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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. Operant conditioning
associated with winter season - improves in response to full spectrum light exposure
application of aversive stimulus extinguishes unwanted behavior
the tx for bipolar disorder
learning in which a particular ation is elicited because it produces a reward

2. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
patient projects feelings about formative or other important persons onto physician
the tx for OCD
behavior acquired by watching others and assimilating actions into one's own repetoire

3. Calculates IQ as mental age/chronological age x 100
Stanford - binet
potential tx for nicotine withdrawal
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the common causes of lack or orientation

4. Schizoaffective disorder
the complications/associations of anorexia nervosa
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

5. 1 month
application of aversive stimulus extinguishes unwanted behavior
How long marijuana is detectable in the urine after last use
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

6. Repression - not remebering a conflictual or traumatic experience
100 - 15
Separation of feelings from ideas and events
inbability to recall important personal information - usually subsequent to severe trauma or stress
involunatary withholding of an idea or feeling from conscious awareness

7. Fixation - men fixating on sports games
application of aversive stimulus extinguishes unwanted behavior
mediator between primal urges and accepted behavior
Parkinsons
partially remaining at more childish level of development

8. BDZ
the definition of alcoholism
intox = ataxia - minor respiratory depression
depressant intoxication - nonspecific
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

9. Displacement - mom places blame on kid because she's mad at husband
the tx for BDZ intox - MOA
the tx for atypical depression
process whereby avoided ideas and feelings are transferred to some neutral person or object
anxious - fearful

10. While going to sleep
inbability to recall important personal information - usually subsequent to severe trauma or stress
the epi of sexual abuse
whenhypnagogic hallucinations take place
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

11. Opiods
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
cyclothymia disorder
the serum markers of alcohol use
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

12. Denial - can occur in new AIDS or cancer diagnosis
an unacceptable internal impulse is attributed to an external source
avoidance of awareness of a some painful reality
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Causes of dementia

13. Paranoid - disorganized - catatonic - undifferentiated - residual
the 5 types of schizophrenia
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
exaggerated fear of embarrasment in social situations - disorder and tx
desired reward produces action - mouse presses button for food

14. Altruism - mafia boss makes a large donation to charity
belief that people are either all good or all bad at different times due to intolerance or ambiguity
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
guilty feelings alleviated by unsolicitied generosity towards others
perceptions in the absence of external stimulus

15. Identification - abused models abuser
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the time frame for schizophreniform disorder
modeling behavior after another person is more powerful - though not necessarily admired
the epi of physical child abuse

16. Adjustment disorder
the epi of physical child abuse
SIG E CAPS and the criteria for dx
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

17. Before 7
In ADHD - typical intelligence and school performance
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
gets schizophrenia and the prev
the age of onset of ADHD

18. Korsakoff's amnesia
pieces of evidence for sexual child abuse
How long episodes of major depressive episode usually last
How long marijuana is detectable in the urine after last use
anterograde amnesia caused by thiamine deficiency

19. Dissociation - can lead to multiple personality disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
less than what percentage of ideal body weight is common in anorexia nervosa
psychiatric disorder associated with tourrettes - and the treatment
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

20. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
inability to remember things that occurred after CNS insult
cyclothymia disorder
pieces of evidence of physical child abuse

21. Vit B1 - thiamine
neurologic outcome associated with W- K syndrome
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the tx of W- K syndrome
anxious - fearful

22. Countertransference
SAD PERSONS
the complications of alcoholism
doctor projects feelings about formative or other important persons onto patient
exaggerated fear of embarrasment in social situations - disorder and tx

23. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
disorders in the form of through - the way ideas are tied together
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

24. 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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25. Loose associations
mediator between primal urges and accepted behavior
Alzheimers
disorders in the form of through - the way ideas are tied together
pieces of evidence for sexual child abuse

26. Anterograde amnesia
inability to remember things that occurred after CNS insult
visual hallucinations common
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
disorders in the form of through - the way ideas are tied together

27. Seasonal affective disorder
desire to live as the opposite sex - through surgery or hormone tx
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
associated with winter season - improves in response to full spectrum light exposure
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

28. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
misinterpretations of actual external stimulus
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
gustatroy hallucinations common

29. Cluster B personality disorder
the definition of alcoholism
dramatic - emotional or erratic
neurologic outcome associated with W- K syndrome
psychiatric disorder associated with tourrettes - and the treatment

30. Ego - take it and you will get in trouble
whering clothes of the opposite sex
the typical abuser in physical child abuse
mediator between primal urges and accepted behavior
potential tx for nicotine withdrawal

31. Personality disorder
patient projects feelings about formative or other important persons onto physician
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 5 types of schizophrenia
intox = restlessness. Withdrawal = irritability - anxiety - craving

32. In what diseaese is DA decrease - 5HT increase - and increase ACH?
the time frame for brief pyschotic disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Parkinsons
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

33. Inc mania - high suicide risk
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
Causes of dementia
child neglect

34. 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
Alzheimers
Huntingtons
visual hallucinations common
SAD PERSONS

35. Gamma glutamyltransferase - GGT - AST 2x ALT
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
Korsakoff's psychosis
the serum markers of alcohol use
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

36. In what disease is ACH decrease?
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Causes of dementia
In ADHD - typical intelligence and school performance
Alzheimers

37. Regression - seen in children under stress and in patients on dialysis (crying)
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
turning back the maturational clock and going back to earlier modes of dealing with the world
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the definition of alcoholism

38. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
How long marijuana is detectable in the urine after last use
SIG E CAPS and the criteria for dx
Causes of dementia
the definition of alcoholism

39. ECT - disorientation amnesia - usually resolves in 6 months
How long episodes of major depressive episode usually last
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
DIG FAST
tantrums

40. Female primary caregiver
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the typical abuser in physical child abuse
tantrums
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

41. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
cyclothymia disorder
This gross neurological finding is associated with ADHD
child neglect

42. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
strong persistant cross gender identification
the 3 types of cluster C personality disorder
the tx for BDZ intox - MOA
the tx for opiod intox and withdrawal

43. Personality trait
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
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the complications/associations of anorexia nervosa
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

44. Normal intel - trouble in school
disorders in the form of through - the way ideas are tied together
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
In ADHD - typical intelligence and school performance
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

45. To make the patient aware of hidden in their unconcious
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
pieces of evidence for sexual child abuse
the central goa of freudian psychoanalysis
Schizophrenia

46. Isolation of affect - describing murder in graphic detail with no emotional response
learning in which a particular ation is elicited because it produces a reward
tantrums
involunatary withholding of an idea or feeling from conscious awareness
Separation of feelings from ideas and events

47. Manic episdoe
Separation of feelings from ideas and events
intox = restlessness. Withdrawal = irritability - anxiety - craving
pieces of evidence for sexual child abuse
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

48. Cluster C personality disorder
psychiatric disorder associated with tourrettes - and the treatment
anxious - fearful
doctor projects feelings about formative or other important persons onto patient
the tx of W- K syndrome

49. Savant
inbability to recall important personal information - usually subsequent to severe trauma or stress
autism with unusual abilities
the complications/associations of anorexia nervosa
desired reward produces action - mouse presses button for food

50. Substance abuse
the triad of Wernicke's encephalopathy
partially remaining at more childish level of development
maladaptive pattern leading to clinically significant impairment or distress
in elderly patients who present with dementia - the concern

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Psychiatry

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