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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. Anterograde amnesia
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
inability to remember things that occurred after CNS insult
autism with unusual abilities
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

2. Munchausen's syndrome by proxy
the 5 types of schizophrenia
anterograde amnesia caused by thiamine deficiency
define bipolar disorder and distinguish I from II
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

3. Confusion - opthalmoplegia - and ataxia

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4. Disulfiram and supportive care
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx of W- K syndrome
odd or eccentric; inability to develop meaningful social relationships
the tx for alcoholism

5. Transference
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
patient projects feelings about formative or other important persons onto physician

6. EtOH withdrawal - cocaine abusers
the tx of W- K syndrome
tactile hallucinations common
appreciating the amusing nature of an anxiety provoking or adverse situation
define bipolar disorder and distinguish I from II

7. 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
desired reward produces action - mouse presses button for food
behavior acquired by watching others and assimilating actions into one's own repetoire
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
maladaptive pattern of substance use with 3 or more of these 7 criteria

8. Fixation - men fixating on sports games
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
partially remaining at more childish level of development
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
maladaptive pattern of substance use with 3 or more of these 7 criteria

9. Delirium
the time frame for schizophreniform disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the triad of Wernicke's encephalopathy
visual hallucinations common

10. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
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
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the tx for BDZ intox - MOA

11. Alcohol
the common causes of lack or orientation
the tx for opiod intox and withdrawal
Number of major depressive episodes constitute major depressive disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

12. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intox = restlessness. Withdrawal = irritability - anxiety - craving
Korsakoff's psychosis

13. Caffeine
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
intox = restlessness - increase diureis - muscle twitching
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
partially remaining at more childish level of development

14. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
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
the EEG findings in dementia
the concern with use of antidepressants in pts with bipoloar disorder

15. Male - known to the victim
tantrums
100 - 15
Under these conditions do children regress to younger patterns of behavior
the typical abuser in sexual abuse

16. In what disease is GABA decrease and ACH decrease?
potential tx for nicotine withdrawal
Huntingtons
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
gustatroy hallucinations common

17. OCD - haloperidol
SAD PERSONS
Long acting oral opiate for heroine detox or long term maintenance
psychiatric disorder associated with tourrettes - and the treatment
IQ<70

18. Anorexia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the tx for BDZ intox - MOA
depressant withdrawal - nonspecific
Drugs with what kind of affect can lead to a state of delirium

19. Projection - a man who wants another women thinks his wife is cheating on him
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
an unacceptable internal impulse is attributed to an external source
Long acting oral opiate for heroine detox or long term maintenance
inability to remember things that occurred before CNS insult

20. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
potential tx for nicotine withdrawal
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
heroin users at increased risk of...
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

21. Dementia
behavior achieved following reward of closer and closer approximations of desired behavior
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
olfactory hallucinations common
Parkinsons

22. Habituation - simple learning
How long does the disturbance last in PTSD
repeated stimulation leads to decrease response
the tx of W- K syndrome
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

23. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
depressant intoxication - nonspecific
heroin users at increased risk of...
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

24. Genes > environment
factors are most important in the etiology of schizophrenia
the treatment for EtOH intox and withdrawal
In ADHD - typical intelligence and school performance
turning back the maturational clock and going back to earlier modes of dealing with the world

25. Oppositional defiant disorder
Anxiety
Is body weight maintained within nl range in bulimia nervosa
When separation anxiety disorder usually presents
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

26. Gamma glutamyltransferase - GGT - AST 2x ALT
the concern with use of antidepressants in pts with bipoloar disorder
involunatary withholding of an idea or feeling from conscious awareness
psychiatric disorder associated with tourrettes - and the treatment
the serum markers of alcohol use

27. Gender identity disorder
whenhypnagogic hallucinations take place
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
strong persistant cross gender identification
reward received after every response - rapidly extinguished - vending machine

28. PCP
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
suboxone and the rational of adding an antagonist
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the various types of cluster A personality disorder

29. .1-1% of gen pop - 20% of obscene speech

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30. Isolation of affect - describing murder in graphic detail with no emotional response
Separation of feelings from ideas and events
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
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
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

31. Delirium
voluntary withholding of an idea or feeling fromk concious awareness
learning in which a particular ation is elicited because it produces a reward
exaggerated fear of embarrasment in social situations - disorder and tx
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

32. Methylphenidate - amphetamines - atomoxetine
How long infant deprivation can last before it leads to irreversible changes
the treatments for ADHD
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

33. Korsakoff's amnesia
Moral values - conscience can lead to self blame and attacks of ego
anterograde amnesia caused by thiamine deficiency
the types of cluster B personality disorder
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

34. Regression - seen in children under stress and in patients on dialysis (crying)
gets schizophrenia and the prev
turning back the maturational clock and going back to earlier modes of dealing with the world
causes wernicke - korsakoff syndrome
the common causes of lack or orientation

35. Marijuana
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
IQ<70
misinterpretations of actual external stimulus
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

36. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Causes of dementia
the tx of W- K syndrome
Diagnosis requres 2 of 5 of which sx
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

37. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
involunatary withholding of an idea or feeling from conscious awareness
the types of cluster B personality disorder
the definition of alcoholism
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

38. To make the patient aware of hidden in their unconcious
the common sx of PTSD
the non specific signs of stimulant intox and withdrawal
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the central goa of freudian psychoanalysis

39. Transvestism
the order of loss of orientation
the goal of the ego defenses
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
whering clothes of the opposite sex

40. PTSD
How long marijuana is detectable in the urine after last use
psychiatric disorder associated with tourrettes - and the treatment
persistent re - experiencing of a previous traumatic event
inbability to recall important personal information - usually subsequent to severe trauma or stress

41. Superego - you know you can't have it - taking it is wrong
guilty feelings alleviated by unsolicitied generosity towards others
the evidence for child neglect
the tx for bipolar disorder
Moral values - conscience can lead to self blame and attacks of ego

42. Atypical depression
the time frame for schizophreniform disorder
visual hallucinations common
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
delerium tremens symptoms

43. Aura of psychomotor epilepsy and in brain tumors
patient projects feelings about formative or other important persons onto physician
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
causes wernicke - korsakoff syndrome
olfactory hallucinations common

44. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
reward received after every response - rapidly extinguished - vending machine
reward received after random number of responses - slowly extinguished - slot machine
Where child neglect is reported

45. Illusion
misinterpretations of actual external stimulus
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
suboxone and the rational of adding an antagonist
process whereby avoided ideas and feelings are transferred to some neutral person or object

46. Id - subconcious - I want it
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
primal urges - freud
inability to remember things that occurred before CNS insult
PANICS

47. Postpartum psyschosis - .1 to .2%
Separation of feelings from ideas and events
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the typical abuser in sexual abuse
desire to live as the opposite sex - through surgery or hormone tx

48. Loose associations
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
olfactory hallucinations common
disorders in the form of through - the way ideas are tied together
gender autism is more common in

49. 7 to 9
the tx for panic disorder
cyclothymia disorder
When separation anxiety disorder usually presents
the common sx of PTSD

50. Blacks=whites - males = females - 1.5% lifetime prev
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
disorders in the form of through - the way ideas are tied together
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
gets schizophrenia and the prev