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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. Shared delusional disorder
strong persistant cross gender identification
modeling behavior after another person is more powerful - though not necessarily admired
development of delusions in a person in a close relationship with delusional disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

2. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
pieces of evidence for sexual child abuse
a hypomanic episode
belief that people are either all good or all bad at different times due to intolerance or ambiguity

3. Countertransference
doctor projects feelings about formative or other important persons onto patient
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
Korsakoff's psychosis

4. Delirium
the types of cluster B personality disorder
visual hallucinations common
the tx of W- K syndrome
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

5. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
Where child neglect is reported
maladaptive pattern of substance use with 3 or more of these 7 criteria
Schizophrenia

6. Projection - a man who wants another women thinks his wife is cheating on him
the common causes of lack or orientation
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
an unacceptable internal impulse is attributed to an external source

7. Generalized anxiety disorder
the associations/complications of bulimia nervosa
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
How long marijuana is detectable in the urine after last use
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

8. To make the patient aware of hidden in their unconcious
the tx for BDZ intox - MOA
the central goa of freudian psychoanalysis
Schizophrenia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

9. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the complications of alcoholism
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
behavior achieved following reward of closer and closer approximations of desired behavior

10. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
Is body weight maintained within nl range in bulimia nervosa
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
behavior acquired by watching others and assimilating actions into one's own repetoire

11. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the serum markers of alcohol use
cyclothymia disorder
the complications of alcoholism

12. Denial - can occur in new AIDS or cancer diagnosis
define bipolar disorder and distinguish I from II
avoidance of awareness of a some painful reality
whenmen vs women present with schizophrenia
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

13. Illusion
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
misinterpretations of actual external stimulus
neurologic outcome associated with W- K syndrome

14. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
intox = restlessness. Withdrawal = irritability - anxiety - craving
the 5 types of schizophrenia
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

15. Dissociation - can lead to multiple personality disorder
define bipolar disorder and distinguish I from II
partially remaining at more childish level of development
the 4 W's of deprived babies?
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

16. Classical conditioning - pavlov's dogs
application of aversive stimulus extinguishes unwanted behavior
anxious - fearful
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

17. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
intense fear and discomfort peaking in 10 minutes
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
When to hypnopompic hallucinations take place

18. Dysthymia
milder form of depression lasting at least 2 years
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the treatment for EtOH intox and withdrawal

19. In what disease is ACH decrease?
the concern with use of antidepressants in pts with bipoloar disorder
the central goa of freudian psychoanalysis
Alzheimers
the time frame for schizophreniform disorder

20. Personality disorder
the central goa of freudian psychoanalysis
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
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
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

21. Humor - nervous med student jokes about boards
the 5 types of schizophrenia
child neglect
delerium tremens symptoms
appreciating the amusing nature of an anxiety provoking or adverse situation

22. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the treatment for maternal blues - depression - psychosis
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
behavior achieved following reward of closer and closer approximations of desired behavior
whering clothes of the opposite sex

23. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
the triad of Wernicke's encephalopathy
child neglect
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

24. Conduct disorder <18 - antisocial personality disorder > 18
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
associated with winter season - improves in response to full spectrum light exposure
the tx for BDZ intox - MOA

25. Id - subconcious - I want it
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
development of delusions in a person in a close relationship with delusional disorder
intox = restlessness. Withdrawal = irritability - anxiety - craving
primal urges - freud

26. Supression - not thinking about the USMLE until the week of the exam
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
voluntary withholding of an idea or feeling fromk concious awareness
milder form of depression lasting at least 2 years
both illness and motivation are subconcious - sx not intentionally produced or feigned

27. CPS
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Under these conditions do children regress to younger patterns of behavior
Where child neglect is reported

28. Childhood disintegrative disorder
depressant withdrawal - nonspecific
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
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
desire to live as the opposite sex - through surgery or hormone tx

29. Dementia
the types of cluster B personality disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
avoidance of awareness of a some painful reality
reward received after random number of responses - slowly extinguished - slot machine

30. Savant
voluntary withholding of an idea or feeling fromk concious awareness
delerium tremens symptoms
child neglect
autism with unusual abilities

31. Gamma glutamyltransferase - GGT - AST 2x ALT
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
whering clothes of the opposite sex
Anxiety
the serum markers of alcohol use

32. Caffeine
intox = restlessness - increase diureis - muscle twitching
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

33. EtOH withdrawal - cocaine abusers
involunatary withholding of an idea or feeling from conscious awareness
tactile hallucinations common
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
learning in which a particular ation is elicited because it produces a reward

34. Barbituates
<40 and <20
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

35. Anxiety - tremor - seizures - insomnia
visual hallucinations common
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
depressant withdrawal - nonspecific

36. Korsakoff's amnesia
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
anterograde amnesia caused by thiamine deficiency
the associations/complications of bulimia nervosa

37. Time then place then person
the order of loss of orientation
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
anxious - fearful
the time frame for schizophreniform disorder

38. 7 to 9
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
When separation anxiety disorder usually presents
Long acting oral opiate for heroine detox or long term maintenance
patient projects feelings about formative or other important persons onto physician

39. Aspergers
potential tx for nicotine withdrawal
doctor projects feelings about formative or other important persons onto patient
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
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

40. 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
intox = restlessness. Withdrawal = irritability - anxiety - craving
How long marijuana is detectable in the urine after last use
repeated stimulation lead sot increase response
SAD PERSONS

41. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
the central goa of freudian psychoanalysis
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
Is body weight maintained within nl range in bulimia nervosa

42. Delirium
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
tactile hallucinations common
the serum markers of alcohol use
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

43. Munchausen's syndrome by proxy
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
tantrums
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Number of major depressive episodes constitute major depressive disorder

44. Rationalization - after getting fired saying the job wasn't that important anyway
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Under these conditions do children regress to younger patterns of behavior
learning in which a particular ation is elicited because it produces a reward

45. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
autism with unusual abilities
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the serum markers of alcohol use

46. Cluster B personality disorder
gender autism is more common in
dramatic - emotional or erratic
Stanford - binet
reward received after every response - rapidly extinguished - vending machine

47. Panic disorder
PANICS
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
visual hallucinations common
intense fear and discomfort peaking in 10 minutes

48. Schizophrenia
auditory hallucinations common
disorders in the form of through - the way ideas are tied together
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
repeated stimulation leads to decrease response

49. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
inbability to recall important personal information - usually subsequent to severe trauma or stress
the 5 types of schizophrenia
persistent re - experiencing of a previous traumatic event

50. Dipoloar or depressive
intense fear and discomfort peaking in 10 minutes
the associations/complications of bulimia nervosa
the two types of schizoaffective disorder
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation