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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. Negative reinforcement
visual hallucinations common
primal urges - freud
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

2. Dysthymia followed by hypomania
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
cyclothymia disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
guilty feelings alleviated by unsolicitied generosity towards others

3. There are rare
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
depressant intoxication - nonspecific
gustatroy hallucinations common
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

4. Yes
Is body weight maintained within nl range in bulimia nervosa
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
maladaptive pattern leading to clinically significant impairment or distress
When to hypnopompic hallucinations take place

5. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
in elderly patients who present with dementia - the concern
olfactory hallucinations common
doctor projects feelings about formative or other important persons onto patient

6. EtOH withdrawal - cocaine abusers
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 4 W's of deprived babies?
tactile hallucinations common
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

7. Depersonalization disorder

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8. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
tantrums
inability to remember things that occurred before CNS insult
the common causes of lack or orientation
Parkinsons

9. Autonomic system hyperactivity - psychotic symptoms - confusion
the complications/associations of anorexia nervosa
the age of onset of ADHD
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
delerium tremens symptoms

10. Severe and profound MR?
How long does the disturbance last in PTSD
DIG FAST
<40 and <20
the treatment for maternal blues - depression - psychosis

11. Transvestism
whering clothes of the opposite sex
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
pieces of evidence for sexual child abuse
the tx for bipolar disorder

12. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
the tx for GAD
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
mediator between primal urges and accepted behavior

13. In what disease does NE increase - GABA decrease - and 5HT decrease?
Anxiety
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
associated with winter season - improves in response to full spectrum light exposure

14. Maternal blues 50 to 85%
the various types of cluster A personality disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
How long episodes of major depressive episode usually last
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

15. Male - known to the victim
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the evidence for child neglect
the tx for GAD
the typical abuser in sexual abuse

16. While going to sleep
reward received after random number of responses - slowly extinguished - slot machine
the definition of alcoholism
whenhypnagogic hallucinations take place
Stanford - binet

17. Dementia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
primal urges - freud
pieces of evidence for sexual child abuse
the typical abuser in physical child abuse

18. Alcohol
perceptions in the absence of external stimulus
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
define bipolar disorder and distinguish I from II
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

19. Pain disorder
the complications/associations of anorexia nervosa
exaggerated fear of embarrasment in social situations - disorder and tx
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Depression

20. Aspergers
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
disorders in the form of through - the way ideas are tied together
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

21. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
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 age of onset of ADHD
the treatments for ADHD
Under these conditions do children regress to younger patterns of behavior

22. CPS
the associations/complications of bulimia nervosa
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
desire to live as the opposite sex - through surgery or hormone tx
Where child neglect is reported

23. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the tx of W- K syndrome
DIG FAST
When separation anxiety disorder usually presents

24. Splitting - a pt that says all nurses are nice and all doctors are bad
both illness and motivation are subconcious - sx not intentionally produced or feigned
the serum markers of alcohol use
belief that people are either all good or all bad at different times due to intolerance or ambiguity
inbability to recall important personal information - usually subsequent to severe trauma or stress

25. Weed
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
this drug is a risk factor for schizophrenia in teens
the treatment for maternal blues - depression - psychosis
the tx of W- K syndrome

26. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
Separation of feelings from ideas and events
the epi of sexual abuse
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

27. Social phobias - tx SSRIs
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
exaggerated fear of embarrasment in social situations - disorder and tx
behavior achieved following reward of closer and closer approximations of desired behavior

28. Id - subconcious - I want it
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the complications/associations of anorexia nervosa
primal urges - freud
learning in which a particular ation is elicited because it produces a reward

29. Irreversible memory loss - confabulation - personality change

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30. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
process whereby avoided ideas and feelings are transferred to some neutral person or object
PANICS
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

31. Positive reinforcement
potential tx for nicotine withdrawal
This gross neurological finding is associated with ADHD
desired reward produces action - mouse presses button for food
the 4 W's of deprived babies?

32. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
inability to remember things that occurred before CNS insult
doctor projects feelings about formative or other important persons onto patient

33. Dipoloar or depressive
the two types of schizoaffective disorder
What ego dystonic means in relation to OCD
SIG E CAPS and the criteria for dx
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

34. 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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35. Displacement - mom places blame on kid because she's mad at husband
How long infant deprivation can last before it leads to irreversible changes
100 - 15
cyclothymia disorder
process whereby avoided ideas and feelings are transferred to some neutral person or object

36. Retrograde amnesia
inability to remember things that occurred before CNS insult
auditory hallucinations common
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

37. Dysthymia
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
intox = restlessness - increase diureis - muscle twitching
milder form of depression lasting at least 2 years
auditory hallucinations common

38. Reaction formation - a patient with libidinous thoughts enters a monastery
desired reward produces action - mouse presses button for food
the age of onset of ADHD
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
define bipolar disorder and distinguish I from II

39. Blacks=whites - males = females - 1.5% lifetime prev
How long marijuana is detectable in the urine after last use
gets schizophrenia and the prev
Drugs with what kind of affect can lead to a state of delirium
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

40. Anxiety - tremor - seizures - insomnia
both illness and motivation are subconcious - sx not intentionally produced or feigned
dramatic - emotional or erratic
depressant withdrawal - nonspecific
whenhypnagogic hallucinations take place

41. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
inbability to recall important personal information - usually subsequent to severe trauma or stress
the non specific signs of stimulant intox and withdrawal
the 5 types of schizophrenia
IQ<70

42. To make the patient aware of hidden in their unconcious
the definition of alcoholism
the types of cluster B personality disorder
the serum markers of alcohol use
the central goa of freudian psychoanalysis

43. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
appreciating the amusing nature of an anxiety provoking or adverse situation
the epi of physical child abuse
Huntingtons
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

44. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the 3 types of cluster C personality disorder
the triad of Wernicke's encephalopathy
auditory hallucinations common

45. Hypochondriasis
the epi of physical child abuse
the associations/complications of bulimia nervosa
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

46. Paranoid - disorganized - catatonic - undifferentiated - residual
Where child neglect is reported
the time frame for brief pyschotic disorder
misinterpretations of actual external stimulus
the 5 types of schizophrenia

47. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Stanford - binet
the time frame for brief pyschotic disorder
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

48. Autism
causes wernicke - korsakoff syndrome
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the time frame for brief pyschotic disorder
disorders in the form of through - the way ideas are tied together

49. Shaping (social learning)
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Alzheimers
PANICS
behavior achieved following reward of closer and closer approximations of desired behavior

50. Occurs while waking up
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
This gross neurological finding is associated with ADHD
When to hypnopompic hallucinations take place
this drug is a risk factor for schizophrenia in teens