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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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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. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
strong persistant cross gender identification
PANICS
depressant intoxication - nonspecific
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

2. Delirium
visual hallucinations common
IQ<70
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
PANICS

3. SSRIs - clomipramine
Depression
the types of cluster B personality disorder
DIG FAST
the tx for OCD

4. Barbituates
How long does the disturbance last in PTSD
the treatments for ADHD
maladaptive pattern of substance use with 3 or more of these 7 criteria
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

5. Regression - seen in children under stress and in patients on dialysis (crying)
guilty feelings alleviated by unsolicitied generosity towards others
turning back the maturational clock and going back to earlier modes of dealing with the world
the age of onset of ADHD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

6. 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
Huntingtons
Separation of feelings from ideas and events
maladaptive pattern of substance use with 3 or more of these 7 criteria
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

7. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
<40 and <20
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
persistent re - experiencing of a previous traumatic event
pieces of evidence of physical child abuse

8. Cluster A personality disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
SAD PERSONS
odd or eccentric; inability to develop meaningful social relationships
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

9. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
How long episodes of major depressive episode usually last
the age of onset of ADHD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

10. 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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11. Munchausen's syndrome by proxy
learning in which a particular ation is elicited because it produces a reward
When separation anxiety disorder usually presents
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intox = restlessness - increase diureis - muscle twitching

12. CPS
Where child neglect is reported
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Korsakoff's psychosis
strong persistant cross gender identification

13. Extinction
discontinuation of reinforcement eliminates behavior
heroin users at increased risk of...
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the non specific signs of stimulant intox and withdrawal

14. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
persistent re - experiencing of a previous traumatic event
a hypomanic episode
olfactory hallucinations common

15. Occurs while waking up
the serum markers of alcohol use
avoidance of awareness of a some painful reality
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
When to hypnopompic hallucinations take place

16. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
reward received after every response - rapidly extinguished - vending machine
process whereby avoided ideas and feelings are transferred to some neutral person or object
anterograde amnesia caused by thiamine deficiency
the treatment for maternal blues - depression - psychosis

17. In what disease does NE increase - GABA decrease - and 5HT decrease?
anterograde amnesia caused by thiamine deficiency
neurologic outcome associated with W- K syndrome
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Anxiety

18. Transference
patient projects feelings about formative or other important persons onto physician
strong persistant cross gender identification
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the treatment for EtOH intox and withdrawal

19. Childhood disintegrative disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the treatment for EtOH intox and withdrawal
cyclothymia disorder
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

20. 7 to 9
anxious - fearful
the common sx of PTSD
the concern with use of antidepressants in pts with bipoloar disorder
When separation anxiety disorder usually presents

21. 6-12 months
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
How long episodes of major depressive episode usually last
guilty feelings alleviated by unsolicitied generosity towards others
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

22. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
desire to live as the opposite sex - through surgery or hormone tx
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the complications of alcoholism

23. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
repeated stimulation leads to decrease response
suboxone and the rational of adding an antagonist
the time frame for schizophreniform disorder
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

24. Operant conditioning
the common causes of lack or orientation
partially remaining at more childish level of development
learning in which a particular ation is elicited because it produces a reward
the tx of W- K syndrome

25. Body dysmorphic disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
repeated stimulation leads to decrease response
guilty feelings alleviated by unsolicitied generosity towards others
tactile hallucinations common

26. Postpartum depression - 10 to 15%
Huntingtons
the EEG findings in dementia
disorders in the form of through - the way ideas are tied together
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

27. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
voluntary withholding of an idea or feeling fromk concious awareness
the complications of alcoholism
the complications/associations of anorexia nervosa
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

28. Paranoid - disorganized - catatonic - undifferentiated - residual
milder form of depression lasting at least 2 years
olfactory hallucinations common
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the 5 types of schizophrenia

29. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
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 tx for panic disorder
the non specific signs of stimulant intox and withdrawal
desired reward produces action - mouse presses button for food

30. In what disease does NE decrease - 5HT decrease and DA decrease?
When separation anxiety disorder usually presents
the 4 W's of deprived babies?
the treatments for ADHD
Depression

31. CBT - SSRI - TCI - BDZ
gets schizophrenia and the prev
the time frame for brief pyschotic disorder
the definition of alcoholism
the tx for panic disorder

32. Depression
intox = restlessness. Withdrawal = irritability - anxiety - craving
the stages of change in overcoming substance addiction
the age of onset of ADHD
in elderly patients who present with dementia - the concern

33. Personality trait
the various types of cluster A personality disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
whering clothes of the opposite sex
How long does the disturbance last in PTSD

34. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
avoidance of awareness of a some painful reality
guilty feelings alleviated by unsolicitied generosity towards others
depressant intoxication - nonspecific
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

35. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
desire to live as the opposite sex - through surgery or hormone tx
the common sx of PTSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

36. >1month
less than what percentage of ideal body weight is common in anorexia nervosa
How long does the disturbance last in PTSD
factors are most important in the etiology of schizophrenia
Moral values - conscience can lead to self blame and attacks of ego

37. Fixation - men fixating on sports games
partially remaining at more childish level of development
Alzheimers
intox = ataxia - minor respiratory depression
suboxone and the rational of adding an antagonist

38. In what diseaese is DA decrease - 5HT increase - and increase ACH?
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
intox = restlessness - increase diureis - muscle twitching
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Parkinsons

39. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the associations/complications of bulimia nervosa
the non specific signs of stimulant intox and withdrawal
define bipolar disorder and distinguish I from II

40. Altruism - mafia boss makes a large donation to charity
the various types of cluster A personality disorder
the central goa of freudian psychoanalysis
guilty feelings alleviated by unsolicitied generosity towards others
the common causes of lack or orientation

41. Vit B1 - thiamine
turning back the maturational clock and going back to earlier modes of dealing with the world
How long does the disturbance last in PTSD
the tx for panic disorder
the tx of W- K syndrome

42. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
Anxiety
the various types of cluster A personality disorder
define bipolar disorder and distinguish I from II
the complications of alcoholism

43. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the tx for opiod intox and withdrawal
application of aversive stimulus extinguishes unwanted behavior
the typical abuser in sexual abuse

44. <1mo - usually stress related
intense fear and discomfort peaking in 10 minutes
How long marijuana is detectable in the urine after last use
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the time frame for brief pyschotic disorder

45. 1-6 months
factors are most important in the etiology of schizophrenia
the time frame for schizophreniform disorder
the treatments for ADHD
DIG FAST

46. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
behavior achieved following reward of closer and closer approximations of desired behavior
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the associations/complications of bulimia nervosa
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

47. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the serum markers of alcohol use
strong persistant cross gender identification
the various types of cluster A personality disorder

48. In what disease is GABA decrease and ACH decrease?
Huntingtons
In ADHD - typical intelligence and school performance
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the goal of the ego defenses

49. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the epi of sexual abuse
Under these conditions do children regress to younger patterns of behavior
DIG FAST

50. Yes
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Is body weight maintained within nl range in bulimia nervosa
gets schizophrenia and the prev
the serum markers of alcohol use