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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. Loose associations
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
disorders in the form of through - the way ideas are tied together
Depression
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

2. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
the triad of Wernicke's encephalopathy
the treatment for EtOH intox and withdrawal
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

3. Modeling (social learning)

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4. 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
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
SIG E CAPS and the criteria for dx
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the non specific signs of stimulant intox and withdrawal

5. BDZ - busiprone - SSRIs
inability to remember things that occurred before CNS insult
the triad of Wernicke's encephalopathy
the tx for GAD
What ego dystonic means in relation to OCD

6. Thiamine deficiency
causes wernicke - korsakoff syndrome
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
gets schizophrenia and the prev
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

7. Hypochondriasis
milder form of depression lasting at least 2 years
child neglect
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

8. Transvestism
intox = restlessness - increase diureis - muscle twitching
disorders in the form of through - the way ideas are tied together
Under these conditions do children regress to younger patterns of behavior
whering clothes of the opposite sex

9. Sensitization
whenmen vs women present with schizophrenia
repeated stimulation lead sot increase response
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
strong persistant cross gender identification

10. 3000 deaths/yr in the US
perceptions in the absence of external stimulus
Under these conditions do children regress to younger patterns of behavior
the epi of physical child abuse
the tx for BDZ intox - MOA

11. Depersonalization disorder

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12. Blacks=whites - males = females - 1.5% lifetime prev
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
intox = restlessness - increase diureis - muscle twitching
gets schizophrenia and the prev
SIG E CAPS and the criteria for dx

13. Savant
process whereby avoided ideas and feelings are transferred to some neutral person or object
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
application of aversive stimulus extinguishes unwanted behavior
autism with unusual abilities

14. Specific phobia
the common sx of PTSD
appreciating the amusing nature of an anxiety provoking or adverse situation
causes wernicke - korsakoff syndrome
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

15. The mean IQ and SD?
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
100 - 15
the concern with use of antidepressants in pts with bipoloar disorder
IQ<70

16. PCP
maladaptive pattern of substance use with 3 or more of these 7 criteria
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

17. Delusional disorder
Schizophrenia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the evidence for child neglect
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

18. Fixation - men fixating on sports games
Long acting oral opiate for heroine detox or long term maintenance
Drugs with what kind of affect can lead to a state of delirium
When to hypnopompic hallucinations take place
partially remaining at more childish level of development

19. Like manic but without marked impairement in fxning - no pyschotic features
the 5 types of schizophrenia
Drugs with what kind of affect can lead to a state of delirium
appreciating the amusing nature of an anxiety provoking or adverse situation
a hypomanic episode

20. Nicotine
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
intox = restlessness. Withdrawal = irritability - anxiety - craving
application of aversive stimulus extinguishes unwanted behavior
the associations/complications of bulimia nervosa

21. Substance abuse
DIG FAST
maladaptive pattern leading to clinically significant impairment or distress
the types of cluster B personality disorder
reward received after every response - rapidly extinguished - vending machine

22. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
modeling behavior after another person is more powerful - though not necessarily admired
the tx of W- K syndrome

23. Personality trait
the goal of the ego defenses
SIG E CAPS and the criteria for dx
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
Diagnosis requres 2 of 5 of which sx

24. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the treatment for EtOH intox and withdrawal
primal urges - freud

25. Extinction
intox = restlessness - increase diureis - muscle twitching
a hypomanic episode
<40 and <20
discontinuation of reinforcement eliminates behavior

26. Positive reinforcement
Number of major depressive episodes constitute major depressive disorder
desired reward produces action - mouse presses button for food
the common sx of PTSD
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

27. Dementia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the treatments for ADHD
inability to remember things that occurred after CNS insult
Where child neglect is reported

28. 85 percent
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
less than what percentage of ideal body weight is common in anorexia nervosa
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

29. <1mo - usually stress related
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the time frame for brief pyschotic disorder
desire to live as the opposite sex - through surgery or hormone tx

30. Delirium/secondary to other illness
define bipolar disorder and distinguish I from II
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the types of cluster B personality disorder
associated with winter season - improves in response to full spectrum light exposure

31. SSRIs - clomipramine
the tx for OCD
reward received after every response - rapidly extinguished - vending machine
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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

32. Substance withdrawal - signs are often opposite of intoxication
intox = ataxia - minor respiratory depression
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the epi of physical child abuse
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

33. Anterograde amnesia
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
anterograde amnesia caused by thiamine deficiency
misinterpretations of actual external stimulus
inability to remember things that occurred after CNS insult

34. Generalized anxiety disorder
perceptions in the absence of external stimulus
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
<40 and <20
the non specific signs of stimulant intox and withdrawal

35. Methylphenidate - amphetamines - atomoxetine
persistent re - experiencing of a previous traumatic event
the treatments for ADHD
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
involunatary withholding of an idea or feeling from conscious awareness

36. Flumazenil - competitive GABA antagonist
How long does the disturbance last in PTSD
the tx for BDZ intox - MOA
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

37. Naloxone - naltrexone - and symptomatic for withdrawal sx
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the tx for opiod intox and withdrawal
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the goal of the ego defenses

38. Id - subconcious - I want it
maladaptive pattern leading to clinically significant impairment or distress
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
primal urges - freud
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

39. Schizophrenia
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
auditory hallucinations common
dramatic - emotional or erratic
the common causes of lack or orientation

40. While going to sleep
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the various types of cluster A personality disorder
whenhypnagogic hallucinations take place

41. Isolation of affect - describing murder in graphic detail with no emotional response
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
behavior achieved following reward of closer and closer approximations of desired behavior
the tx for BDZ intox - MOA
Separation of feelings from ideas and events

42. Genital/anal trauma - STDs and UTIs
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
pieces of evidence for sexual child abuse
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the typical abuser in sexual abuse

43. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
the tx for panic disorder
anxious - fearful
<40 and <20

44. Cluster B personality disorder
dramatic - emotional or erratic
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the goal of the ego defenses

45. .1-1% of gen pop - 20% of obscene speech

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46. Punishment
behavior acquired by watching others and assimilating actions into one's own repetoire
whenhypnagogic hallucinations take place
application of aversive stimulus extinguishes unwanted behavior
reward received after every response - rapidly extinguished - vending machine

47. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the tx for bipolar disorder
auditory hallucinations common
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

48. Naltrexone and BDZ
the treatment for EtOH intox and withdrawal
appreciating the amusing nature of an anxiety provoking or adverse situation
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
anterograde amnesia caused by thiamine deficiency

49. Nl
the EEG findings in dementia
exaggerated fear of embarrasment in social situations - disorder and tx
the epi of physical child abuse
discontinuation of reinforcement eliminates behavior

50. Denial - can occur in new AIDS or cancer diagnosis
anxious - fearful
avoidance of awareness of a some painful reality
When to hypnopompic hallucinations take place
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

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Psychiatry

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