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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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1. 3000 deaths/yr in the US
the typical abuser in sexual abuse
Drugs with what kind of affect can lead to a state of delirium
suboxone and the rational of adding an antagonist
the epi of physical child abuse

2. Positive reinforcement
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
Diagnosis requres 2 of 5 of which sx
desired reward produces action - mouse presses button for food
perceptions in the absence of external stimulus

3. Habituation - simple learning
odd or eccentric; inability to develop meaningful social relationships
olfactory hallucinations common
repeated stimulation leads to decrease response
the tx for panic disorder

4. SSRIs - clomipramine
the typical abuser in sexual abuse
the tx for OCD
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
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

5. Extinction
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
desired reward produces action - mouse presses button for food
the epi of physical child abuse
discontinuation of reinforcement eliminates behavior

6. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
reward received after every response - rapidly extinguished - vending machine
How long episodes of major depressive episode usually last
the typical abuser in sexual abuse

7. Transsexualism
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
desire to live as the opposite sex - through surgery or hormone tx
Diagnosis requres 2 of 5 of which sx
IQ<70

8. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
pieces of evidence of physical child abuse
Where child neglect is reported
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

9. Reaction formation - a patient with libidinous thoughts enters a monastery
application of aversive stimulus extinguishes unwanted behavior
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
child neglect
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

10. Dementia
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
milder form of depression lasting at least 2 years
the tx for alcoholism

11. Naloxone - naltrexone - and symptomatic for withdrawal sx
disorders in the form of through - the way ideas are tied together
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
partially remaining at more childish level of development
the tx for opiod intox and withdrawal

12. MAOi - SSRIs
the tx for atypical depression
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Anxiety
Moral values - conscience can lead to self blame and attacks of ego

13. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
desire to live as the opposite sex - through surgery or hormone tx
factors are most important in the etiology of schizophrenia
the common sx of PTSD
the treatment for maternal blues - depression - psychosis

14. Barbituates
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
In ADHD - typical intelligence and school performance
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

15. Calculates IQ as mental age/chronological age x 100
development of delusions in a person in a close relationship with delusional disorder
the common causes of lack or orientation
Stanford - binet
inability to remember things that occurred after CNS insult

16. Acting out
cyclothymia disorder
less than what percentage of ideal body weight is common in anorexia nervosa
tantrums
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

17. Depersonalization disorder

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18. Severe and profound MR?
inability to remember things that occurred before CNS insult
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
cyclothymia disorder
<40 and <20

19. CBT - SSRI - TCI - BDZ
cyclothymia disorder
depressant withdrawal - nonspecific
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the tx for panic disorder

20. Displacement - mom places blame on kid because she's mad at husband
gets schizophrenia and the prev
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
process whereby avoided ideas and feelings are transferred to some neutral person or object
exaggerated fear of embarrasment in social situations - disorder and tx

21. Factitious disorder
application of aversive stimulus extinguishes unwanted behavior
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
tantrums
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

22. Transvestism
whering clothes of the opposite sex
the central goa of freudian psychoanalysis
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

23. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the treatments for ADHD
modeling behavior after another person is more powerful - though not necessarily admired
the 5 types of schizophrenia
the tx for bipolar disorder

24. Dissociative amnesia
delerium tremens symptoms
auditory hallucinations common
the 3 types of cluster C personality disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress

25. Anticholinergic
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Drugs with what kind of affect can lead to a state of delirium
auditory hallucinations common
the non specific signs of stimulant intox and withdrawal

26. In what diseaese is DA decrease - 5HT increase - and increase ACH?
inability to remember things that occurred after CNS insult
autism with unusual abilities
Stanford - binet
Parkinsons

27. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
the complications of alcoholism
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
SAD PERSONS
heroin users at increased risk of...

28. Conduct disorder <18 - antisocial personality disorder > 18
depressant withdrawal - nonspecific
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

29. Separation anxiety disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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
the age of onset of ADHD

30. BDZ
intox = ataxia - minor respiratory depression
the common sx of PTSD
the serum markers of alcohol use
the 5 types of schizophrenia

31. Variable ratio reinforcement schedule
anterograde amnesia caused by thiamine deficiency
persistent re - experiencing of a previous traumatic event
the complications of alcoholism
reward received after random number of responses - slowly extinguished - slot machine

32. Irreversible memory loss - confabulation - personality change

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33. In what disease does NE increase - GABA decrease - and 5HT decrease?
associated with winter season - improves in response to full spectrum light exposure
Anxiety
In ADHD - typical intelligence and school performance
100 - 15

34. Normal intel - trouble in school
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
In ADHD - typical intelligence and school performance
intense fear and discomfort peaking in 10 minutes
reward received after every response - rapidly extinguished - vending machine

35. To make the patient aware of hidden in their unconcious
the goal of the ego defenses
the central goa of freudian psychoanalysis
inbability to recall important personal information - usually subsequent to severe trauma or stress
the two types of schizoaffective disorder

36. Amphetamines
dramatic - emotional or erratic
What ego dystonic means in relation to OCD
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

37. Bulimia nervosa
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
repeated stimulation leads to decrease response

38. ADHD
Is body weight maintained within nl range in bulimia nervosa
the various types of cluster A personality disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
doctor projects feelings about formative or other important persons onto patient

39. Id - subconcious - I want it
primal urges - freud
the tx of W- K syndrome
the complications/associations of anorexia 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

40. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
gustatroy hallucinations common
the tx for OCD
the treatments for ADHD

41. Transference
patient projects feelings about formative or other important persons onto physician
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

42. Yes
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Is body weight maintained within nl range in bulimia nervosa
define bipolar disorder and distinguish I from II

43. Methadone
How long marijuana is detectable in the urine after last use
depressant withdrawal - nonspecific
cyclothymia disorder
Long acting oral opiate for heroine detox or long term maintenance

44. Dysthymia
milder form of depression lasting at least 2 years
the 5 types of schizophrenia
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the complications of alcoholism

45. Blacks=whites - males = females - 1.5% lifetime prev
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the treatments for ADHD
gets schizophrenia and the prev
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

46. Malingering
visual hallucinations common
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
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

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

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48. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
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
the tx for alcoholism
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

49. Substance withdrawal - signs are often opposite of intoxication
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
persistent re - experiencing of a previous traumatic event
olfactory hallucinations common
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

50. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
Causes of dementia
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Diagnosis requres 2 of 5 of which sx
the complications of alcoholism