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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. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
dramatic - emotional or erratic
process whereby avoided ideas and feelings are transferred to some neutral person or object
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

2. Modeling (social learning)

3. Transsexualism
SIG E CAPS and the criteria for dx
heroin users at increased risk of...
desire to live as the opposite sex - through surgery or hormone tx
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

4. Nl
behavior acquired by watching others and assimilating actions into one's own repetoire
neurologic outcome associated with W- K syndrome
the EEG findings in dementia
patient projects feelings about formative or other important persons onto physician

5. Men early 20s - women late 20s early 30s
intox = ataxia - minor respiratory depression
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the tx for OCD
whenmen vs women present with schizophrenia

6. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
the common causes of lack or orientation
How long episodes of major depressive episode usually last
dramatic - emotional or erratic

7. Regression - seen in children under stress and in patients on dialysis (crying)
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Separation of feelings from ideas and events
turning back the maturational clock and going back to earlier modes of dealing with the world
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

8. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
strong persistant cross gender identification
the tx for panic disorder

9. The mean IQ and SD?
the epi of physical child abuse
application of aversive stimulus extinguishes unwanted behavior
100 - 15
In ADHD - typical intelligence and school performance

10. Anxiety - tremor - seizures - insomnia
Stanford - binet
depressant withdrawal - nonspecific
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
associated with winter season - improves in response to full spectrum light exposure

11. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
intox = restlessness. Withdrawal = irritability - anxiety - craving
gets schizophrenia and the prev
the tx for GAD

12. Continuous reinforcement schedule
autism with unusual abilities
the central goa of freudian psychoanalysis
gets schizophrenia and the prev
reward received after every response - rapidly extinguished - vending machine

13. Personality trait
visual hallucinations common
Separation of feelings from ideas and events
appreciating the amusing nature of an anxiety provoking or adverse situation
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

14. Countertransference
less than what percentage of ideal body weight is common in anorexia nervosa
How long episodes of major depressive episode usually last
appreciating the amusing nature of an anxiety provoking or adverse situation
doctor projects feelings about formative or other important persons onto patient

15. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Korsakoff's psychosis
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

16. Barbituates
patient projects feelings about formative or other important persons onto physician
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
exaggerated fear of embarrasment in social situations - disorder and tx
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

17. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
perceptions in the absence of external stimulus
100 - 15
the treatment for maternal blues - depression - psychosis

18. Id - subconcious - I want it
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
modeling behavior after another person is more powerful - though not necessarily admired
primal urges - freud
less than what percentage of ideal body weight is common in anorexia nervosa

19. .1-1% of gen pop - 20% of obscene speech

20. Adjustment disorder
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
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Separation of feelings from ideas and events

21. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
this drug is a risk factor for schizophrenia in teens
the complications of alcoholism
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

22. CPS
Where child neglect is reported
guilty feelings alleviated by unsolicitied generosity towards others
define bipolar disorder and distinguish I from II
neurologic outcome associated with W- K syndrome

23. 3000 deaths/yr in the US
development of delusions in a person in a close relationship with delusional disorder
whering clothes of the opposite sex
Diagnosis requres 2 of 5 of which sx
the epi of physical child abuse

24. Dipoloar or depressive
psychiatric disorder associated with tourrettes - and the treatment
the two types of schizoaffective disorder
the typical abuser in physical child abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

25. Transvestism
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
In ADHD - typical intelligence and school performance
whering clothes of the opposite sex

26. Dec frontal lobe volumes
the tx for opiod intox and withdrawal
This gross neurological finding is associated with ADHD
both illness and motivation are subconcious - sx not intentionally produced or feigned
Causes of dementia

27. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
anxious - fearful
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Diagnosis requres 2 of 5 of which sx

28. Somatization disorder
visual hallucinations common
maladaptive pattern leading to clinically significant impairment or distress
Is body weight maintained within nl range in bulimia nervosa
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

29. Occurs while waking up
learning in which a particular ation is elicited because it produces a reward
In ADHD - typical intelligence and school performance
When to hypnopompic hallucinations take place
maladaptive pattern leading to clinically significant impairment or distress

30. Dissociation - can lead to multiple personality disorder
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
misinterpretations of actual external stimulus

31. Acting out
Is body weight maintained within nl range in bulimia nervosa
tantrums
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
suboxone and the rational of adding an antagonist

32. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
100 - 15
the epi of sexual abuse
the various types of cluster A personality disorder
Long acting oral opiate for heroine detox or long term maintenance

33. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
the non specific signs of stimulant intox and withdrawal
How long does the disturbance last in PTSD
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

34. 1-6 months
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
visual hallucinations common
the time frame for schizophreniform disorder
the epi of sexual abuse

35. Postpartum psyschosis - .1 to .2%
avoidance of awareness of a some painful reality
perceptions in the absence of external stimulus
the associations/complications of bulimia nervosa
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

36. Loose associations
disorders in the form of through - the way ideas are tied together
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
<40 and <20
the complications/associations of anorexia nervosa

37. Calculates IQ as mental age/chronological age x 100
persistent re - experiencing of a previous traumatic event
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
Stanford - binet

38. Extinction
How long episodes of major depressive episode usually last
Anxiety
involunatary withholding of an idea or feeling from conscious awareness
discontinuation of reinforcement eliminates behavior

39. Naltrexone and BDZ
process whereby avoided ideas and feelings are transferred to some neutral person or object
the treatment for EtOH intox and withdrawal
the 5 types of schizophrenia
reward received after random number of responses - slowly extinguished - slot machine

40. Methadone
intense fear and discomfort peaking in 10 minutes
the tx for BDZ intox - MOA
desired reward produces action - mouse presses button for food
Long acting oral opiate for heroine detox or long term maintenance

41. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
dramatic - emotional or erratic
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
DIG FAST
gender autism is more common in

42. Transference
gender autism is more common in
patient projects feelings about formative or other important persons onto physician
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
factors are most important in the etiology of schizophrenia

43. Bulimia nervosa
In ADHD - typical intelligence and school performance
Causes of dementia
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the 3 types of cluster C personality disorder

44. PCP
gets schizophrenia and the prev
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

45. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
How long does the disturbance last in PTSD
How long infant deprivation can last before it leads to irreversible changes
cyclothymia disorder
the non specific signs of stimulant intox and withdrawal

46. Generalized anxiety disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the typical abuser in physical child abuse
turning back the maturational clock and going back to earlier modes of dealing with the world
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

47. In what disease does NE increase - GABA decrease - and 5HT decrease?
reward received after every response - rapidly extinguished - vending machine
Anxiety
modeling behavior after another person is more powerful - though not necessarily admired
the complications of alcoholism

48. In what diseaese is DA decrease - 5HT increase - and increase ACH?
involunatary withholding of an idea or feeling from conscious awareness
suboxone and the rational of adding an antagonist
the tx for atypical depression
Parkinsons

49. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
Separation of feelings from ideas and events
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
desired reward produces action - mouse presses button for food
the goal of the ego defenses

50. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
the age of onset of ADHD
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
suboxone and the rational of adding an antagonist
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures