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Psychiatry

Instructions:

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. Classical conditioning - pavlov's dogs
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
factors are most important in the etiology of schizophrenia
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

2. Orientation
the evidence for child neglect
autism with unusual abilities
Drugs with what kind of affect can lead to a state of delirium
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

3. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the common sx of PTSD
When to hypnopompic hallucinations take place
reward received after every response - rapidly extinguished - vending machine

4. Schizoaffective disorder
potential tx for nicotine withdrawal
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

5. Depression
in elderly patients who present with dementia - the concern
odd or eccentric; inability to develop meaningful social relationships
the evidence for child neglect
auditory hallucinations common

6. Transference
depressant withdrawal - nonspecific
patient projects feelings about formative or other important persons onto physician
the tx for atypical depression
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

7. Rationalization - after getting fired saying the job wasn't that important anyway
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the 5 types of schizophrenia
milder form of depression lasting at least 2 years

8. Altruism - mafia boss makes a large donation to charity
reward received after random number of responses - slowly extinguished - slot machine
guilty feelings alleviated by unsolicitied generosity towards others
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the age of onset of ADHD

9. To make the patient aware of hidden in their unconcious
whenhypnagogic hallucinations take place
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the central goa of freudian psychoanalysis
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

10. Continuous reinforcement schedule
the common sx of PTSD
maladaptive pattern leading to clinically significant impairment or distress
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
reward received after every response - rapidly extinguished - vending machine

11. Bulimia nervosa
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
in elderly patients who present with dementia - the concern
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
primal urges - freud

12. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

13. Conversion disorder
auditory hallucinations common
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Diagnosis requres 2 of 5 of which sx
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

14. Peak incidence 9-12 years of age
factors are most important in the etiology of schizophrenia
the epi of sexual abuse
this drug is a risk factor for schizophrenia in teens
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

15. Savant
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
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
desired reward produces action - mouse presses button for food
autism with unusual abilities

16. Nl
IQ<70
the EEG findings in dementia
Number of major depressive episodes constitute major depressive disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

17. Yes
Is body weight maintained within nl range in bulimia nervosa
application of aversive stimulus extinguishes unwanted behavior
the associations/complications of bulimia nervosa
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

18. Disulfiram and supportive care
reward received after random number of responses - slowly extinguished - slot machine
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Where child neglect is reported
the tx for alcoholism

19. Paranoid - disorganized - catatonic - undifferentiated - residual
delerium tremens symptoms
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the 5 types of schizophrenia

20. CBT - SSRI - TCI - BDZ
Causes of dementia
the tx for GAD
the tx for panic disorder
the tx for BDZ intox - MOA

21. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
How long marijuana is detectable in the urine after last use
the EEG findings in dementia
the 3 types of cluster C personality disorder
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

22. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
Diagnosis requres 2 of 5 of which sx
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the complications/associations of anorexia nervosa

23. Extinction
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
repeated stimulation leads to decrease response
discontinuation of reinforcement eliminates behavior
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

24. <1mo - usually stress related
the order of loss of orientation
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 time frame for brief pyschotic disorder
the tx for opiod intox and withdrawal

25. Social phobias - tx SSRIs
exaggerated fear of embarrasment in social situations - disorder and tx
the definition of alcoholism
the central goa of freudian psychoanalysis
desired reward produces action - mouse presses button for food

26. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
Causes of dementia
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

27. Denial - can occur in new AIDS or cancer diagnosis
DIG FAST
avoidance of awareness of a some painful reality
the definition of alcoholism
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

28. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
causes wernicke - korsakoff syndrome
anxious - fearful

29. Munchausen's syndrome
child neglect
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
less than what percentage of ideal body weight is common in anorexia nervosa
the common causes of lack or orientation

30. Identification - abused models abuser
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
Moral values - conscience can lead to self blame and attacks of ego
modeling behavior after another person is more powerful - though not necessarily admired
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

31. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the evidence for child neglect
the various types of cluster A personality disorder
the types of cluster B personality disorder
the treatment for maternal blues - depression - psychosis

32. Postpartum psyschosis - .1 to .2%
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
How long does the disturbance last in PTSD
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
suboxone and the rational of adding an antagonist

33. Aura of psychomotor epilepsy and in brain tumors
maladaptive pattern leading to clinically significant impairment or distress
the 4 W's of deprived babies?
Parkinsons
olfactory hallucinations common

34. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Alzheimers

35. Calculates IQ as mental age/chronological age x 100
Stanford - binet
the types of cluster B personality disorder
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the treatment for maternal blues - depression - psychosis

36. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
olfactory hallucinations common
suboxone and the rational of adding an antagonist

37. SSRIs - clomipramine
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the tx for OCD
the treatment for EtOH intox and withdrawal
pieces of evidence for sexual child abuse

38. Retrograde amnesia
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
reward received after every response - rapidly extinguished - vending machine
IQ<70
inability to remember things that occurred before CNS insult

39. Irreversible memory loss - confabulation - personality change

40. Autism
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Causes of dementia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the epi of sexual abuse

41. Inc mania - high suicide risk
milder form of depression lasting at least 2 years
voluntary withholding of an idea or feeling fromk concious awareness
guilty feelings alleviated by unsolicitied generosity towards others
the concern with use of antidepressants in pts with bipoloar disorder

42. Punishment
Separation of feelings from ideas and events
application of aversive stimulus extinguishes unwanted behavior
mediator between primal urges and accepted behavior
visual hallucinations common

43. In what disease does NE increase - GABA decrease - and 5HT decrease?
PANICS
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Anxiety
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

44. >1month
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
the epi of sexual abuse
How long does the disturbance last in PTSD
guilty feelings alleviated by unsolicitied generosity towards others

45. Before 7
Parkinsons
the EEG findings in dementia
the age of onset of ADHD
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

46. Transvestism
in elderly patients who present with dementia - the concern
the complications of alcoholism
the complications/associations of anorexia nervosa
whering clothes of the opposite sex

47. Hypochondriasis
potential tx for nicotine withdrawal
the treatment for maternal blues - depression - psychosis
Depression
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

48. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
repeated stimulation lead sot increase response
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
heroin users at increased risk of...
whenmen vs women present with schizophrenia

49. Maternal blues 50 to 85%
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
reward received after every response - rapidly extinguished - vending machine

50. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
an unacceptable internal impulse is attributed to an external source
factors are most important in the etiology of schizophrenia
Diagnosis requres 2 of 5 of which sx
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought