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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. Bulimia nervosa
<40 and <20
reward received after random number of responses - slowly extinguished - slot machine
gender autism is more common in
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

2. Acting out
tantrums
IQ<70
the goal of the ego defenses
SAD PERSONS

3. Operant conditioning
intox = restlessness. Withdrawal = irritability - anxiety - craving
learning in which a particular ation is elicited because it produces a reward
Drugs with what kind of affect can lead to a state of delirium
tactile hallucinations common

4. While going to sleep
suboxone and the rational of adding an antagonist
whenhypnagogic hallucinations take place
the common sx of PTSD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

5. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
When separation anxiety disorder usually presents
the types of cluster B personality disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

6. Rationalization - after getting fired saying the job wasn't that important anyway
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
child neglect
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
reward received after every response - rapidly extinguished - vending machine

7. Denial - can occur in new AIDS or cancer diagnosis
odd or eccentric; inability to develop meaningful social relationships
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
modeling behavior after another person is more powerful - though not necessarily admired
avoidance of awareness of a some painful reality

8. OCD - haloperidol
desired reward produces action - mouse presses button for food
strong persistant cross gender identification
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
psychiatric disorder associated with tourrettes - and the treatment

9. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
misinterpretations of actual external stimulus
inability to remember things that occurred before CNS insult
the common sx of PTSD

10. Specific phobia
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
suboxone and the rational of adding an antagonist
disorders in the form of through - the way ideas are tied together
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

11. Severe and profound MR?
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
SIG E CAPS and the criteria for dx
<40 and <20
Where child neglect is reported

12. BDZ
Drugs with what kind of affect can lead to a state of delirium
intox = ataxia - minor respiratory depression
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

13. In what diseaese is DA decrease - 5HT increase - and increase ACH?
suboxone and the rational of adding an antagonist
in elderly patients who present with dementia - the concern
Parkinsons
perceptions in the absence of external stimulus

14. Variable ratio reinforcement schedule
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
reward received after random number of responses - slowly extinguished - slot machine
the epi of sexual abuse
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

15. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
suboxone and the rational of adding an antagonist
strong persistant cross gender identification
Korsakoff's psychosis
the tx for bipolar disorder

16. Delirium
inbability to recall important personal information - usually subsequent to severe trauma or stress
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
turning back the maturational clock and going back to earlier modes of dealing with the world
How long does the disturbance last in PTSD

17. Somatization disorders
misinterpretations of actual external stimulus
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
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

18. <1mo - usually stress related
the tx for panic disorder
the time frame for brief pyschotic disorder
the goal of the ego defenses
When separation anxiety disorder usually presents

19. Adjustment disorder
maladaptive pattern leading to clinically significant impairment or distress
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

20. Anticholinergic
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Drugs with what kind of affect can lead to a state of delirium
gender autism is more common in

21. Peak incidence 9-12 years of age
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the evidence for child neglect
<40 and <20
the epi of sexual abuse

22. PTSD
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
persistent re - experiencing of a previous traumatic event
When separation anxiety disorder usually presents
the epi of physical child abuse

23. 6 months
How long infant deprivation can last before it leads to irreversible changes
desire to live as the opposite sex - through surgery or hormone tx
inability to remember things that occurred after CNS insult
SIG E CAPS and the criteria for dx

24. Sensitization
repeated stimulation lead sot increase response
perceptions in the absence of external stimulus
the triad of Wernicke's encephalopathy
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

25. Confusion - opthalmoplegia - and ataxia

26. Methadone
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Long acting oral opiate for heroine detox or long term maintenance
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
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

27. Manic episdoe
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
inability to remember things that occurred after CNS insult
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
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

28. Splitting - a pt that says all nurses are nice and all doctors are bad
Separation of feelings from ideas and events
gustatroy hallucinations common
belief that people are either all good or all bad at different times due to intolerance or ambiguity
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

29. Delusions
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
associated with winter season - improves in response to full spectrum light exposure
behavior achieved following reward of closer and closer approximations of desired behavior
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

30. Identification - abused models abuser
disorders in the form of through - the way ideas are tied together
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
modeling behavior after another person is more powerful - though not necessarily admired
the central goa of freudian psychoanalysis

31. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the non specific signs of stimulant intox and withdrawal
How long marijuana is detectable in the urine after last use
Anxiety

32. Gamma glutamyltransferase - GGT - AST 2x ALT
the serum markers of alcohol use
involunatary withholding of an idea or feeling from conscious awareness
the complications/associations of anorexia nervosa
the concern with use of antidepressants in pts with bipoloar disorder

33. Schizophrenia
When separation anxiety disorder usually presents
inability to remember things that occurred after CNS insult
auditory hallucinations common
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

34. EtOH withdrawal - cocaine abusers
partially remaining at more childish level of development
tactile hallucinations common
child neglect
the typical abuser in physical child abuse

35. Humor - nervous med student jokes about boards
behavior acquired by watching others and assimilating actions into one's own repetoire
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
appreciating the amusing nature of an anxiety provoking or adverse situation

36. Ego - take it and you will get in trouble
the tx of W- K syndrome
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
repeated stimulation leads to decrease response
mediator between primal urges and accepted behavior

37. Naltrexone and BDZ
odd or eccentric; inability to develop meaningful social relationships
the treatment for EtOH intox and withdrawal
process whereby avoided ideas and feelings are transferred to some neutral person or object
How long marijuana is detectable in the urine after last use

38. Alcohol
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
pieces of evidence for sexual child abuse

39. Somatization disorder
the tx for GAD
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
partially remaining at more childish level of development
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

40. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
the treatment for EtOH intox and withdrawal
SIG E CAPS and the criteria for dx
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the EEG findings in dementia

41. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the epi of sexual abuse
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

42. Irreversible memory loss - confabulation - personality change

43. Delirium/secondary to other illness
the associations/complications of bulimia nervosa
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the tx for alcoholism
Schizophrenia

44. BDZ - busiprone - SSRIs
the 4 W's of deprived babies?
the tx for GAD
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the types of cluster B personality disorder

45. Aura of psychomotor epilepsy and in brain tumors
tactile hallucinations common
olfactory hallucinations common
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

46. Female primary caregiver
the typical abuser in physical child abuse
the treatment for maternal blues - depression - psychosis
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

47. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
pieces of evidence for sexual child abuse
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Drugs with what kind of affect can lead to a state of delirium

48. 6-12 months
the various types of cluster A personality disorder
IQ<70
odd or eccentric; inability to develop meaningful social relationships
How long episodes of major depressive episode usually last

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

50. .1-1% of gen pop - 20% of obscene speech