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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. Tourrette's
turning back the maturational clock and going back to earlier modes of dealing with the world
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the epi of sexual abuse
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

2. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
<40 and <20
the tx for opiod intox and withdrawal
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
suboxone and the rational of adding an antagonist

3. Somatization disorders
autism with unusual abilities
both illness and motivation are subconcious - sx not intentionally produced or feigned
Parkinsons
the time frame for schizophreniform disorder

4. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the tx for bipolar disorder
How long marijuana is detectable in the urine after last use
In ADHD - typical intelligence and school performance
gets schizophrenia and the prev

5. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
How long marijuana is detectable in the urine after last use
turning back the maturational clock and going back to earlier modes of dealing with the world

6. Dementia
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
persistent re - experiencing of a previous traumatic event
gustatroy hallucinations common

7. Regression - seen in children under stress and in patients on dialysis (crying)
repeated stimulation leads to decrease response
turning back the maturational clock and going back to earlier modes of dealing with the world
When to hypnopompic hallucinations take place
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

8. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
persistent re - experiencing of a previous traumatic event
How long episodes of major depressive episode usually last
Anxiety

9. Isolation of affect - describing murder in graphic detail with no emotional response
In ADHD - typical intelligence and school performance
behavior achieved following reward of closer and closer approximations of desired behavior
Moral values - conscience can lead to self blame and attacks of ego
Separation of feelings from ideas and events

10. Substance withdrawal - signs are often opposite of intoxication
SAD PERSONS
misinterpretations of actual external stimulus
gender autism is more common in
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

11. Malingering
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
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Where child neglect is reported
factors are most important in the etiology of schizophrenia

12. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
PANICS
depressant intoxication - nonspecific

13. 85 percent
associated with winter season - improves in response to full spectrum light exposure
less than what percentage of ideal body weight is common in anorexia nervosa
visual hallucinations common
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

14. 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
SAD PERSONS
causes wernicke - korsakoff syndrome
SIG E CAPS and the criteria for dx
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

15. Operant conditioning
intox = restlessness. Withdrawal = irritability - anxiety - craving
autism with unusual abilities
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
learning in which a particular ation is elicited because it produces a reward

16. To make the patient aware of hidden in their unconcious
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
perceptions in the absence of external stimulus
involunatary withholding of an idea or feeling from conscious awareness
the central goa of freudian psychoanalysis

17. Variable ratio reinforcement schedule
the treatment for EtOH intox and withdrawal
reward received after random number of responses - slowly extinguished - slot machine
the two types of schizoaffective disorder
gustatroy hallucinations common

18. Genital/anal trauma - STDs and UTIs
SIG E CAPS and the criteria for dx
pieces of evidence for sexual child abuse
the EEG findings in dementia
IQ<70

19. Flumazenil - competitive GABA antagonist
intox = ataxia - minor respiratory depression
the tx for atypical depression
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the tx for BDZ intox - MOA

20. LSD
voluntary withholding of an idea or feeling fromk concious awareness
psychiatric disorder associated with tourrettes - and the treatment
the treatment for maternal blues - depression - psychosis
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

21. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
desire to live as the opposite sex - through surgery or hormone tx
the tx for BDZ intox - MOA
causes wernicke - korsakoff syndrome

22. BDZ
intox = ataxia - minor respiratory depression
How long infant deprivation can last before it leads to irreversible changes
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
process whereby avoided ideas and feelings are transferred to some neutral person or object

23. Anxiety - tremor - seizures - insomnia
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
depressant withdrawal - nonspecific
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
guilty feelings alleviated by unsolicitied generosity towards others

24. Dysthymia followed by hypomania
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
cyclothymia disorder
the serum markers of alcohol use
the tx for alcoholism

25. ADHD
the typical abuser in physical child abuse
intox = restlessness - increase diureis - muscle twitching
voluntary withholding of an idea or feeling fromk concious awareness
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

26. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
whering clothes of the opposite sex
the non specific signs of stimulant intox and withdrawal
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

27. Atypical depression
in elderly patients who present with dementia - the concern
potential tx for nicotine withdrawal
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

28. Patch - gum - losenge - buproprion - varenicline
potential tx for nicotine withdrawal
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
learning in which a particular ation is elicited because it produces a reward
pieces of evidence for sexual child abuse

29. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
What ego dystonic means in relation to OCD
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
maladaptive pattern leading to clinically significant impairment or distress

30. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
gets schizophrenia and the prev
desired reward produces action - mouse presses button for food
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

31. Loose associations
the treatments for ADHD
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
disorders in the form of through - the way ideas are tied together
dramatic - emotional or erratic

32. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Causes of dementia
the serum markers of alcohol use
learning in which a particular ation is elicited because it produces a reward
Parkinsons

33. MAOi - SSRIs
In ADHD - typical intelligence and school performance
the tx for atypical depression
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
persistent re - experiencing of a previous traumatic event

34. Delusional disorder
This gross neurological finding is associated with ADHD
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Diagnosis requres 2 of 5 of which sx
desire to live as the opposite sex - through surgery or hormone tx

35. In what disease is DA increase?
Schizophrenia
the common sx of PTSD
whenmen vs women present with schizophrenia
process whereby avoided ideas and feelings are transferred to some neutral person or object

36. Vit B1 - thiamine
the common causes of lack or orientation
the tx of W- K syndrome
olfactory hallucinations common
This gross neurological finding is associated with ADHD

37. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
patient projects feelings about formative or other important persons onto physician
maladaptive pattern of substance use with 3 or more of these 7 criteria
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

38. CPS
Where child neglect is reported
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

39. Shaping (social learning)
avoidance of awareness of a some painful reality
inbability to recall important personal information - usually subsequent to severe trauma or stress
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
behavior achieved following reward of closer and closer approximations of desired behavior

40. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
patient projects feelings about formative or other important persons onto physician
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
heroin users at increased risk of...
Alzheimers

41. Female primary caregiver
depressant intoxication - nonspecific
the typical abuser in physical child abuse
the associations/complications of bulimia nervosa
the types of cluster B personality disorder

42. Autism
Stanford - binet
inability to remember things that occurred before CNS insult
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
<40 and <20

43. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

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44. Hallucination
perceptions in the absence of external stimulus
SAD PERSONS
an unacceptable internal impulse is attributed to an external source
the tx for GAD

45. Dissociation - can lead to multiple personality disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
odd or eccentric; inability to develop meaningful social relationships
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Number of major depressive episodes constitute major depressive disorder

46. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the treatments for ADHD
inability to remember things that occurred before CNS insult

47. 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
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
less than what percentage of ideal body weight is common in anorexia nervosa
involunatary withholding of an idea or feeling from conscious awareness

48. Classical conditioning - pavlov's dogs
the complications/associations of anorexia nervosa
the associations/complications of bulimia nervosa
psychiatric disorder associated with tourrettes - and the treatment
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

49. Schizophrenia
pieces of evidence of physical child abuse
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
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

50. Dissociative amnesia
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
inbability to recall important personal information - usually subsequent to severe trauma or stress
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
learning in which a particular ation is elicited because it produces a reward