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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. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the EEG findings in dementia
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the treatment for maternal blues - depression - psychosis
Parkinsons

2. Irreversible memory loss - confabulation - personality change

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3. Continuous reinforcement schedule
persistent re - experiencing of a previous traumatic event
the typical abuser in physical child abuse
reward received after every response - rapidly extinguished - vending machine
Number of major depressive episodes constitute major depressive disorder

4. Confusion - opthalmoplegia - and ataxia

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5. Schizoaffective disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
100 - 15
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

6. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
the complications of alcoholism
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the goal of the ego defenses

7. Yes
delerium tremens symptoms
milder form of depression lasting at least 2 years
heroin users at increased risk of...
Is body weight maintained within nl range in bulimia nervosa

8. Transference
whenmen vs women present with schizophrenia
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
patient projects feelings about formative or other important persons onto physician
both illness and motivation are subconcious - sx not intentionally produced or feigned

9. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
intox = restlessness. Withdrawal = irritability - anxiety - craving
the complications/associations of anorexia nervosa
the goal of the ego defenses

10. Fixation - men fixating on sports games
partially remaining at more childish level of development
Moral values - conscience can lead to self blame and attacks of ego
modeling behavior after another person is more powerful - though not necessarily admired
anterograde amnesia caused by thiamine deficiency

11. Thiamine deficiency
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
cyclothymia disorder
causes wernicke - korsakoff syndrome

12. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
the tx for GAD
How long marijuana is detectable in the urine after last use
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

13. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the evidence for child neglect
Diagnosis requres 2 of 5 of which sx
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 complications of alcoholism

14. EtOH withdrawal - cocaine abusers
tactile hallucinations common
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
reward received after every response - rapidly extinguished - vending machine
Long acting oral opiate for heroine detox or long term maintenance

15. ADHD
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
inability to remember things that occurred before CNS insult
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

16. Aura of psychomotor epilepsy and in brain tumors
olfactory hallucinations common
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
learning in which a particular ation is elicited because it produces a reward
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

17. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
avoidance of awareness of a some painful reality
mediator between primal urges and accepted behavior
the definition of alcoholism
tantrums

18. <1mo - usually stress related
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
whenmen vs women present with schizophrenia
the time frame for brief pyschotic disorder
appreciating the amusing nature of an anxiety provoking or adverse situation

19. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
learning in which a particular ation is elicited because it produces a reward
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Depression

20. Normal intel - trouble in school
the goal of the ego defenses
In ADHD - typical intelligence and school performance
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
pieces of evidence of physical child abuse

21. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the tx for bipolar disorder
the order of loss of orientation
Causes of dementia
SIG E CAPS and the criteria for dx

22. 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
misinterpretations of actual external stimulus
SAD PERSONS
Separation of feelings from ideas and events
the goal of the ego defenses

23. Alcohol
Schizophrenia
process whereby avoided ideas and feelings are transferred to some neutral person or object
How long does the disturbance last in PTSD
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

24. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the two types of schizoaffective disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

25. Paranoid - disorganized - catatonic - undifferentiated - residual
the 5 types of schizophrenia
Parkinsons
define bipolar disorder and distinguish I from II
patient projects feelings about formative or other important persons onto physician

26. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the evidence for child neglect
Parkinsons
the concern with use of antidepressants in pts with bipoloar disorder

27. Altruism - mafia boss makes a large donation to charity
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Causes of dementia
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
guilty feelings alleviated by unsolicitied generosity towards others

28. Conversion disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
involunatary withholding of an idea or feeling from conscious awareness
in elderly patients who present with dementia - the concern
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

29. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
disorders in the form of through - the way ideas are tied together
Alzheimers
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

30. Barbituates
a hypomanic episode
doctor projects feelings about formative or other important persons onto patient
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
this drug is a risk factor for schizophrenia in teens

31. CPS
learning in which a particular ation is elicited because it produces a reward
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
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Where child neglect is reported

32. Naloxone - naltrexone - and symptomatic for withdrawal sx
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
When to hypnopompic hallucinations take place
Separation of feelings from ideas and events
the tx for opiod intox and withdrawal

33. Social phobias - tx SSRIs
partially remaining at more childish level of development
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 serum markers of alcohol use
exaggerated fear of embarrasment in social situations - disorder and tx

34. Identification - abused models abuser
Anxiety
the two types of schizoaffective disorder
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
modeling behavior after another person is more powerful - though not necessarily admired

35. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
depressant intoxication - nonspecific
Schizophrenia

36. Nl
the EEG findings in dementia
the stages of change in overcoming substance addiction
depressant withdrawal - nonspecific
depressant intoxication - nonspecific

37. Modeling (social learning)

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38. Dementia
Long acting oral opiate for heroine detox or long term maintenance
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
SAD PERSONS
avoidance of awareness of a some painful reality

39. Schizophrenia
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the tx for GAD
Parkinsons
auditory hallucinations common

40. Mallory weiss syndrome
pieces of evidence of physical child abuse
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
PANICS
desire to live as the opposite sex - through surgery or hormone tx

41. Time then place then person
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the order of loss of orientation
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

42. 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
behavior acquired by watching others and assimilating actions into one's own repetoire
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
maladaptive pattern of substance use with 3 or more of these 7 criteria
visual hallucinations common

43. Autism
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
exaggerated fear of embarrasment in social situations - disorder and tx
the 3 types of cluster C personality disorder
Alzheimers

44. The criteria for mental retardation?
Is body weight maintained within nl range in bulimia nervosa
avoidance of awareness of a some painful reality
IQ<70
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

45. Body dysmorphic disorder
depressant withdrawal - nonspecific
odd or eccentric; inability to develop meaningful social relationships
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
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

46. In what disease is DA increase?
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Schizophrenia
repeated stimulation lead sot increase response
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

47. Delirium/secondary to other illness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
depressant withdrawal - nonspecific
the tx for opiod intox and withdrawal
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

48. Specific phobia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Parkinsons
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
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

49. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the common causes of lack or orientation
Number of major depressive episodes constitute major depressive disorder
Causes of dementia
intense fear and discomfort peaking in 10 minutes

50. BDZ
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
intox = ataxia - minor respiratory depression
gustatroy hallucinations common
inability to remember things that occurred after CNS insult