awareness
the treatment for EtOH intox and withdrawal

21. 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
potential tx for nicotine withdrawal
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

22. Autonomic system hyperactivity - psychotic symptoms - confusion
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
define bipolar disorder and distinguish I from II
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
delerium tremens symptoms

23. Panic disorder
avoidance of awareness of a some painful reality
intense fear and discomfort peaking in 10 minutes
pieces of evidence of physical child abuse
How long episodes of major depressive episode usually last

24. Female primary caregiver
the typical abuser in physical child abuse
the EEG findings in dementia
Long acting oral opiate for heroine detox or long term maintenance
auditory hallucinations common

25. Schizophrenia
auditory hallucinations common
100 - 15
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
DIG FAST

26. Severe and profound MR?
the types of cluster B personality disorder
Alzheimers
<40 and <20
the tx for alcoholism

27. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
autism with unusual abilities
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

28. Inc mania - high suicide risk
In ADHD - typical intelligence and school performance
Moral values - conscience can lead to self blame and attacks of ego
the concern with use of antidepressants in pts with bipoloar disorder
less than what percentage of ideal body weight is common in anorexia nervosa

29. In what diseaese is DA decrease - 5HT increase - and increase ACH?
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
heroin users at increased risk of...
Parkinsons
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

30. Precontemplation - contemplation - preparation - action - maintenance - relapse
behavior achieved following reward of closer and closer approximations of desired behavior
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the stages of change in overcoming substance addiction

31. Amphetamines
<40 and <20
the goal of the ego defenses
the tx of W- K syndrome
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

32. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
Depression
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
anterograde amnesia caused by thiamine deficiency

33. Personality trait
delerium tremens symptoms
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
the tx for atypical depression
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

34. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the tx for GAD
milder form of depression lasting at least 2 years
the two types of schizoaffective disorder

35. Autism
the EEG findings in dementia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Long acting oral opiate for heroine detox or long term maintenance
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

36. Atypical depression
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the tx for alcoholism
the 5 types of schizophrenia
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

37. 7 to 9
tactile hallucinations common
the tx for alcoholism
When separation anxiety disorder usually presents
depressant withdrawal - nonspecific

38. Paranoid - disorganized - catatonic - undifferentiated - residual
the 5 types of schizophrenia
milder form of depression lasting at least 2 years
Anxiety
the tx for OCD

39. Flumazenil - competitive GABA antagonist
learning in which a particular ation is elicited because it produces a reward
the tx for BDZ intox - MOA
the serum markers of alcohol use
behavior achieved following reward of closer and closer approximations of desired behavior

40. In what disease is DA increase?
factors are most important in the etiology of schizophrenia
auditory hallucinations common
Schizophrenia
neurologic outcome associated with W- K syndrome

41. Yes
Is body weight maintained within nl range in bulimia nervosa
gustatroy hallucinations common
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

42. Transsexualism
How long marijuana is detectable in the urine after last use
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
desire to live as the opposite sex - through surgery or hormone tx
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

43. .1-1% of gen pop - 20% of obscene speech

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44. In what disease does NE increase - GABA decrease - and 5HT decrease?
Anxiety
delerium tremens symptoms
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
reward received after random number of responses - slowly extinguished - slot machine

45. Dysthymia
milder form of depression lasting at least 2 years
the tx for BDZ intox - MOA
an unacceptable internal impulse is attributed to an external source
reward received after random number of responses - slowly extinguished - slot machine

46. Reaction formation - a patient with libidinous thoughts enters a monastery
maladaptive pattern leading to clinically significant impairment or distress
disorders in the form of through - the way ideas are tied together
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
repeated stimulation leads to decrease response

47. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
intox = ataxia - minor respiratory depression
the 3 types of cluster C personality disorder
This gross neurological finding is associated with ADHD
<40 and <20

48. Anorexia nervosa
How long marijuana is detectable in the urine after last use
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
misinterpretations of actual external stimulus
the tx for GAD

49. Countertransference
whenmen vs women present with schizophrenia
doctor projects feelings about formative or other important persons onto patient
repeated stimulation leads to decrease response
guilty feelings alleviated by unsolicitied generosity towards others

50. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
milder form of depression lasting at least 2 years
the definition of alcoholism
visual hallucinations common
the central goa of freudian psychoanalysis

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Psychiatry

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