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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. Calculates IQ as mental age/chronological age x 100
Where child neglect is reported
Stanford - binet
the tx for OCD
the tx for atypical depression

2. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
depressant intoxication - nonspecific
the triad of Wernicke's encephalopathy
desire to live as the opposite sex - through surgery or hormone tx

3. Oppositional defiant disorder
the triad of Wernicke's encephalopathy
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
tantrums
persistent re - experiencing of a previous traumatic event

4. >1month
modeling behavior after another person is more powerful - though not necessarily admired
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
How long does the disturbance last in PTSD
100 - 15

5. Munchausen's syndrome by proxy
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
behavior acquired by watching others and assimilating actions into one's own repetoire
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
How long episodes of major depressive episode usually last

6. Schizoaffective disorder
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
partially remaining at more childish level of development
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

7. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
tantrums
the 3 types of cluster C personality disorder
pieces of evidence of physical child abuse
This gross neurological finding is associated with ADHD

8. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for atypical depression
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

9. Superego - you know you can't have it - taking it is wrong
whenhypnagogic hallucinations take place
whenmen vs women present with schizophrenia
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Moral values - conscience can lead to self blame and attacks of ego

10. OCD
modeling behavior after another person is more powerful - though not necessarily admired
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
factors are most important in the etiology of schizophrenia

11. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
tactile hallucinations common
the complications/associations of anorexia nervosa
Drugs with what kind of affect can lead to a state of delirium
intox = restlessness. Withdrawal = irritability - anxiety - craving

12. Naltrexone and BDZ
the treatment for EtOH intox and withdrawal
the two types of schizoaffective disorder
modeling behavior after another person is more powerful - though not necessarily admired
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

13. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
Separation of feelings from ideas and events
development of delusions in a person in a close relationship with delusional disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

14. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
application of aversive stimulus extinguishes unwanted behavior
PANICS
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
SIG E CAPS and the criteria for dx

15. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
development of delusions in a person in a close relationship with delusional disorder
factors are most important in the etiology of schizophrenia
inability to remember things that occurred before CNS insult

16. Positive reinforcement
desired reward produces action - mouse presses button for food
auditory hallucinations common
avoidance of awareness of a some painful reality
cyclothymia disorder

17. Nicotine
the central goa of freudian psychoanalysis
intox = restlessness. Withdrawal = irritability - anxiety - craving
pieces of evidence for sexual child abuse
whenmen vs women present with schizophrenia

18. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the definition of alcoholism
This gross neurological finding is associated with ADHD
visual hallucinations common
the 3 types of cluster C personality disorder

19. Retrograde amnesia
inability to remember things that occurred before CNS insult
pieces of evidence for sexual child abuse
Parkinsons
turning back the maturational clock and going back to earlier modes of dealing with the world

20. Nl
SIG E CAPS and the criteria for dx
voluntary withholding of an idea or feeling fromk concious awareness
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the EEG findings in dementia

21. Yes
the time frame for schizophreniform disorder
Drugs with what kind of affect can lead to a state of delirium
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Is body weight maintained within nl range in bulimia nervosa

22. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
doctor projects feelings about formative or other important persons onto patient
disorders in the form of through - the way ideas are tied together
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

23. Shaping (social learning)
behavior achieved following reward of closer and closer approximations of desired behavior
the 5 types of schizophrenia
depressant intoxication - nonspecific
suboxone and the rational of adding an antagonist

24. MAOi - SSRIs
the stages of change in overcoming substance addiction
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
modeling behavior after another person is more powerful - though not necessarily admired
the tx for atypical depression

25. Dissociation - can lead to multiple personality disorder
potential tx for nicotine withdrawal
repeated stimulation leads to decrease response
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the epi of physical child abuse

26. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
How long episodes of major depressive episode usually last
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the common sx of PTSD
the definition of alcoholism

27. Boys
SAD PERSONS
Where child neglect is reported
gender autism is more common in
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

28. Substance withdrawal - signs are often opposite of intoxication
desire to live as the opposite sex - through surgery or hormone tx
maladaptive pattern leading to clinically significant impairment or distress
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the 3 types of cluster C personality disorder

29. In what disease does NE increase - GABA decrease - and 5HT decrease?
process whereby avoided ideas and feelings are transferred to some neutral person or object
an unacceptable internal impulse is attributed to an external source
Anxiety
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

30. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
primal urges - freud
pieces of evidence of physical child abuse
whenmen vs women present with schizophrenia

31. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
the 4 W's of deprived babies?
the common causes of lack or orientation
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

32. EtOH withdrawal - cocaine abusers
Anxiety
misinterpretations of actual external stimulus
tactile 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

33. Gamma glutamyltransferase - GGT - AST 2x ALT
What ego dystonic means in relation to OCD
the serum markers of alcohol use
involunatary withholding of an idea or feeling from conscious awareness
SAD PERSONS

34. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
Diagnosis requres 2 of 5 of which sx
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

35. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
tantrums
the complications of alcoholism
Huntingtons

36. Separation anxiety disorder
Huntingtons
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
a hypomanic episode

37. 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 tx for bipolar disorder
SIG E CAPS and the criteria for dx
the order of loss of orientation
olfactory hallucinations common

38. The criteria for mental retardation?
How long does the disturbance last in PTSD
the stages of change in overcoming substance addiction
Korsakoff's psychosis
IQ<70

39. 3000 deaths/yr in the US
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the epi of physical child abuse
persistent re - experiencing of a previous traumatic event

40. Delusions
heroin users at increased risk of...
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
whenmen vs women present with schizophrenia
gender autism is more common in

41. PTSD
persistent re - experiencing of a previous traumatic event
IQ<70
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

42. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the tx for OCD
the goal of the ego defenses
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
PANICS

43. Alcohol
primal urges - freud
the associations/complications of bulimia nervosa
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Is body weight maintained within nl range in bulimia nervosa

44. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
behavior achieved following reward of closer and closer approximations of desired behavior
Depression

45. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
development of delusions in a person in a close relationship with delusional disorder
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the common causes of lack or orientation
patient projects feelings about formative or other important persons onto physician

46. Dementia
odd or eccentric; inability to develop meaningful social relationships
perceptions in the absence of external stimulus
the epi of sexual abuse
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

47. ADHD
the 5 types of schizophrenia
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
100 - 15
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

48. Peak incidence 9-12 years of age
process whereby avoided ideas and feelings are transferred to some neutral person or object
desire to live as the opposite sex - through surgery or hormone tx
the epi of sexual abuse
the tx for bipolar disorder

49. BDZ - busiprone - SSRIs
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
involunatary withholding of an idea or feeling from conscious awareness
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the tx for GAD

50. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis