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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. Dissociation - can lead to multiple personality disorder
in elderly patients who present with dementia - the concern
the tx for bipolar disorder
the tx for GAD
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

2. In what disease is DA increase?
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
inability to remember things that occurred after CNS insult
Schizophrenia
the triad of Wernicke's encephalopathy

3. <1mo - usually stress related
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the time frame for brief pyschotic disorder
the typical abuser in sexual abuse

4. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for bipolar disorder

5. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the EEG findings in dementia
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

6. Conduct disorder <18 - antisocial personality disorder > 18
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
inability to remember things that occurred before CNS insult

7. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
mediator between primal urges and accepted behavior
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
How long marijuana is detectable in the urine after last use

8. Habituation - simple learning
repeated stimulation leads to decrease response
this drug is a risk factor for schizophrenia in teens
cyclothymia disorder
SIG E CAPS and the criteria for dx

9. Personality trait
heroin users at increased risk of...
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for panic disorder
the definition of alcoholism

10. Autism
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
What ego dystonic means in relation to OCD
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

11. Identification - abused models abuser
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
modeling behavior after another person is more powerful - though not necessarily admired
factors are most important in the etiology of schizophrenia
the non specific signs of stimulant intox and withdrawal

12. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
How long marijuana is detectable in the urine after last use
child neglect
appreciating the amusing nature of an anxiety provoking or adverse situation
the non specific signs of stimulant intox and withdrawal

13. Anterograde amnesia
strong persistant cross gender identification
inability to remember things that occurred after CNS insult
DIG FAST
Huntingtons

14. Delirium/secondary to other illness
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
mediator between primal urges and accepted behavior
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

15. Displacement - mom places blame on kid because she's mad at husband
Stanford - binet
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
process whereby avoided ideas and feelings are transferred to some neutral person or object
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

16. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Huntingtons
What ego dystonic means in relation to OCD

17. Hallucination
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
perceptions in the absence of external stimulus
intox = restlessness - increase diureis - muscle twitching
the treatment for EtOH intox and withdrawal

18. Substance withdrawal - signs are often opposite of intoxication
belief that people are either all good or all bad at different times due to intolerance or ambiguity
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
whenhypnagogic hallucinations take place

19. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the tx of W- K syndrome
the evidence for child neglect
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
intox = ataxia - minor respiratory depression

20. Manic episdoe
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the 4 W's of deprived babies?
Korsakoff's psychosis
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

21. Negative reinforcement
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
mediator between primal urges and accepted behavior
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

22. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

23. Dissociative identity disorder
the time frame for brief pyschotic disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Is body weight maintained within nl range in bulimia nervosa

24. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
How long infant deprivation can last before it leads to irreversible changes
the treatment for maternal blues - depression - psychosis
olfactory hallucinations common
define bipolar disorder and distinguish I from II

25. Nl
neurologic outcome associated with W- K syndrome
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the order of loss of orientation
the EEG findings in dementia

26. Oppositional defiant disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the concern with use of antidepressants in pts with bipoloar disorder
the order of loss of orientation
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

27. Dysthymia followed by hypomania
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
cyclothymia disorder
the epi of physical child abuse
guilty feelings alleviated by unsolicitied generosity towards others

28. Delirium
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the 4 W's of deprived babies?
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 most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

29. Ego - take it and you will get in trouble
mediator between primal urges and accepted behavior
SAD PERSONS
the tx for opiod intox and withdrawal
pieces of evidence of physical child abuse

30. 7 to 9
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
exaggerated fear of embarrasment in social situations - disorder and tx
When separation anxiety disorder usually presents
the tx for opiod intox and withdrawal

31. Regression - seen in children under stress and in patients on dialysis (crying)
turning back the maturational clock and going back to earlier modes of dealing with the world
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Where child neglect is reported

32. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
involunatary withholding of an idea or feeling from conscious awareness
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the types of cluster B personality disorder
behavior achieved following reward of closer and closer approximations of desired behavior

33. Gamma glutamyltransferase - GGT - AST 2x ALT
In ADHD - typical intelligence and school performance
the serum markers of alcohol use
Under these conditions do children regress to younger patterns of behavior
inability to remember things that occurred before CNS insult

34. Body dysmorphic disorder
tantrums
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

35. Before 7
the age of onset of ADHD
primal urges - freud
whenmen vs women present with schizophrenia
modeling behavior after another person is more powerful - though not necessarily admired

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

37. Sensitization
repeated stimulation lead sot increase response
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
less than what percentage of ideal body weight is common in anorexia nervosa
the tx of W- K syndrome

38. Munchausen's syndrome by proxy
gender autism is more common in
mediator between primal urges and accepted behavior
visual hallucinations common
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

39. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
Korsakoff's psychosis
the common sx of PTSD
the typical abuser in physical child abuse

40. ECT - disorientation amnesia - usually resolves in 6 months
guilty feelings alleviated by unsolicitied generosity towards others
This gross neurological finding is associated with ADHD
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

41. BDZ - busiprone - SSRIs
both illness and motivation are subconcious - sx not intentionally produced or feigned
potential tx for nicotine withdrawal
In ADHD - typical intelligence and school performance
the tx for GAD

42. Specific phobia
the evidence for child neglect
the tx for atypical depression
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
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

43. In what disease is GABA decrease and ACH decrease?
Huntingtons
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
PANICS
gender autism is more common in

44. Malingering
anxious - fearful
the tx for atypical depression
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 episodes of major depressive episode usually last

45. Retrograde amnesia
inability to remember things that occurred before CNS insult
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
intox = restlessness - increase diureis - muscle twitching
involunatary withholding of an idea or feeling from conscious awareness

46. Normal intel - trouble in school
partially remaining at more childish level of development
In ADHD - typical intelligence and school performance
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
in elderly patients who present with dementia - the concern

47. Transsexualism
the 3 types of cluster C personality disorder
the treatments for ADHD
desire to live as the opposite sex - through surgery or hormone tx
process whereby avoided ideas and feelings are transferred to some neutral person or object

48. Substance abuse
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
maladaptive pattern leading to clinically significant impairment or distress
behavior acquired by watching others and assimilating actions into one's own repetoire
Alzheimers

49. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
auditory hallucinations common
the complications/associations of anorexia nervosa
development of delusions in a person in a close relationship with delusional disorder
Alzheimers

50. Aura of psychomotor epilepsy and in brain tumors
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
whenhypnagogic hallucinations take place
olfactory hallucinations common
In ADHD - typical intelligence and school performance