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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. Habituation - simple learning
repeated stimulation leads to decrease response
the definition of alcoholism
pieces of evidence of physical child abuse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

2. Hypochondriasis
define bipolar disorder and distinguish I from II
the tx for bipolar disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
DIG FAST

3. Ego - take it and you will get in trouble
Causes of dementia
disorders in the form of through - the way ideas are tied together
<40 and <20
mediator between primal urges and accepted behavior

4. Positive reinforcement
patient projects feelings about formative or other important persons onto physician
the epi of physical child abuse
desired reward produces action - mouse presses button for food
persistent re - experiencing of a previous traumatic event

5. Irreversible memory loss - confabulation - personality change

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6. 6 months
How long infant deprivation can last before it leads to irreversible changes
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox = ataxia - minor respiratory depression

7. Dysthymia followed by hypomania
cyclothymia 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
How long marijuana is detectable in the urine after last use
the tx for OCD

8. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
This gross neurological finding is associated with ADHD
inbability to recall important personal information - usually subsequent to severe trauma or stress
the tx for bipolar disorder
repeated stimulation leads to decrease response

9. Pain disorder
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
Alzheimers
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

10. 6-12 months
PANICS
reward received after random number of responses - slowly extinguished - slot machine
application of aversive stimulus extinguishes unwanted behavior
How long episodes of major depressive episode usually last

11. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the treatments for ADHD
How long does the disturbance last in PTSD
the epi of physical child abuse
Diagnosis requres 2 of 5 of which sx

12. In what disease is GABA decrease and ACH decrease?
whenmen vs women present with schizophrenia
Separation of feelings from ideas and events
Huntingtons
the triad of Wernicke's encephalopathy

13. Delirium
the common sx of PTSD
Huntingtons
depressant intoxication - nonspecific
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

14. Regression - seen in children under stress and in patients on dialysis (crying)
turning back the maturational clock and going back to earlier modes of dealing with the world
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
cyclothymia disorder

15. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
olfactory hallucinations common
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
modeling behavior after another person is more powerful - though not necessarily admired

16. Substance abuse
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 goal of the ego defenses
maladaptive pattern leading to clinically significant impairment or distress
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

17. Substance withdrawal - signs are often opposite of intoxication
the triad of Wernicke's encephalopathy
voluntary withholding of an idea or feeling fromk concious awareness
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
Causes of dementia

18. 7 to 9
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
When separation anxiety disorder usually presents
When to hypnopompic hallucinations take place
a hypomanic episode

19. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
the age of onset of ADHD
the 5 types of schizophrenia
the goal of the ego defenses

20. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Under these conditions do children regress to younger patterns of behavior
100 - 15
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

21. Vit B1 - thiamine
this drug is a risk factor for schizophrenia in teens
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the tx of W- K syndrome
the stages of change in overcoming substance addiction

22. Superego - you know you can't have it - taking it is wrong
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
application of aversive stimulus extinguishes unwanted behavior
the tx for atypical depression
Moral values - conscience can lead to self blame and attacks of ego

23. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the tx for GAD
involunatary withholding of an idea or feeling from conscious awareness
the common sx of PTSD
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

24. Before 7
the various types of cluster A personality disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the age of onset of ADHD
the 4 W's of deprived babies?

25. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
the epi of sexual abuse
the tx for OCD
Parkinsons
pieces of evidence of physical child abuse

26. 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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27. Conduct disorder <18 - antisocial personality disorder > 18
Where child neglect is reported
pieces of evidence of physical child abuse
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

28. Dec frontal lobe volumes
autism with unusual abilities
This gross neurological finding is associated with ADHD
Diagnosis requres 2 of 5 of which sx
the definition of alcoholism

29. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the tx for opiod intox and withdrawal
the typical abuser in sexual abuse
the non specific signs of stimulant intox and withdrawal
belief that people are either all good or all bad at different times due to intolerance or ambiguity

30. ECT - disorientation amnesia - usually resolves in 6 months
primal urges - freud
the EEG findings in dementia
Stanford - binet
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

31. OCD
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
child neglect
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
How long marijuana is detectable in the urine after last use

32. Dipoloar or depressive
the two types of schizoaffective disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
Diagnosis requres 2 of 5 of which sx
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

33. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
Korsakoff's psychosis
SIG E CAPS and the criteria for dx
intox = restlessness - increase diureis - muscle twitching
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

34. Denial - can occur in new AIDS or cancer diagnosis
Diagnosis requres 2 of 5 of which sx
avoidance of awareness of a some painful reality
the types of cluster B personality disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

35. Somatization disorder
desire to live as the opposite sex - through surgery or hormone tx
Separation of feelings from ideas and events
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

36. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
the order of loss of orientation
Moral values - conscience can lead to self blame and attacks of ego
tantrums

37. Severe and profound MR?
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
<40 and <20
learning in which a particular ation is elicited because it produces a reward

38. 1 month
Drugs with what kind of affect can lead to a state of delirium
the epi of sexual abuse
How long marijuana is detectable in the urine after last use
the tx for alcoholism

39. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
Parkinsons
inability to remember things that occurred before CNS insult
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

40. Weed
What ego dystonic means in relation to OCD
intox = ataxia - minor respiratory depression
this drug is a risk factor for schizophrenia in teens
causes wernicke - korsakoff syndrome

41. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the complications/associations of anorexia nervosa
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the evidence for child neglect

42. Thiamine deficiency
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
When separation anxiety disorder usually presents
Separation of feelings from ideas and events
causes wernicke - korsakoff syndrome

43. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
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
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
turning back the maturational clock and going back to earlier modes of dealing with the world

44. Patch - gum - losenge - buproprion - varenicline
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
involunatary withholding of an idea or feeling from conscious awareness
potential tx for nicotine withdrawal
suboxone and the rational of adding an antagonist

45. Classical conditioning - pavlov's dogs
application of aversive stimulus extinguishes unwanted behavior
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
olfactory hallucinations common
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

46. Precontemplation - contemplation - preparation - action - maintenance - relapse
this drug is a risk factor for schizophrenia in teens
the stages of change in overcoming substance addiction
voluntary withholding of an idea or feeling fromk concious awareness
heroin users at increased risk of...

47. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Where child neglect is reported
What ego dystonic means in relation to OCD
inability to remember things that occurred before CNS insult

48. PCP
disorders in the form of through - the way ideas are tied together
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
behavior acquired by watching others and assimilating actions into one's own repetoire

49. Cluster C personality disorder
anxious - fearful
the 5 types of schizophrenia
Alzheimers
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

50. Male - known to the victim
the typical abuser in sexual abuse
gender autism is more common in
associated with winter season - improves in response to full spectrum light exposure
the tx for BDZ intox - MOA