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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. Oppositional defiant disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
development of delusions in a person in a close relationship with delusional disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

2. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Causes of dementia

3. 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
Is body weight maintained within nl range in bulimia nervosa
Under these conditions do children regress to younger patterns of behavior
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

4. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
the 3 types of cluster C personality disorder
depressant intoxication - nonspecific
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

5. Normal intel - trouble in school
gustatroy hallucinations common
process whereby avoided ideas and feelings are transferred to some neutral person or object
the tx of W- K syndrome
In ADHD - typical intelligence and school performance

6. .1-1% of gen pop - 20% of obscene speech

7. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
When to hypnopompic hallucinations take place
desired reward produces action - mouse presses button for food

8. Displacement - mom places blame on kid because she's mad at husband
causes wernicke - korsakoff syndrome
How long does the disturbance last in PTSD
anxious - fearful
process whereby avoided ideas and feelings are transferred to some neutral person or object

9. PTSD
persistent re - experiencing of a previous traumatic event
Number of major depressive episodes constitute major depressive disorder
intox = restlessness - increase diureis - muscle twitching
desire to live as the opposite sex - through surgery or hormone tx

10. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
desired reward produces action - mouse presses button for food
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

11. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
the 4 W's of deprived babies?
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
IQ<70

12. The criteria for mental retardation?
Separation of feelings from ideas and events
IQ<70
doctor projects feelings about formative or other important persons onto patient
olfactory hallucinations common

13. Korsakoff's amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
anterograde amnesia caused by thiamine deficiency
the treatment for EtOH intox and withdrawal

14. Schizophrenia
auditory hallucinations common
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Anxiety
the various types of cluster A personality disorder

15. Maternal blues 50 to 85%
When to hypnopompic hallucinations take place
What ego dystonic means in relation to OCD
gets schizophrenia and the prev
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

16. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
belief that people are either all good or all bad at different times due to intolerance or ambiguity
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the 5 types of schizophrenia

17. Shared delusional disorder
development of delusions in a person in a close relationship with delusional disorder
anterograde amnesia caused by thiamine deficiency
the treatment for EtOH intox and withdrawal
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

18. Substance abuse
Under these conditions do children regress to younger patterns of behavior
the triad of Wernicke's encephalopathy
the typical abuser in sexual abuse
maladaptive pattern leading to clinically significant impairment or distress

19. SSRIs - clomipramine
How long marijuana is detectable in the urine after last use
less than what percentage of ideal body weight is common in anorexia nervosa
tantrums
the tx for OCD

20. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the definition of alcoholism
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the typical abuser in sexual abuse
Diagnosis requres 2 of 5 of which sx

21. There are rare
SIG E CAPS and the criteria for dx
child neglect
the types of cluster B personality disorder
gustatroy hallucinations common

22. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
dramatic - emotional or erratic
intense fear and discomfort peaking in 10 minutes
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the tx for bipolar disorder

23. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the treatment for maternal blues - depression - psychosis
Number of major depressive episodes constitute major depressive disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Long acting oral opiate for heroine detox or long term maintenance

24. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
Under these conditions do children regress to younger patterns of behavior
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
factors are most important in the etiology of schizophrenia

25. Fixation - men fixating on sports games
partially remaining at more childish level of development
heroin users at increased risk of...
Separation of feelings from ideas and events
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

26. Id - subconcious - I want it
maladaptive pattern leading to clinically significant impairment or distress
autism with unusual abilities
primal urges - freud
100 - 15

27. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
appreciating the amusing nature of an anxiety provoking or adverse situation
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the triad of Wernicke's encephalopathy

28. In what disease does NE decrease - 5HT decrease and DA decrease?
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
Depression
involunatary withholding of an idea or feeling from conscious awareness
both illness and motivation are subconcious - sx not intentionally produced or feigned

29. Peak incidence 9-12 years of age
Anxiety
the tx for panic disorder
the 5 types of schizophrenia
the epi of sexual abuse

30. In what disease is GABA decrease and ACH decrease?
Huntingtons
the time frame for brief pyschotic disorder
both illness and motivation are subconcious - sx not intentionally produced or feigned
Causes of dementia

31. Classical conditioning - pavlov's dogs
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 serum markers of alcohol use
desire to live as the opposite sex - through surgery or hormone tx
How long infant deprivation can last before it leads to irreversible changes

32. Bulimia nervosa
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the treatment for EtOH intox and withdrawal
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Depression

33. Atypical depression
Where child neglect is reported
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
the EEG findings in dementia
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

34. ECT - disorientation amnesia - usually resolves in 6 months
the tx for bipolar disorder
repeated stimulation leads to decrease response
anxious - fearful
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

35. Male - known to the victim
mediator between primal urges and accepted behavior
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 typical abuser in sexual abuse
reward received after every response - rapidly extinguished - vending machine

36. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
auditory hallucinations common
Causes of dementia
appreciating the amusing nature of an anxiety provoking or adverse situation
persistent re - experiencing of a previous traumatic event

37. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
misinterpretations of actual external stimulus
Drugs with what kind of affect can lead to a state of delirium
process whereby avoided ideas and feelings are transferred to some neutral person or object

38. Delirium
olfactory hallucinations common
partially remaining at more childish level of development
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
visual hallucinations common

39. Illusion
the time frame for brief pyschotic disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
anxious - fearful
misinterpretations of actual external stimulus

40. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
reward received after every response - rapidly extinguished - vending machine
inability to remember things that occurred after CNS insult
pieces of evidence of physical child abuse
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

41. Dipoloar or depressive
repeated stimulation lead sot increase response
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the two types of schizoaffective disorder
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

42. Disulfiram and supportive care
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
exaggerated fear of embarrasment in social situations - disorder and tx
Long acting oral opiate for heroine detox or long term maintenance
the tx for alcoholism

43. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
heroin users at increased risk of...
intox = restlessness - increase diureis - muscle twitching
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

44. Delirium
disorders in the form of through - the way ideas are tied together
the tx for GAD
whenmen vs women present with schizophrenia
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

45. Occurs while waking up
define bipolar disorder and distinguish I from II
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
How long does the disturbance last in PTSD
When to hypnopompic hallucinations take place

46. Variable ratio reinforcement schedule
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
child neglect
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
reward received after random number of responses - slowly extinguished - slot machine

47. Inc mania - high suicide risk
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Depression
the concern with use of antidepressants in pts with bipoloar disorder
Causes of dementia

48. Anticholinergic
maladaptive pattern leading to clinically significant impairment or distress
the treatment for maternal blues - depression - psychosis
partially remaining at more childish level of development
Drugs with what kind of affect can lead to a state of delirium

49. In what disease does NE increase - GABA decrease - and 5HT decrease?
<40 and <20
Anxiety
inability to remember things that occurred after CNS insult
behavior acquired by watching others and assimilating actions into one's own repetoire

50. Vit B1 - thiamine
the tx of W- K syndrome
both illness and motivation are subconcious - sx not intentionally produced or feigned
the tx for atypical depression
the epi of sexual abuse