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

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2. 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
behavior acquired by watching others and assimilating actions into one's own repetoire
Is body weight maintained within nl range in bulimia nervosa
Parkinsons

3. CBT - SSRI - TCI - BDZ
factors are most important in the etiology of schizophrenia
the tx for panic disorder
autism with unusual abilities
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

4. Negative reinforcement
the tx for OCD
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
desired reward produces action - mouse presses button for food
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

5. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
DIG FAST
disorders in the form of through - the way ideas are tied together
the definition of alcoholism
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

6. ADHD
Diagnosis requres 2 of 5 of which sx
the various types of cluster A personality disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
PANICS

7. Aura of psychomotor epilepsy and in brain tumors
dramatic - emotional or erratic
odd or eccentric; inability to develop meaningful social relationships
olfactory hallucinations common
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

8. The mean IQ and SD?
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the time frame for schizophreniform disorder
voluntary withholding of an idea or feeling fromk concious awareness
100 - 15

9. In what disease is GABA decrease and ACH decrease?
both illness and motivation are subconcious - sx not intentionally produced or feigned
Huntingtons
the various types of cluster A personality disorder
the tx for panic disorder

10. Cocaine
olfactory hallucinations common
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the tx of W- K syndrome
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

11. Depression
in elderly patients who present with dementia - the concern
reward received after random number of responses - slowly extinguished - slot machine
behavior acquired by watching others and assimilating actions into one's own repetoire
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

12. Transvestism
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 tx for GAD
whering clothes of the opposite sex
heroin users at increased risk of...

13. Hallucination
perceptions in the absence of external stimulus
the tx for GAD
the two types of schizoaffective disorder
the EEG findings in dementia

14. Projection - a man who wants another women thinks his wife is cheating on him
the complications of alcoholism
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
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

15. Denial - can occur in new AIDS or cancer diagnosis
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
avoidance of awareness of a some painful reality
modeling behavior after another person is more powerful - though not necessarily admired
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

16. Dysthymia
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the typical abuser in sexual abuse
milder form of depression lasting at least 2 years
causes wernicke - korsakoff syndrome

17. Acting out
<40 and <20
autism with unusual abilities
tantrums
maladaptive pattern of substance use with 3 or more of these 7 criteria

18. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
mediator between primal urges and accepted behavior
How long marijuana is detectable in the urine after last use
the tx for opiod intox and withdrawal

19. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
What ego dystonic means in relation to OCD
behavior achieved following reward of closer and closer approximations of desired behavior
the evidence for child neglect

20. Countertransference
doctor projects feelings about formative or other important persons onto patient
involunatary withholding of an idea or feeling from conscious awareness
the treatments for ADHD
How long marijuana is detectable in the urine after last use

21. In what disease does NE increase - GABA decrease - and 5HT decrease?
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Anxiety
the tx for BDZ intox - MOA
perceptions in the absence of external stimulus

22. Dissociative amnesia
maladaptive pattern leading to clinically significant impairment or distress
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
inbability to recall important personal information - usually subsequent to severe trauma or stress
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

23. In what disease is DA increase?
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the typical abuser in sexual abuse
Stanford - binet
Schizophrenia

24. 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
process whereby avoided ideas and feelings are transferred to some neutral person or object
SAD PERSONS
gender autism is more common in
the triad of Wernicke's encephalopathy

25. Naltrexone and BDZ
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the treatment for EtOH intox and withdrawal
IQ<70
tactile hallucinations common

26. Vit B1 - thiamine
the order of loss of orientation
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
What ego dystonic means in relation to OCD
the tx of W- K syndrome

27. Id - subconcious - I want it
the types of cluster B personality disorder
the tx for BDZ intox - MOA
application of aversive stimulus extinguishes unwanted behavior
primal urges - freud

28. Irreversible memory loss - confabulation - personality change

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29. Thiamine deficiency
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
maladaptive pattern of substance use with 3 or more of these 7 criteria
causes wernicke - korsakoff syndrome

30. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
misinterpretations of actual external stimulus
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
How long marijuana is detectable in the urine after last use

31. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
define bipolar disorder and distinguish I from II
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
discontinuation of reinforcement eliminates behavior

32. Somatization disorders
Depression
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
avoidance of awareness of a some painful reality
both illness and motivation are subconcious - sx not intentionally produced or feigned

33. Dec frontal lobe volumes
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
This gross neurological finding is associated with ADHD
Diagnosis requres 2 of 5 of which sx
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

34. Schizophrenia
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
auditory hallucinations common
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
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

35. Body dysmorphic disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
suboxone and the rational of adding an antagonist
perceptions in the absence of external stimulus

36. Childhood disintegrative disorder
inability to remember things that occurred before CNS insult
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
pieces of evidence for sexual child abuse
the time frame for schizophreniform disorder

37. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the typical abuser in sexual abuse
dramatic - emotional or erratic
less than what percentage of ideal body weight is common in anorexia nervosa

38. Female primary caregiver
the typical abuser in physical child abuse
heroin users at increased risk of...
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the concern with use of antidepressants in pts with bipoloar disorder

39. Autism
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
strong persistant cross gender identification
the tx for alcoholism
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

40. OCD - haloperidol
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
inability to remember things that occurred before CNS insult
psychiatric disorder associated with tourrettes - and the treatment
depressant intoxication - nonspecific

41. PTSD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
modeling behavior after another person is more powerful - though not necessarily admired
persistent re - experiencing of a previous traumatic event
gustatroy hallucinations common

42. Specific phobia
intense fear and discomfort peaking in 10 minutes
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
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

43. Nicotine
cyclothymia disorder
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 tx for alcoholism
intox = restlessness. Withdrawal = irritability - anxiety - craving

44. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
DIG FAST
pieces of evidence for sexual child abuse
When separation anxiety disorder usually presents

45. Gamma glutamyltransferase - GGT - AST 2x ALT
define bipolar disorder and distinguish I from II
mediator between primal urges and accepted behavior
the EEG findings in dementia
the serum markers of alcohol use

46. 6-12 months
suboxone and the rational of adding an antagonist
How long episodes of major depressive episode usually last
the 5 types of schizophrenia
perceptions in the absence of external stimulus

47. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
behavior acquired by watching others and assimilating actions into one's own repetoire
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
whenhypnagogic hallucinations take place

48. Precontemplation - contemplation - preparation - action - maintenance - relapse
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the stages of change in overcoming substance addiction
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

49. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
When separation anxiety disorder usually presents
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the various types of cluster A personality disorder
In ADHD - typical intelligence and school performance

50. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
desired reward produces action - mouse presses button for food
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
odd or eccentric; inability to develop meaningful social relationships
the complications of alcoholism