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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. CPS
heroin users at increased risk of...
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Where child neglect is reported
PANICS

2. Nl
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the EEG findings in dementia
gets schizophrenia and the prev
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

3. While going to sleep
the complications of alcoholism
the common causes of lack or orientation
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
whenhypnagogic hallucinations take place

4. Munchausen's syndrome by proxy
<40 and <20
Moral values - conscience can lead to self blame and attacks of ego
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

5. 3000 deaths/yr in the US
associated with winter season - improves in response to full spectrum light exposure
Schizophrenia
the epi of physical child abuse
the 5 types of schizophrenia

6. PCP
Under these conditions do children regress to younger patterns of behavior
modeling behavior after another person is more powerful - though not necessarily admired
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

7. Genes > environment
factors are most important in the etiology of schizophrenia
the triad of Wernicke's encephalopathy
depressant withdrawal - nonspecific
guilty feelings alleviated by unsolicitied generosity towards others

8. Ego - take it and you will get in trouble
inability to remember things that occurred after CNS insult
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
mediator between primal urges and accepted behavior
desire to live as the opposite sex - through surgery or hormone tx

9. Dementia
autism with unusual abilities
Huntingtons
the 5 types of schizophrenia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

10. Alcohol
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Diagnosis requres 2 of 5 of which sx
tantrums
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

11. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
misinterpretations of actual external stimulus
the complications/associations of anorexia nervosa
Where child neglect is reported
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

12. Male - known to the victim
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
avoidance of awareness of a some painful reality
the typical abuser in sexual abuse
When separation anxiety disorder usually presents

13. Severe and profound MR?
the 4 W's of deprived babies?
delerium tremens symptoms
<40 and <20
less than what percentage of ideal body weight is common in anorexia nervosa

14. Korsakoff's amnesia
voluntary withholding of an idea or feeling fromk concious awareness
anterograde amnesia caused by thiamine deficiency
Moral values - conscience can lead to self blame and attacks of ego
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

15. 1 month
DIG FAST
visual hallucinations common
How long marijuana is detectable in the urine after last use
gender autism is more common in

16. Opiods
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the types of cluster B personality disorder

17. Postpartum depression - 10 to 15%
the 4 W's of deprived babies?
Stanford - binet
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

18. Weed
Alzheimers
this drug is a risk factor for schizophrenia in teens
mediator between primal urges and accepted behavior
Korsakoff's psychosis

19. 6 months
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
How long infant deprivation can last before it leads to irreversible changes
the tx for alcoholism

20. Naltrexone and BDZ
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the typical abuser in physical child abuse
guilty feelings alleviated by unsolicitied generosity towards others
the treatment for EtOH intox and withdrawal

21. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

22. Oppositional defiant disorder
the tx of W- K syndrome
Under these conditions do children regress to younger patterns of behavior
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

23. Aura of psychomotor epilepsy and in brain tumors
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
olfactory hallucinations common
the serum markers of alcohol use
Korsakoff's psychosis

24. Cluster B personality disorder
dramatic - emotional or erratic
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
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
How long infant deprivation can last before it leads to irreversible changes

25. LSD
SIG E CAPS and the criteria for dx
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Stanford - binet
inbability to recall important personal information - usually subsequent to severe trauma or stress

26. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
involunatary withholding of an idea or feeling from conscious awareness
Huntingtons
intox = ataxia - minor respiratory depression

27. ADHD
the tx for bipolar 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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
pieces of evidence of physical child abuse

28. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
the typical abuser in physical child abuse
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
SIG E CAPS and the criteria for dx

29. Disulfiram and supportive care
the tx for alcoholism
primal urges - freud
intense fear and discomfort peaking in 10 minutes
persistent re - experiencing of a previous traumatic event

30. Operant conditioning
<40 and <20
learning in which a particular ation is elicited because it produces a reward
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
olfactory hallucinations common

31. Pain disorder
the types of cluster B personality disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the typical abuser in physical child abuse
intense fear and discomfort peaking in 10 minutes

32. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for atypical depression
factors are most important in the etiology of schizophrenia
Long acting oral opiate for heroine detox or long term maintenance
the tx for opiod intox and withdrawal

33. Hallucination
When separation anxiety disorder usually presents
persistent re - experiencing of a previous traumatic event
perceptions in the absence of external stimulus
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

34. Extinction
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
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
discontinuation of reinforcement eliminates behavior
learning in which a particular ation is elicited because it produces a reward

35. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
the triad of Wernicke's encephalopathy
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
How long episodes of major depressive episode usually last

36. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the associations/complications of bulimia nervosa

37. SSRIs - clomipramine
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 OCD
What ego dystonic means in relation to OCD
intox = restlessness - increase diureis - muscle twitching

38. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the treatment for EtOH intox and withdrawal
the tx for bipolar disorder
visual hallucinations common
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

39. Anorexia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the treatments for ADHD
delerium tremens symptoms
the stages of change in overcoming substance addiction

40. Boys
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the non specific signs of stimulant intox and withdrawal
gender autism is more common in
the tx for bipolar disorder

41. In what disease does NE decrease - 5HT decrease and DA decrease?
Depression
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
child neglect
the definition of alcoholism

42. Continuous reinforcement schedule
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
cyclothymia disorder
Depression
reward received after every response - rapidly extinguished - vending machine

43. Savant
the associations/complications of bulimia nervosa
autism with unusual abilities
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
maladaptive pattern of substance use with 3 or more of these 7 criteria

44. Atypical depression
the tx for atypical depression
strong persistant cross gender identification
behavior achieved following reward of closer and closer approximations of desired behavior
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

45. Irreversible memory loss - confabulation - personality change

46. Nicotine
intox = restlessness. Withdrawal = irritability - anxiety - craving
causes wernicke - korsakoff syndrome
the various types of cluster A personality disorder
whenmen vs women present with schizophrenia

47. Denial - can occur in new AIDS or cancer diagnosis
discontinuation of reinforcement eliminates behavior
belief that people are either all good or all bad at different times due to intolerance or ambiguity
avoidance of awareness of a some painful reality
PANICS

48. Dissociation - can lead to multiple personality disorder
Stanford - binet
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
autism with unusual abilities
Under these conditions do children regress to younger patterns of behavior

49. Anterograde amnesia
the triad of Wernicke's encephalopathy
inability to remember things that occurred after CNS insult
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
intox = restlessness. Withdrawal = irritability - anxiety - craving

50. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
modeling behavior after another person is more powerful - though not necessarily admired
IQ<70
the complications of alcoholism