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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. Precontemplation - contemplation - preparation - action - maintenance - relapse
the stages of change in overcoming substance addiction
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
discontinuation of reinforcement eliminates behavior
heroin users at increased risk of...

2. Sublimation - actress using an experience of abuse to enhance her acting
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
the tx for panic disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
tactile hallucinations common

3. Methadone
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
the two types of schizoaffective disorder
Long acting oral opiate for heroine detox or long term maintenance
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

4. Adjustment disorder
application of aversive stimulus extinguishes unwanted behavior
depressant intoxication - nonspecific
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the common causes of lack or orientation

5. Cluster A personality disorder
Under these conditions do children regress to younger patterns of behavior
the goal of the ego defenses
odd or eccentric; inability to develop meaningful social relationships
involunatary withholding of an idea or feeling from conscious awareness

6. Fixation - men fixating on sports games
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
partially remaining at more childish level of development
appreciating the amusing nature of an anxiety provoking or adverse situation
the tx of W- K syndrome

7. Amphetamines
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
factors are most important in the etiology of schizophrenia
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the treatments for ADHD

8. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
reward received after every response - rapidly extinguished - vending machine
SIG E CAPS and the criteria for dx
gender autism is more common in

9. Body dysmorphic disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
maladaptive pattern leading to clinically significant impairment or distress
partially remaining at more childish level of development

10. Projection - a man who wants another women thinks his wife is cheating on him
an unacceptable internal impulse is attributed to an external source
Under these conditions do children regress to younger patterns of behavior
persistent re - experiencing of a previous traumatic event
the order of loss of orientation

11. Genes > environment
the age of onset of ADHD
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
factors are most important in the etiology of schizophrenia

12. Manic episdoe
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
misinterpretations of actual external stimulus
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

13. Delusions
the epi of physical child abuse
How long infant deprivation can last before it leads to irreversible changes
the 5 types of schizophrenia
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

14. Superego - you know you can't have it - taking it is wrong
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the common sx of PTSD
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Moral values - conscience can lead to self blame and attacks of ego

15. Schizophrenia
the treatments for ADHD
intox = ataxia - minor respiratory depression
Depression
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

16. Savant
How long marijuana is detectable in the urine after last use
associated with winter season - improves in response to full spectrum light exposure
autism with unusual abilities
intox = restlessness - increase diureis - muscle twitching

17. Modeling (social learning)

18. Naloxone - naltrexone - and symptomatic for withdrawal sx
the non specific signs of stimulant intox and withdrawal
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the tx for opiod intox and withdrawal
partially remaining at more childish level of development

19. Rett's disorder
the treatment for EtOH intox and withdrawal
behavior achieved following reward of closer and closer approximations of desired behavior
Korsakoff's psychosis
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

20. Autonomic system hyperactivity - psychotic symptoms - confusion
application of aversive stimulus extinguishes unwanted behavior
suboxone and the rational of adding an antagonist
cyclothymia disorder
delerium tremens symptoms

21. MAOi - SSRIs
the tx for atypical depression
intox = ataxia - minor respiratory depression
tactile hallucinations common
the treatment for maternal blues - depression - psychosis

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
tantrums
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
avoidance of awareness of a some painful reality
SAD PERSONS

23. 7 to 9
whenmen vs women present with schizophrenia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
When separation anxiety disorder usually presents

24. Somatization disorders
depressant withdrawal - nonspecific
both illness and motivation are subconcious - sx not intentionally produced or feigned
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
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

25. Irreversible memory loss - confabulation - personality change

26. 2 or more within a symptom free interval of 2 months
gets schizophrenia and the prev
define bipolar disorder and distinguish I from II
Number of major depressive episodes constitute major depressive disorder
guilty feelings alleviated by unsolicitied generosity towards others

27. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the tx for GAD
repeated stimulation leads to decrease response
involunatary withholding of an idea or feeling from conscious awareness
the tx for bipolar disorder

28. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
the tx for atypical depression
suboxone and the rational of adding an antagonist
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

29. >1month
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the various types of cluster A personality disorder
pieces of evidence for sexual child abuse
How long does the disturbance last in PTSD

30. Negative reinforcement
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the various types of cluster A personality disorder
depressant withdrawal - nonspecific
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

31. Delirium/secondary to other illness
inability to remember things that occurred after CNS insult
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Causes of dementia

32. In what disease is GABA decrease and ACH decrease?
autism with unusual abilities
Huntingtons
When separation anxiety disorder usually presents
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

33. Dissociative amnesia
voluntary withholding of an idea or feeling fromk concious awareness
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
inbability to recall important personal information - usually subsequent to severe trauma or stress
repeated stimulation lead sot increase response

34. BDZ
intox = ataxia - minor respiratory depression
the stages of change in overcoming substance addiction
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
reward received after every response - rapidly extinguished - vending machine

35. Dysthymia followed by hypomania
cyclothymia disorder
pieces of evidence for sexual child abuse
development of delusions in a person in a close relationship with delusional disorder
patient projects feelings about formative or other important persons onto physician

36. Postpartum psyschosis - .1 to .2%
intox = ataxia - minor respiratory depression
Alzheimers
perceptions in the absence of external stimulus
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

37. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
modeling behavior after another person is more powerful - though not necessarily admired

38. Calculates IQ as mental age/chronological age x 100
What ego dystonic means in relation to OCD
Stanford - binet
Alzheimers
this drug is a risk factor for schizophrenia in teens

39. Pain disorder
child neglect
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the treatments for ADHD
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

40. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
exaggerated fear of embarrasment in social situations - disorder and tx
What ego dystonic means in relation to OCD

41. Like manic but without marked impairement in fxning - no pyschotic features
the treatment for EtOH intox and withdrawal
primal urges - freud
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
a hypomanic episode

42. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
the treatment for EtOH intox and withdrawal
whenmen vs women present with schizophrenia
the evidence for child neglect

43. Anterograde amnesia
<40 and <20
avoidance of awareness of a some painful reality
inability to remember things that occurred after CNS insult
Schizophrenia

44. PCP
desire to live as the opposite sex - through surgery or hormone tx
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
In ADHD - typical intelligence and school performance

45. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
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
the central goa of freudian psychoanalysis
pieces of evidence for sexual child abuse
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

46. Sensitization
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the concern with use of antidepressants in pts with bipoloar disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
repeated stimulation lead sot increase response

47. Specific phobia
in elderly patients who present with dementia - the concern
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
the treatments for ADHD
the time frame for schizophreniform disorder

48. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
SIG E CAPS and the criteria for dx
the common sx of PTSD
the two types of schizoaffective disorder
Under these conditions do children regress to younger patterns of behavior

49. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
the serum markers of alcohol use
Separation of feelings from ideas and events
intox = restlessness - increase diureis - muscle twitching

50. Anorexia nervosa
intense fear and discomfort peaking in 10 minutes
Anxiety
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain