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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Inc mania - high suicide risk
modeling behavior after another person is more powerful - though not necessarily admired
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the concern with use of antidepressants in pts with bipoloar disorder
an unacceptable internal impulse is attributed to an external source

2. Thiamine deficiency
causes wernicke - korsakoff syndrome
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
visual hallucinations common
the time frame for brief pyschotic disorder

3. Boys
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
disorders in the form of through - the way ideas are tied together
the non specific signs of stimulant intox and withdrawal
gender autism is more common in

4. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the time frame for schizophreniform disorder
the definition of alcoholism
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
disorders in the form of through - the way ideas are tied together

5. 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
SIG E CAPS and the criteria for dx
the tx for OCD
strong persistant cross gender identification
the two types of schizoaffective disorder

6. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
DIG FAST
strong persistant cross gender identification
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

7. Punishment
application of aversive stimulus extinguishes unwanted behavior
How long episodes of major depressive episode usually last
autism with unusual abilities
the two types of schizoaffective disorder

8. Occurs while waking up
intox = restlessness - increase diureis - muscle twitching
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
voluntary withholding of an idea or feeling fromk concious awareness
When to hypnopompic hallucinations take place

9. Munchausen's syndrome by proxy
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
patient projects feelings about formative or other important persons onto physician
Parkinsons

10. The criteria for mental retardation?
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
IQ<70
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
milder form of depression lasting at least 2 years

11. Regression - seen in children under stress and in patients on dialysis (crying)
turning back the maturational clock and going back to earlier modes of dealing with the world
Huntingtons
the tx for OCD
child neglect

12. Loose associations
disorders in the form of through - the way ideas are tied together
the two types of schizoaffective disorder
voluntary withholding of an idea or feeling fromk concious awareness
tantrums

13. Altruism - mafia boss makes a large donation to charity
application of aversive stimulus extinguishes unwanted behavior
Separation of feelings from ideas and events
pieces of evidence of physical child abuse
guilty feelings alleviated by unsolicitied generosity towards others

14. Displacement - mom places blame on kid because she's mad at husband
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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
belief that people are either all good or all bad at different times due to intolerance or ambiguity

15. Nl
the EEG findings in dementia
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
involunatary withholding of an idea or feeling from conscious awareness
Causes of dementia

16. Amphetamines
Diagnosis requres 2 of 5 of which sx
heroin users at increased risk of...
Moral values - conscience can lead to self blame and attacks of ego
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

17. Schizophrenia
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

18. Rationalization - after getting fired saying the job wasn't that important anyway
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
pieces of evidence of physical 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
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

19. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
desire to live as the opposite sex - through surgery or hormone tx
involunatary withholding of an idea or feeling from conscious awareness

20. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
pieces of evidence for sexual child abuse
appreciating the amusing nature of an anxiety provoking or adverse situation
the goal of the ego defenses

21. Delirium/secondary to other illness
misinterpretations of actual external stimulus
Under these conditions do children regress to younger patterns of behavior
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

22. Dysthymia
neurologic outcome associated with W- K syndrome
100 - 15
causes wernicke - korsakoff syndrome
milder form of depression lasting at least 2 years

23. Conduct disorder <18 - antisocial personality disorder > 18
the treatment for maternal blues - depression - psychosis
discontinuation of reinforcement eliminates behavior
SIG E CAPS and the criteria for dx
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

24. Identification - abused models abuser
in elderly patients who present with dementia - the concern
gustatroy hallucinations common
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
modeling behavior after another person is more powerful - though not necessarily admired

25. Munchausen's syndrome
the triad of Wernicke's encephalopathy
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
heroin users at increased risk of...

26. Korsakoff's amnesia
exaggerated fear of embarrasment in social situations - disorder and tx
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
desire to live as the opposite sex - through surgery or hormone tx
anterograde amnesia caused by thiamine deficiency

27. 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
In ADHD - typical intelligence and school performance
the time frame for schizophreniform disorder
the tx for panic disorder
SAD PERSONS

28. 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
the 3 types of cluster C personality disorder
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

29. Dissociation - can lead to multiple personality disorder
avoidance of awareness of a some painful reality
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

30. Flumazenil - competitive GABA antagonist
learning in which a particular ation is elicited because it produces a reward
the tx for BDZ intox - MOA
partially remaining at more childish level of development
When to hypnopompic hallucinations take place

31. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
an unacceptable internal impulse is attributed to an external source
involunatary withholding of an idea or feeling from conscious awareness
the types of cluster B personality disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

32. Dissociative identity disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
gets schizophrenia and the prev
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

33. CBT - SSRI - TCI - BDZ
maladaptive pattern leading to clinically significant impairment or distress
the tx for panic disorder
the tx for OCD
cyclothymia disorder

34. Like manic but without marked impairement in fxning - no pyschotic features
the EEG findings in dementia
disorders in the form of through - the way ideas are tied together
cyclothymia disorder
a hypomanic episode

35. Malingering
the age of onset of ADHD
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
dramatic - emotional or erratic
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

36. Isolation of affect - describing murder in graphic detail with no emotional response
intox = restlessness - increase diureis - muscle twitching
Separation of feelings from ideas and events
the tx of W- K syndrome
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

37. Savant
autism with unusual abilities
belief that people are either all good or all bad at different times due to intolerance or ambiguity
visual hallucinations common
the tx for alcoholism

38. SSRIs - clomipramine
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
Causes of dementia
the tx for OCD

39. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
behavior acquired by watching others and assimilating actions into one's own repetoire
the 5 types of schizophrenia
Causes of dementia

40. Cluster C personality disorder
the definition of alcoholism
persistent re - experiencing of a previous traumatic event
anxious - fearful
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

41. Peak incidence 9-12 years of age
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the epi of physical child abuse
the 4 W's of deprived babies?
the epi of sexual abuse

42. Substance withdrawal - signs are often opposite of intoxication
the tx for panic disorder
guilty feelings alleviated by unsolicitied generosity towards others
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
partially remaining at more childish level of development

43. Normal intel - trouble in school
mediator between primal urges and accepted behavior
In ADHD - typical intelligence and school performance
the complications of alcoholism
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

44. Splitting - a pt that says all nurses are nice and all doctors are bad
milder form of depression lasting at least 2 years
inability to remember things that occurred before CNS insult
persistent re - experiencing of a previous traumatic event
belief that people are either all good or all bad at different times due to intolerance or ambiguity

45. PTSD
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
persistent re - experiencing of a previous traumatic event
depressant intoxication - nonspecific
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

46. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive 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
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

47. Precontemplation - contemplation - preparation - action - maintenance - relapse
the concern with use of antidepressants in pts with bipoloar disorder
the stages of change in overcoming substance addiction
guilty feelings alleviated by unsolicitied generosity towards others
in elderly patients who present with dementia - the concern

48. Tourrette's
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
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
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

49. Caffeine
the complications/associations of anorexia nervosa
the serum markers of alcohol use
intox = restlessness - increase diureis - muscle twitching
cyclothymia disorder

50. Methadone
Long acting oral opiate for heroine detox or long term maintenance
in elderly patients who present with dementia - the concern
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
application of aversive stimulus extinguishes unwanted behavior

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Psychiatry

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