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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. Time then place then person
the order of loss of orientation
<40 and <20
define bipolar disorder and distinguish I from II
whenhypnagogic hallucinations take place

2. ADHD
Is body weight maintained within nl range in bulimia nervosa
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the various types of cluster A personality disorder

3. Depression
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
in elderly patients who present with dementia - the concern
How long marijuana is detectable in the urine after last use
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

4. While going to sleep
intox = restlessness - increase diureis - muscle twitching
whenhypnagogic hallucinations take place
Diagnosis requres 2 of 5 of which sx
pieces of evidence for sexual child abuse

5. 6 months
How long infant deprivation can last before it leads to irreversible changes
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
tactile hallucinations common
visual hallucinations common

6. Atypical depression
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the complications/associations of anorexia nervosa
the non specific signs of stimulant intox and withdrawal

7. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
the evidence for child neglect
Drugs with what kind of affect can lead to a state of delirium
How long marijuana is detectable in the urine after last use
define bipolar disorder and distinguish I from II

8. PCP
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
mediator between primal urges and accepted behavior
the 3 types of cluster C personality disorder
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

9. In what disease is DA increase?
Schizophrenia
auditory hallucinations common
perceptions in the absence of external stimulus
tactile hallucinations common

10. Loose associations
DIG FAST
cyclothymia disorder
disorders in the form of through - the way ideas are tied together
Depression

11. Blacks=whites - males = females - 1.5% lifetime prev
gets schizophrenia and the prev
Alzheimers
milder form of depression lasting at least 2 years
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

12. Reaction formation - a patient with libidinous thoughts enters a monastery
<40 and <20
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
tantrums

13. Anxiety - tremor - seizures - insomnia
the various types of cluster A personality disorder
depressant withdrawal - nonspecific
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the order of loss of orientation

14. Savant
autism with unusual abilities
the common sx of PTSD
mediator between primal urges and accepted behavior
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

15. Occurs while waking up
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the treatments for ADHD
When to hypnopompic hallucinations take place
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

16. Conversion disorder
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the serum markers of alcohol use
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

17. Weed
inbability to recall important personal information - usually subsequent to severe trauma or stress
this drug is a risk factor for schizophrenia in teens
behavior acquired by watching others and assimilating actions into one's own repetoire
child neglect

18. Nl
the serum markers of alcohol use
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
<40 and <20
the EEG findings in dementia

19. Vit B1 - thiamine
causes wernicke - korsakoff syndrome
the typical abuser in physical child abuse
disorders in the form of through - the way ideas are tied together
the tx of W- K syndrome

20. Splitting - a pt that says all nurses are nice and all doctors are bad
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
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Is body weight maintained within nl range in bulimia nervosa

21. SSRIs - clomipramine
the various types of cluster A personality disorder
milder form of depression lasting at least 2 years
the tx for OCD
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

22. Precontemplation - contemplation - preparation - action - maintenance - relapse
desired reward produces action - mouse presses button for food
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the stages of change in overcoming substance addiction
the epi of physical child abuse

23. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
the non specific signs of stimulant intox and withdrawal
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
repeated stimulation lead sot increase response

24. BDZ - busiprone - SSRIs
PANICS
the tx for GAD
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
depressant withdrawal - nonspecific

25. Dementia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
tactile hallucinations common
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the various types of cluster A personality disorder

26. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
inability to remember things that occurred after CNS insult
child neglect
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

27. Repression - not remebering a conflictual or traumatic experience
doctor projects feelings about formative or other important persons onto patient
the 4 W's of deprived babies?
involunatary withholding of an idea or feeling from conscious awareness
whenhypnagogic hallucinations take place

28. Delirium/secondary to other illness
<40 and <20
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the common sx of PTSD
SAD PERSONS

29. <1mo - usually stress related
the time frame for brief pyschotic disorder
partially remaining at more childish level of development
When separation anxiety disorder usually presents
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

30. CPS
the common causes of lack or orientation
anxious - fearful
Where child neglect is reported
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

31. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
intense fear and discomfort peaking in 10 minutes
DIG FAST

32. In what disease does NE decrease - 5HT decrease and DA decrease?
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Depression
the associations/complications of bulimia nervosa

33. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
the epi of physical child abuse
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
belief that people are either all good or all bad at different times due to intolerance or ambiguity

34. Before 7
tactile hallucinations common
How long marijuana is detectable in the urine after last use
the age of onset of ADHD
causes wernicke - korsakoff syndrome

35. Hypochondriasis
gender autism is more common in
Parkinsons
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

36. Depersonalization disorder

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37. Dysthymia
milder form of depression lasting at least 2 years
How long marijuana is detectable in the urine after last use
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the complications of alcoholism

38. Gamma glutamyltransferase - GGT - AST 2x ALT
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the tx for panic disorder
pieces of evidence for sexual child abuse
the serum markers of alcohol use

39. Superego - you know you can't have it - taking it is wrong
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Moral values - conscience can lead to self blame and attacks of ego
the 5 types of schizophrenia
Stanford - binet

40. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
IQ<70
the goal of the ego defenses
the epi of sexual abuse
odd or eccentric; inability to develop meaningful social relationships

41. Bulimia nervosa
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
pieces of evidence of physical child abuse
reward received after random number of responses - slowly extinguished - slot machine
the tx for atypical depression

42. Caffeine
intox = restlessness - increase diureis - muscle twitching
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
visual hallucinations common

43. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the 3 types of cluster C personality disorder
100 - 15
the treatments for ADHD
the tx for bipolar disorder

44. Gender identity disorder
strong persistant cross gender identification
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
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
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

45. In what disease is ACH decrease?
perceptions in the absence of external stimulus
less than what percentage of ideal body weight is common in anorexia nervosa
Alzheimers
heroin users at increased risk of...

46. Schizophrenia
the tx for opiod intox and withdrawal
the non specific signs of stimulant intox and withdrawal
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
auditory hallucinations common

47. Aura of psychomotor epilepsy and in brain tumors
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
olfactory hallucinations common
Alzheimers
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

48. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

49. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
primal urges - freud
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Stanford - binet
the definition of alcoholism

50. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
What ego dystonic means in relation to OCD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the 3 types of cluster C personality disorder
depressant withdrawal - nonspecific