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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. Dissociative identity disorder
Separation of feelings from ideas and events
the non specific signs of stimulant intox and withdrawal
whering clothes of the opposite sex
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

2. Yes
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the associations/complications of bulimia nervosa
Is body weight maintained within nl range in bulimia nervosa
Number of major depressive episodes constitute major depressive disorder

3. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
both illness and motivation are subconcious - sx not intentionally produced or feigned
reward received after random number of responses - slowly extinguished - slot machine

4. Before 7
mediator between primal urges and accepted behavior
the age of onset of ADHD
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
Alzheimers

5. Specific phobia
the epi of physical child abuse
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
gets schizophrenia and the prev
the stages of change in overcoming substance addiction

6. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the tx for OCD
desired reward produces action - mouse presses button for food
odd or eccentric; inability to develop meaningful social relationships

7. Cluster C personality disorder
anxious - fearful
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
mediator between primal urges and accepted behavior
inbability to recall important personal information - usually subsequent to severe trauma or stress

8. 3000 deaths/yr in the US
the epi of physical child abuse
intox = restlessness - increase diureis - muscle twitching
Separation of feelings from ideas and events
Diagnosis requres 2 of 5 of which sx

9. Displacement - mom places blame on kid because she's mad at husband
exaggerated fear of embarrasment in social situations - disorder and tx
gender autism is more common in
process whereby avoided ideas and feelings are transferred to some neutral person or object
the non specific signs of stimulant intox and withdrawal

10. Marijuana
the stages of change in overcoming substance addiction
the EEG findings in dementia
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
patient projects feelings about formative or other important persons onto physician

11. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
inability to remember things that occurred before CNS insult
a hypomanic episode
intox = ataxia - minor respiratory depression

12. 1-6 months
patient projects feelings about formative or other important persons onto physician
the treatments for ADHD
the tx for GAD
the time frame for schizophreniform disorder

13. Body dysmorphic disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the serum markers of alcohol use
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the definition of alcoholism

14. There are rare
gustatroy hallucinations common
application of aversive stimulus extinguishes unwanted behavior
inability to remember things that occurred after CNS insult
suboxone and the rational of adding an antagonist

15. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
whenmen vs women present with schizophrenia
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

16. Transsexualism
pieces of evidence for sexual child abuse
desire to live as the opposite sex - through surgery or hormone tx
the tx for bipolar disorder
the triad of Wernicke's encephalopathy

17. Confusion - opthalmoplegia - and ataxia

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18. Delusional disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
define bipolar disorder and distinguish I from II
intox = restlessness. Withdrawal = irritability - anxiety - craving
whenmen vs women present with schizophrenia

19. Anterograde amnesia
inability to remember things that occurred after CNS insult
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the evidence for child neglect
DIG FAST

20. 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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21. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
delerium tremens symptoms
doctor projects feelings about formative or other important persons onto patient
the treatment for maternal blues - depression - psychosis

22. Amphetamines
mediator between primal urges and accepted behavior
misinterpretations of actual external stimulus
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Separation of feelings from ideas and events

23. In what disease is ACH decrease?
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
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Alzheimers
the order of loss of orientation

24. Depersonalization disorder

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25. Peak incidence 9-12 years of age
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the epi of sexual abuse
define bipolar disorder and distinguish I from II
neurologic outcome associated with W- K syndrome

26. Aura of psychomotor epilepsy and in brain tumors
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
100 - 15
olfactory hallucinations common

27. Extinction
In ADHD - typical intelligence and school performance
appreciating the amusing nature of an anxiety provoking or adverse situation
discontinuation of reinforcement eliminates behavior
the stages of change in overcoming substance addiction

28. Anticholinergic
whenmen vs women present with schizophrenia
Drugs with what kind of affect can lead to a state of delirium
maladaptive pattern leading to clinically significant impairment or distress
When to hypnopompic hallucinations take place

29. Naloxone - naltrexone - and symptomatic for withdrawal sx
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the tx for opiod intox and withdrawal
delerium tremens symptoms
the 3 types of cluster C personality disorder

30. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
inability to remember things that occurred before CNS insult
How long infant deprivation can last before it leads to irreversible changes
Diagnosis requres 2 of 5 of which sx

31. CBT - SSRI - TCI - BDZ
the tx for panic disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
inability to remember things that occurred after CNS insult
the non specific signs of stimulant intox and withdrawal

32. Inc mania - high suicide risk
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the typical abuser in sexual abuse
the concern with use of antidepressants in pts with bipoloar disorder
Where child neglect is reported

33. Retrograde amnesia
the epi of sexual abuse
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the treatment for maternal blues - depression - psychosis
inability to remember things that occurred before CNS insult

34. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the definition of alcoholism
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
disorders in the form of through - the way ideas are tied together

35. Mallory weiss syndrome
inability to remember things that occurred after CNS insult
Alzheimers
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

36. Irreversible memory loss - confabulation - personality change

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37. 85 percent
the typical abuser in physical child abuse
disorders in the form of through - the way ideas are tied together
the stages of change in overcoming substance addiction
less than what percentage of ideal body weight is common in anorexia nervosa

38. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
in elderly patients who present with dementia - the concern
learning in which a particular ation is elicited because it produces a reward
the 3 types of cluster C personality disorder

39. Habituation - simple learning
repeated stimulation leads to decrease response
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
the definition of alcoholism
partially remaining at more childish level of development

40. 1 month
inbability to recall important personal information - usually subsequent to severe trauma or stress
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
How long marijuana is detectable in the urine after last use
process whereby avoided ideas and feelings are transferred to some neutral person or object

41. Malingering
Diagnosis requres 2 of 5 of which sx
When separation anxiety disorder usually presents
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
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

42. Patch - gum - losenge - buproprion - varenicline
potential tx for nicotine withdrawal
the 5 types of schizophrenia
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

43. Depression
the epi of physical child abuse
in elderly patients who present with dementia - the concern
behavior achieved following reward of closer and closer approximations of desired behavior
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

44. Dissociative amnesia
<40 and <20
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
inbability to recall important personal information - usually subsequent to severe trauma or stress
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

45. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
voluntary withholding of an idea or feeling fromk concious awareness
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
intense fear and discomfort peaking in 10 minutes
Causes of dementia

46. Pain disorder
PANICS
milder form of depression lasting at least 2 years
suboxone and the rational of adding an antagonist
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

47. 6 months
How long infant deprivation can last before it leads to irreversible changes
auditory hallucinations common
neurologic outcome associated with W- K syndrome
How long does the disturbance last in PTSD

48. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
discontinuation of reinforcement eliminates behavior
the serum markers of alcohol use
the common causes of lack or orientation

49. Calculates IQ as mental age/chronological age x 100
the EEG findings in dementia
Stanford - binet
intox = restlessness. Withdrawal = irritability - anxiety - craving
This gross neurological finding is associated with ADHD

50. Time then place then person
the tx for opiod intox and withdrawal
the order of loss of orientation
neurologic outcome associated with W- K syndrome
the triad of Wernicke's encephalopathy

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Psychiatry

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