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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. Amphetamines
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
DIG FAST
whenmen vs women present with schizophrenia

2. Autonomic system hyperactivity - psychotic symptoms - confusion
repeated stimulation lead sot increase response
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
delerium tremens symptoms
visual hallucinations common

3. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
process whereby avoided ideas and feelings are transferred to some neutral person or object
learning in which a particular ation is elicited because it produces a reward

4. Inc mania - high suicide risk
desire to live as the opposite sex - through surgery or hormone tx
neurologic outcome associated with W- K syndrome
Korsakoff's psychosis
the concern with use of antidepressants in pts with bipoloar disorder

5. Anterograde amnesia
This gross neurological finding is associated with ADHD
inability to remember things that occurred after CNS insult
pieces of evidence of physical child abuse
disorders in the form of through - the way ideas are tied together

6. Somatization disorder
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
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
pieces of evidence of physical child abuse

7. In what disease is ACH decrease?
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
Alzheimers
the concern with use of antidepressants in pts with bipoloar disorder

8. Cluster C personality disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
anxious - fearful
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
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

9. Personality disorder
the tx for bipolar disorder
inflexible - maladaptive - and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning - persons usually not aware of problem - presents early in adulthood
the epi of sexual abuse
the EEG findings in dementia

10. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the non specific signs of stimulant intox and withdrawal
anterograde amnesia caused by thiamine deficiency
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

11. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
process whereby avoided ideas and feelings are transferred to some neutral person or object
How long does the disturbance last in PTSD
desire to live as the opposite sex - through surgery or hormone tx

12. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the tx for bipolar disorder
define bipolar disorder and distinguish I from II
the tx for OCD
the central goa of freudian psychoanalysis

13. Dec frontal lobe volumes
potential tx for nicotine withdrawal
This gross neurological finding is associated with ADHD
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the treatment for maternal blues - depression - psychosis

14. Variable ratio reinforcement schedule
Stanford - binet
anterograde amnesia caused by thiamine deficiency
reward received after random number of responses - slowly extinguished - slot machine
Where child neglect is reported

15. Alcohol
autism with unusual abilities
heroin users at increased risk of...
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
<40 and <20

16. Negative reinforcement
the epi of physical child abuse
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
this drug is a risk factor for schizophrenia in teens
process whereby avoided ideas and feelings are transferred to some neutral person or object

17. OCD - haloperidol
whenmen vs women present with schizophrenia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
psychiatric disorder associated with tourrettes - and the treatment
repeated stimulation lead sot increase response

18. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
persistent re - experiencing of a previous traumatic event
factors are most important in the etiology of schizophrenia
neurologic outcome associated with W- K syndrome

19. PCP
inbability to recall important personal information - usually subsequent to severe trauma or stress
desired reward produces action - mouse presses button for food
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

20. Extinction
discontinuation of reinforcement eliminates behavior
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the treatment for maternal blues - depression - psychosis
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

21. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
depressant intoxication - nonspecific
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
mediator between primal urges and accepted behavior
Causes of dementia

22. Projection - a man who wants another women thinks his wife is cheating on him
anxious - fearful
an unacceptable internal impulse is attributed to an external source
Diagnosis requres 2 of 5 of which sx
the evidence for child neglect

23. Flumazenil - competitive GABA antagonist
the concern with use of antidepressants in pts with bipoloar disorder
the tx for BDZ intox - MOA
the non specific signs of stimulant intox and withdrawal
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

24. Dissociative identity disorder
the treatments for ADHD
When separation anxiety disorder usually presents
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

25. Munchausen's syndrome
How long episodes of major depressive episode usually last
the tx for opiod intox and withdrawal
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the time frame for schizophreniform disorder

26. <1mo - usually stress related
gustatroy hallucinations common
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 time frame for brief pyschotic disorder
tantrums

27. Gender identity disorder
Drugs with what kind of affect can lead to a state of delirium
Huntingtons
in elderly patients who present with dementia - the concern
strong persistant cross gender identification

28. Dissociative amnesia
Depression
suboxone and the rational of adding an antagonist
Korsakoff's psychosis
inbability to recall important personal information - usually subsequent to severe trauma or stress

29. 6-12 months
pieces of evidence for sexual child abuse
How long episodes of major depressive episode usually last
the complications of alcoholism
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

30. CBT - SSRI - TCI - BDZ
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
whenhypnagogic hallucinations take place
the tx for panic disorder

31. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
depressant intoxication - nonspecific
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
delerium tremens symptoms

32. Hallucination
behavior achieved following reward of closer and closer approximations of desired behavior
less than what percentage of ideal body weight is common in anorexia nervosa
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
perceptions in the absence of external stimulus

33. Periventricular hemorrhage/necrosis of mamillary bodies
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
neurologic outcome associated with W- K syndrome
the treatment for EtOH intox and withdrawal
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

34. Tourrette's
Is body weight maintained within nl range in bulimia nervosa
SAD PERSONS
How long marijuana is detectable in the urine after last use
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

35. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the treatments for ADHD
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
both illness and motivation are subconcious - sx not intentionally produced or feigned

36. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
the tx for bipolar disorder
pieces of evidence for sexual child abuse
potential tx for nicotine withdrawal

37. Female primary caregiver
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Where child neglect is reported
the typical abuser in physical child abuse
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

38. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
process whereby avoided ideas and feelings are transferred to some neutral person or object
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

39. Orientation
the associations/complications of bulimia nervosa
Huntingtons
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

40. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the tx for BDZ intox - MOA
Huntingtons
the goal of the ego defenses
strong persistant cross gender identification

41. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
gets schizophrenia and the prev
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
What ego dystonic means in relation to OCD

42. Rett's disorder
desired reward produces action - mouse presses button for food
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the stages of change in overcoming substance addiction
the time frame for schizophreniform disorder

43. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
auditory hallucinations common
Diagnosis requres 2 of 5 of which sx
depressant intoxication - nonspecific
whenhypnagogic hallucinations take place

44. Supression - not thinking about the USMLE until the week of the exam
Drugs with what kind of affect can lead to a state of delirium
the treatment for EtOH intox and withdrawal
voluntary withholding of an idea or feeling fromk concious awareness
modeling behavior after another person is more powerful - though not necessarily admired

45. Altruism - mafia boss makes a large donation to charity
This gross neurological finding is associated with ADHD
inability to remember things that occurred after CNS insult
How long episodes of major depressive episode usually last
guilty feelings alleviated by unsolicitied generosity towards others

46. 7 to 9
When separation anxiety disorder usually presents
pieces of evidence of physical child abuse
the tx for opiod intox and withdrawal
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

47. Acting out
What ego dystonic means in relation to OCD
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
tantrums
PANICS

48. Delusional disorder
the treatment for maternal blues - depression - psychosis
How long episodes of major depressive episode usually last
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

49. 3000 deaths/yr in the US
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the epi of sexual abuse
Schizophrenia
the epi of physical child abuse

50. In what disease does NE increase - GABA decrease - and 5HT decrease?
Anxiety
the age of onset of ADHD
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the order of loss of orientation