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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. Like manic but without marked impairement in fxning - no pyschotic features
causes wernicke - korsakoff syndrome
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for opiod intox and withdrawal
a hypomanic episode

2. Conduct disorder <18 - antisocial personality disorder > 18
the stages of change in overcoming substance addiction
both illness and motivation are subconcious - sx not intentionally produced or feigned
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

3. Acting out
the tx for OCD
reward received after random number of responses - slowly extinguished - slot machine
tantrums
whering clothes of the opposite sex

4. Methylphenidate - amphetamines - atomoxetine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the treatments for ADHD
strong persistant cross gender identification

5. Separation anxiety disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the treatments for ADHD
behavior acquired by watching others and assimilating actions into one's own repetoire
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

6. Pain disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
misinterpretations of actual external stimulus
DIG FAST

7. Dissociative amnesia
Separation of feelings from ideas and events
inbability to recall important personal information - usually subsequent to severe trauma or stress
the tx for GAD
How long marijuana is detectable in the urine after last use

8. >1month
an unacceptable internal impulse is attributed to an external source
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
How long does the disturbance last in PTSD
Moral values - conscience can lead to self blame and attacks of ego

9. Factitious disorder
belief that people are either all good or all bad at different times due to intolerance or ambiguity
disorders in the form of through - the way ideas are tied together
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
discontinuation of reinforcement eliminates behavior

10. Repression - not remebering a conflictual or traumatic experience
neurologic outcome associated with W- K syndrome
repeated stimulation lead sot increase response
involunatary withholding of an idea or feeling from conscious awareness
inbability to recall important personal information - usually subsequent to severe trauma or stress

11. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
both illness and motivation are subconcious - sx not intentionally produced or feigned
the complications of alcoholism
repeated stimulation lead sot increase response
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

12. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
patient projects feelings about formative or other important persons onto physician
child neglect
the complications of alcoholism
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

13. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
gets schizophrenia and the prev
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
PANICS
the various types of cluster A personality disorder

14. The mean IQ and SD?
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
100 - 15
discontinuation of reinforcement eliminates behavior
maladaptive pattern of substance use with 3 or more of these 7 criteria

15. Anticholinergic
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Drugs with what kind of affect can lead to a state of delirium
In ADHD - typical intelligence and school performance
repeated stimulation lead sot increase response

16. Severe and profound MR?
disorders in the form of through - the way ideas are tied together
misinterpretations of actual external stimulus
<40 and <20
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

17. Gamma glutamyltransferase - GGT - AST 2x ALT
patient projects feelings about formative or other important persons onto physician
Huntingtons
the serum markers of alcohol use
tantrums

18. Identification - abused models abuser
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
modeling behavior after another person is more powerful - though not necessarily admired
DIG FAST
dramatic - emotional or erratic

19. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
development of delusions in a person in a close relationship with delusional disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
Number of major depressive episodes constitute major depressive disorder

20. Schizoaffective disorder
inability to remember things that occurred after CNS insult
the goal of the ego defenses
PANICS
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

21. Occurs while waking up
gender autism is more common in
When to hypnopompic hallucinations take place
reward received after every response - rapidly extinguished - vending machine
in elderly patients who present with dementia - the concern

22. Anxiety - tremor - seizures - insomnia
less than what percentage of ideal body weight is common in anorexia nervosa
depressant withdrawal - nonspecific
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

23. Men early 20s - women late 20s early 30s
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the tx for BDZ intox - MOA
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
whenmen vs women present with schizophrenia

24. Loose associations
suboxone and the rational of adding an antagonist
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the treatment for EtOH intox and withdrawal
disorders in the form of through - the way ideas are tied together

25. Schizophrenia
Stanford - binet
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
discontinuation of reinforcement eliminates behavior
the epi of sexual abuse

26. 2 or more within a symptom free interval of 2 months
visual hallucinations common
the time frame for schizophreniform disorder
the treatment for EtOH intox and withdrawal
Number of major depressive episodes constitute major depressive disorder

27. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
cyclothymia disorder
delerium tremens symptoms
involunatary withholding of an idea or feeling from conscious awareness

28. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the definition of alcoholism

29. Social phobias - tx SSRIs
behavior acquired by watching others and assimilating actions into one's own repetoire
the triad of Wernicke's encephalopathy
exaggerated fear of embarrasment in social situations - disorder and tx
visual hallucinations common

30. Precontemplation - contemplation - preparation - action - maintenance - relapse
the stages of change in overcoming substance addiction
factors are most important in the etiology of schizophrenia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

31. Delirium/secondary to other illness
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Where child neglect is reported

32. LSD
<40 and <20
How long marijuana is detectable in the urine after last use
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

33. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
neurologic outcome associated with W- K syndrome
primal urges - freud
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

34. Genital/anal trauma - STDs and UTIs
the time frame for brief pyschotic disorder
pieces of evidence for sexual child abuse
development of delusions in a person in a close relationship with delusional disorder
the stages of change in overcoming substance addiction

35. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the various types of cluster A personality disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
<40 and <20

36. Shaping (social learning)
the tx for panic disorder
doctor projects feelings about formative or other important persons onto patient
behavior achieved following reward of closer and closer approximations of desired behavior
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

37. Irreversible memory loss - confabulation - personality change

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38. BDZ - busiprone - SSRIs
autism with unusual abilities
Korsakoff's psychosis
the tx for GAD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

39. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
application of aversive stimulus extinguishes unwanted behavior
the order of loss of orientation
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

40. Hypochondriasis
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
<40 and <20
the treatments for ADHD

41. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
When to hypnopompic hallucinations take place
the tx for OCD
the associations/complications of bulimia nervosa

42. Isolation of affect - describing murder in graphic detail with no emotional response
Anxiety
Separation of feelings from ideas and events
intox = restlessness. Withdrawal = irritability - anxiety - craving
the tx for bipolar disorder

43. Sensitization
repeated stimulation lead sot increase response
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
the tx for atypical depression
the 5 types of schizophrenia

44. Superego - you know you can't have it - taking it is wrong
the goal of the ego defenses
modeling behavior after another person is more powerful - though not necessarily admired
Moral values - conscience can lead to self blame and attacks of ego
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

45. Male - known to the victim
the tx for panic disorder
the typical abuser in sexual abuse
the time frame for schizophreniform disorder
potential tx for nicotine withdrawal

46. Barbituates
modeling behavior after another person is more powerful - though not necessarily admired
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
anterograde amnesia caused by thiamine deficiency
perceptions in the absence of external stimulus

47. 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
Moral values - conscience can lead to self blame and attacks of ego
SAD PERSONS
the 3 types of cluster C personality disorder
the complications/associations of anorexia nervosa

48. Variable ratio reinforcement schedule
the definition of alcoholism
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
reward received after random number of responses - slowly extinguished - slot machine

49. Dipoloar or depressive
Drugs with what kind of affect can lead to a state of delirium
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the EEG findings in dementia
the two types of schizoaffective disorder

50. 6-12 months
pieces of evidence of physical child abuse
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the 3 types of cluster C personality disorder
How long episodes of major depressive episode usually last