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Psychiatry

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Answer 50 questions in 15 minutes.
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1. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
learning in which a particular ation is elicited because it produces a reward
the common causes of lack or orientation
process whereby avoided ideas and feelings are transferred to some neutral person or object
gets schizophrenia and the prev

2. BDZ - busiprone - SSRIs
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the tx for GAD
the two types of schizoaffective disorder
modeling behavior after another person is more powerful - though not necessarily admired

3. Thiamine deficiency
causes wernicke - korsakoff syndrome
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Huntingtons

4. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
gustatroy hallucinations common
the common sx of PTSD
the treatment for maternal blues - depression - psychosis

5. Dissociative identity disorder
What ego dystonic means in relation to OCD
the common sx of PTSD
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
suboxone and the rational of adding an antagonist

6. 1-6 months
factors are most important in the etiology of schizophrenia
the time frame for schizophreniform disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
How long infant deprivation can last before it leads to irreversible changes

7. Substance abuse
the tx for alcoholism
factors are most important in the etiology of schizophrenia
maladaptive pattern leading to clinically significant impairment or distress
maladaptive pattern of substance use with 3 or more of these 7 criteria

8. Childhood disintegrative disorder
define bipolar disorder and distinguish I from II
the various types of cluster A personality disorder
autism with unusual abilities
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

9. Aura of psychomotor epilepsy and in brain tumors
olfactory hallucinations common
Schizophrenia
Where child neglect is reported
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

10. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the definition of alcoholism
the stages of change in overcoming substance addiction
exaggerated fear of embarrasment in social situations - disorder and tx

11. 3000 deaths/yr in the US
the tx for opiod intox and withdrawal
the epi of physical child abuse
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

12. Fixation - men fixating on sports games
reward received after every response - rapidly extinguished - vending machine
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
partially remaining at more childish level of development
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

13. 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 definition of alcoholism
SAD PERSONS
the tx for panic disorder
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

14. Somatization disorders
the complications/associations of anorexia nervosa
the order of loss of orientation
both illness and motivation are subconcious - sx not intentionally produced or feigned
development of delusions in a person in a close relationship with delusional disorder

15. Personality 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
cyclothymia disorder
the triad of Wernicke's encephalopathy
this drug is a risk factor for schizophrenia in teens

16. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
a hypomanic episode

17. Separation anxiety disorder
potential tx for nicotine withdrawal
auditory hallucinations common
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
application of aversive stimulus extinguishes unwanted behavior

18. Altruism - mafia boss makes a large donation to charity
guilty feelings alleviated by unsolicitied generosity towards others
both illness and motivation are subconcious - sx not intentionally produced or feigned
belief that people are either all good or all bad at different times due to intolerance or ambiguity
exaggerated fear of embarrasment in social situations - disorder and tx

19. Specific phobia
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
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
Separation of feelings from ideas and events
development of delusions in a person in a close relationship with delusional disorder

20. Generalized anxiety disorder
intox = restlessness. Withdrawal = irritability - anxiety - craving
behavior achieved following reward of closer and closer approximations of desired behavior
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the treatments for ADHD

21. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the non specific signs of stimulant intox and withdrawal
development of delusions in a person in a close relationship with delusional disorder
Huntingtons
IQ<70

22. Depression
in elderly patients who present with dementia - the concern
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the order of loss of orientation

23. Dissociative fatigue
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

24. Rationalization - after getting fired saying the job wasn't that important anyway
the epi of sexual abuse
intox = ataxia - minor respiratory depression
Diagnosis requres 2 of 5 of which sx
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

25. Acting out
reward received after every response - rapidly extinguished - vending machine
tantrums
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
child neglect

26. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
the treatment for EtOH intox and withdrawal
How long infant deprivation can last before it leads to irreversible changes
partially remaining at more childish level of development

27. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
a hypomanic episode
PANICS
the tx of W- K syndrome
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

28. Bulimia nervosa
Under these conditions do children regress to younger patterns of behavior
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the EEG findings in dementia
repeated stimulation leads to decrease response

29. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
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
desired reward produces action - mouse presses button for food

30. There are rare
gustatroy hallucinations common
turning back the maturational clock and going back to earlier modes of dealing with the world
Is body weight maintained within nl range in bulimia nervosa
desire to live as the opposite sex - through surgery or hormone tx

31. Delusional disorder
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
maladaptive pattern of substance use with 3 or more of these 7 criteria
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

32. 1 month
the treatments for ADHD
How long marijuana is detectable in the urine after last use
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
define bipolar disorder and distinguish I from II

33. Delirium
the evidence for child neglect
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
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
define bipolar disorder and distinguish I from II

34. 6 months
How long infant deprivation can last before it leads to irreversible changes
When to hypnopompic hallucinations take place
the typical abuser in physical child abuse
strong persistant cross gender identification

35. Ego - take it and you will get in trouble
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
primal urges - freud
mediator between primal urges and accepted behavior
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

36. 2 or more within a symptom free interval of 2 months
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the concern with use of antidepressants in pts with bipoloar disorder
this drug is a risk factor for schizophrenia in teens
Number of major depressive episodes constitute major depressive disorder

37. Atypical depression
misinterpretations of actual external stimulus
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the tx of W- K syndrome
Huntingtons

38. Autonomic system hyperactivity - psychotic symptoms - confusion
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the 3 types of cluster C personality disorder
the tx for alcoholism
delerium tremens symptoms

39. Substance withdrawal - signs are often opposite of intoxication
Parkinsons
avoidance of awareness of a some painful reality
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
psychiatric disorder associated with tourrettes - and the treatment

40. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
Moral values - conscience can lead to self blame and attacks of ego
this drug is a risk factor for schizophrenia in teens
learning in which a particular ation is elicited because it produces a reward
DIG FAST

41. In what disease does NE decrease - 5HT decrease and DA decrease?
the 3 types of cluster C personality disorder
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Depression
auditory hallucinations common

42. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
the tx for opiod intox and withdrawal
How long marijuana is detectable in the urine after last use
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

43. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the types of cluster B personality disorder
the treatment for maternal blues - depression - psychosis
the epi of sexual abuse
anterograde amnesia caused by thiamine deficiency

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

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45. Positive reinforcement
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
process whereby avoided ideas and feelings are transferred to some neutral person or object
desired reward produces action - mouse presses button for food
How long episodes of major depressive episode usually last

46. Denial - can occur in new AIDS or cancer diagnosis
mediator between primal urges and accepted behavior
avoidance of awareness of a some painful reality
discontinuation of reinforcement eliminates behavior
the 3 types of cluster C personality disorder

47. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the complications of alcoholism
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

48. Postpartum psyschosis - .1 to .2%
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
tantrums
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

49. CPS
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
pieces of evidence of physical child abuse
Moral values - conscience can lead to self blame and attacks of ego
Where child neglect is reported

50. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
odd or eccentric; inability to develop meaningful social relationships
the associations/complications of bulimia nervosa
persistent re - experiencing of a previous traumatic event

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Psychiatry

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