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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. Confusion - opthalmoplegia - and ataxia

2. Normal intel - trouble in school
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
In ADHD - typical intelligence and school performance
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Drugs with what kind of affect can lead to a state of delirium

3. Schizoaffective disorder
the tx for atypical depression
the tx for opiod intox and withdrawal
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the 4 W's of deprived babies?

4. Shaping (social learning)
a hypomanic episode
behavior achieved following reward of closer and closer approximations of desired behavior
the tx for GAD
the tx for atypical depression

5. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
neurologic outcome associated with W- K syndrome
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

6. OCD - haloperidol
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
psychiatric disorder associated with tourrettes - and the treatment
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

7. Autism
This gross neurological finding is associated with ADHD
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
PANICS

8. In what disease is GABA decrease and ACH decrease?
reward received after random number of responses - slowly extinguished - slot machine
inability to remember things that occurred after CNS insult
Huntingtons
the tx for panic disorder

9. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the 3 types of cluster C personality disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
cyclothymia disorder

10. Loose associations
the tx for bipolar disorder
application of aversive stimulus extinguishes unwanted behavior
disorders in the form of through - the way ideas are tied together
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

11. Somatization disorders
repeated stimulation lead sot increase response
pieces of evidence for sexual child abuse
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
both illness and motivation are subconcious - sx not intentionally produced or feigned

12. Isolation of affect - describing murder in graphic detail with no emotional response
partially remaining at more childish level of development
visual hallucinations common
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Separation of feelings from ideas and events

13. Female primary caregiver
the treatment for EtOH intox and withdrawal
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
intox = restlessness. Withdrawal = irritability - anxiety - craving
the typical abuser in physical child abuse

14. Denial - can occur in new AIDS or cancer diagnosis
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the types of cluster B personality disorder
Drugs with what kind of affect can lead to a state of delirium
avoidance of awareness of a some painful reality

15. Dissociative fatigue
dramatic - emotional or erratic
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
learning in which a particular ation is elicited because it produces a reward

16. Barbituates
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the common sx of PTSD

17. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
whenhypnagogic hallucinations take place
learning in which a particular ation is elicited because it produces a reward

18. Tourrette's
the typical abuser in sexual abuse
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Depression
modeling behavior after another person is more powerful - though not necessarily admired

19. Gender identity disorder
the non specific signs of stimulant intox and withdrawal
strong persistant cross gender identification
process whereby avoided ideas and feelings are transferred to some neutral person or object
misinterpretations of actual external stimulus

20. 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
cyclothymia disorder
potential tx for nicotine withdrawal
disorders in the form of through - the way ideas are tied together

21. Severe and profound MR?
avoidance of awareness of a some painful reality
<40 and <20
the complications of alcoholism
How long does the disturbance last in PTSD

22. Cluster C personality disorder
odd or eccentric; inability to develop meaningful social relationships
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
behavior acquired by watching others and assimilating actions into one's own repetoire
anxious - fearful

23. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
inbability to recall important personal information - usually subsequent to severe trauma or stress
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the non specific signs of stimulant intox and withdrawal
inability to remember things that occurred after CNS insult

24. Depersonalization disorder

25. Delirium/secondary to other illness
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the complications/associations of anorexia nervosa
strong persistant cross gender identification
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

26. OCD
autism with unusual abilities
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Is body weight maintained within nl range in bulimia nervosa
odd or eccentric; inability to develop meaningful social relationships

27. Male - known to the victim
the typical abuser in sexual abuse
the two types of schizoaffective disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the 4 W's of deprived babies?

28. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
odd or eccentric; inability to develop meaningful social relationships
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
maladaptive pattern of substance use with 3 or more of these 7 criteria

29. Anterograde amnesia
less than what percentage of ideal body weight is common in anorexia nervosa
visual hallucinations common
learning in which a particular ation is elicited because it produces a reward
inability to remember things that occurred after CNS insult

30. Generalized anxiety disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

31. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
primal urges - freud
Korsakoff's psychosis

32. Gamma glutamyltransferase - GGT - AST 2x ALT
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
neurologic outcome associated with W- K syndrome
the serum markers of alcohol use
mediator between primal urges and accepted behavior

33. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
odd or eccentric; inability to develop meaningful social relationships
Schizophrenia
Diagnosis requres 2 of 5 of which sx
gustatroy hallucinations common

34. Id - subconcious - I want it
Drugs with what kind of affect can lead to a state of delirium
inbability to recall important personal information - usually subsequent to severe trauma or stress
primal urges - freud
the tx of W- K syndrome

35. Periventricular hemorrhage/necrosis of mamillary bodies
neurologic outcome associated with W- K syndrome
the various types of cluster A personality disorder
the treatment for EtOH intox and withdrawal
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

36. Weed
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
this drug is a risk factor for schizophrenia in teens
tactile hallucinations common
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

37. Variable ratio reinforcement schedule
reward received after random number of responses - slowly extinguished - slot machine
the tx for BDZ intox - MOA
odd or eccentric; inability to develop meaningful social relationships
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

38. Habituation - simple learning
avoidance of awareness of a some painful reality
depressant intoxication - nonspecific
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
repeated stimulation leads to decrease response

39. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the complications of alcoholism
the evidence for child neglect
cyclothymia disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

40. Nicotine
In ADHD - typical intelligence and school performance
associated with winter season - improves in response to full spectrum light exposure
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
intox = restlessness. Withdrawal = irritability - anxiety - craving

41. Operant conditioning
How long marijuana is detectable in the urine after last use
the common causes of lack or orientation
learning in which a particular ation is elicited because it produces a reward
In ADHD - typical intelligence and school performance

42. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
DIG FAST
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
pieces of evidence of physical child abuse

43. Hypochondriasis
learning in which a particular ation is elicited because it produces a reward
whering clothes of the opposite sex
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
desire to live as the opposite sex - through surgery or hormone tx

44. Time then place then person
the order of loss of orientation
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
guilty feelings alleviated by unsolicitied generosity towards others
Alzheimers

45. <1mo - usually stress related
partially remaining at more childish level of development
the tx of W- K syndrome
the time frame for brief pyschotic disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

46. Altruism - mafia boss makes a large donation to charity
neurologic outcome associated with W- K syndrome
potential tx for nicotine withdrawal
child neglect
guilty feelings alleviated by unsolicitied generosity towards others

47. Delirium
Separation of feelings from ideas and events
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
neurologic outcome associated with W- K syndrome
the 4 W's of deprived babies?

48. Delusions
inability to remember things that occurred before CNS insult
associated with winter season - improves in response to full spectrum light exposure
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the 4 W's of deprived babies?

49. Mallory weiss syndrome
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

50. Substance abuse
repeated stimulation leads to decrease response
maladaptive pattern leading to clinically significant impairment or distress
Where child neglect is reported
persistent re - experiencing of a previous traumatic event