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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. Pain disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
When to hypnopompic hallucinations take place

2. Altruism - mafia boss makes a large donation to charity
neurologic outcome associated with W- K syndrome
In ADHD - typical intelligence and school performance
this drug is a risk factor for schizophrenia in teens
guilty feelings alleviated by unsolicitied generosity towards others

3. Irreversible memory loss - confabulation - personality change

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4. In what disease is ACH decrease?
Alzheimers
misinterpretations of actual external stimulus
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
Moral values - conscience can lead to self blame and attacks of ego

5. Transvestism
How long infant deprivation can last before it leads to irreversible changes
the epi of physical child abuse
the triad of Wernicke's encephalopathy
whering clothes of the opposite sex

6. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the common causes of lack or orientation
the various types of cluster A personality disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

7. Schizophrenia
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the two types of schizoaffective disorder
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

8. Yes
the various types of cluster A personality disorder
Is body weight maintained within nl range in bulimia nervosa
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
pieces of evidence for sexual child abuse

9. Precontemplation - contemplation - preparation - action - maintenance - relapse
intense fear and discomfort peaking in 10 minutes
the stages of change in overcoming substance addiction
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
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

10. Aura of psychomotor epilepsy and in brain tumors
Depression
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
olfactory hallucinations common
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

11. Retrograde amnesia
repeated stimulation leads to decrease response
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
inability to remember things that occurred before CNS insult
turning back the maturational clock and going back to earlier modes of dealing with the world

12. Sensitization
repeated stimulation lead sot increase response
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

13. Personality disorder
PANICS
Alzheimers
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
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

14. Sublimation - actress using an experience of abuse to enhance her acting
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
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the typical abuser in physical child abuse

15. EtOH withdrawal - cocaine abusers
Where child neglect is reported
the typical abuser in physical child abuse
pieces of evidence for sexual child abuse
tactile hallucinations common

16. Modeling (social learning)

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17. Delirium
visual hallucinations common
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the treatment for maternal blues - depression - psychosis
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

18. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
anxious - fearful
development of delusions in a person in a close relationship with delusional disorder

19. Displacement - mom places blame on kid because she's mad at husband
learning in which a particular ation is elicited because it produces a reward
depressant intoxication - nonspecific
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
process whereby avoided ideas and feelings are transferred to some neutral person or object

20. Nicotine
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
psychiatric disorder associated with tourrettes - and the treatment
the definition of alcoholism
intox = restlessness. Withdrawal = irritability - anxiety - craving

21. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
repeated stimulation lead sot increase response
Parkinsons
the non specific signs of stimulant intox and withdrawal

22. CPS
the order of loss of orientation
Where child neglect is reported
the typical abuser in physical child abuse
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

23. BDZ
intox = ataxia - minor respiratory depression
the EEG findings in dementia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
Under these conditions do children regress to younger patterns of behavior

24. 3000 deaths/yr in the US
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
the epi of physical child abuse
inability to remember things that occurred before CNS insult
behavior acquired by watching others and assimilating actions into one's own repetoire

25. In what disease does NE decrease - 5HT decrease and DA decrease?
PANICS
Depression
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

26. Occurs while waking up
inability to remember things that occurred before CNS insult
gets schizophrenia and the prev
When to hypnopompic hallucinations take place
the treatments for ADHD

27. Shared delusional disorder
the tx for GAD
reward received after random number of responses - slowly extinguished - slot machine
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
development of delusions in a person in a close relationship with delusional disorder

28. Nl
the tx for alcoholism
modeling behavior after another person is more powerful - though not necessarily admired
the EEG findings in dementia
neurologic outcome associated with W- K syndrome

29. Before 7
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the age of onset of ADHD
maladaptive pattern of substance use with 3 or more of these 7 criteria
partially remaining at more childish level of development

30. Transsexualism
inbability to recall important personal information - usually subsequent to severe trauma or stress
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
desire to live as the opposite sex - through surgery or hormone tx
define bipolar disorder and distinguish I from II

31. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
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
patient projects feelings about formative or other important persons onto physician
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

32. Savant
potential tx for nicotine withdrawal
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
autism with unusual abilities
behavior achieved following reward of closer and closer approximations of desired behavior

33. Cluster B personality disorder
the epi of sexual abuse
a hypomanic episode
dramatic - emotional or erratic
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

34. Barbituates
strong persistant cross gender identification
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
application of aversive stimulus extinguishes unwanted behavior
persistent re - experiencing of a previous traumatic event

35. Autonomic system hyperactivity - psychotic symptoms - confusion
desired reward produces action - mouse presses button for food
Causes of dementia
intox = restlessness - increase diureis - muscle twitching
delerium tremens symptoms

36. Peak incidence 9-12 years of age
the epi of sexual abuse
the treatment for maternal blues - depression - psychosis
tactile hallucinations common
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

37. Reaction formation - a patient with libidinous thoughts enters a monastery
inability to remember things that occurred after CNS insult
the order of loss of orientation
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intox = ataxia - minor respiratory depression

38. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
this drug is a risk factor for schizophrenia in teens
the treatment for maternal blues - depression - psychosis
the serum markers of alcohol use
a hypomanic episode

39. 2 or more within a symptom free interval of 2 months
factors are most important in the etiology of schizophrenia
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
partially remaining at more childish level of development
Number of major depressive episodes constitute major depressive disorder

40. 6-12 months
cyclothymia disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
How long episodes of major depressive episode usually last
the common sx of PTSD

41. Genes > environment
process whereby avoided ideas and feelings are transferred to some neutral person or object
patient projects feelings about formative or other important persons onto physician
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
factors are most important in the etiology of schizophrenia

42. Aspergers
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the central goa of freudian psychoanalysis
the tx for opiod intox and withdrawal
the evidence for child neglect

43. Vit B1 - thiamine
the tx of W- K syndrome
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

44. Projection - a man who wants another women thinks his wife is cheating on him
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
100 - 15
an unacceptable internal impulse is attributed to an external source
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

45. OCD - haloperidol
disorders in the form of through - the way ideas are tied together
psychiatric disorder associated with tourrettes - and the treatment
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the definition of alcoholism

46. Maternal blues 50 to 85%
the complications of alcoholism
When separation anxiety disorder usually presents
auditory hallucinations common
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

47. Personality trait
intox = restlessness - increase diureis - muscle twitching
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
Moral values - conscience can lead to self blame and attacks of ego
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

48. In what disease does NE increase - GABA decrease - and 5HT decrease?
doctor projects feelings about formative or other important persons onto patient
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Anxiety

49. 7 to 9
When separation anxiety disorder usually presents
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the tx of W- K syndrome
the common causes of lack or orientation

50. Extinction
the complications of alcoholism
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
discontinuation of reinforcement eliminates behavior
whering clothes of the opposite sex