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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. Transference
Parkinsons
patient projects feelings about formative or other important persons onto physician
the tx of W- K syndrome
discontinuation of reinforcement eliminates behavior

2. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
behavior achieved following reward of closer and closer approximations of desired behavior
When to hypnopompic hallucinations take place

3. 6-12 months
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
How long episodes of major depressive episode usually last
anterograde amnesia caused by thiamine deficiency
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

4. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
dramatic - emotional or erratic
PANICS
the treatment for maternal blues - depression - psychosis
application of aversive stimulus extinguishes unwanted behavior

5. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
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
pieces of evidence of physical child abuse
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
desire to live as the opposite sex - through surgery or hormone tx

6. Loose associations
disorders in the form of through - the way ideas are tied together
intox = restlessness. Withdrawal = irritability - anxiety - craving
the 5 types of schizophrenia
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

7. Splitting - a pt that says all nurses are nice and all doctors are bad
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
whenhypnagogic hallucinations take place
the typical abuser in sexual abuse
belief that people are either all good or all bad at different times due to intolerance or ambiguity

8. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
auditory hallucinations common

9. Superego - you know you can't have it - taking it is wrong
factors are most important in the etiology of schizophrenia
Moral values - conscience can lead to self blame and attacks of ego
the tx for alcoholism
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

10. In what disease does NE decrease - 5HT decrease and DA decrease?
process whereby avoided ideas and feelings are transferred to some neutral person or object
the common sx of PTSD
Depression
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

11. Projection - a man who wants another women thinks his wife is cheating on him
Stanford - binet
dramatic - emotional or erratic
involunatary withholding of an idea or feeling from conscious awareness
an unacceptable internal impulse is attributed to an external source

12. Shared delusional disorder
DIG FAST
desired reward produces action - mouse presses button for food
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
development of delusions in a person in a close relationship with delusional disorder

13. ECT - disorientation amnesia - usually resolves in 6 months
the goal of the ego defenses
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
an unacceptable internal impulse is attributed to an external source
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

14. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

15. In what disease is ACH decrease?
Alzheimers
PANICS
intox = restlessness. Withdrawal = irritability - anxiety - craving
auditory hallucinations common

16. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
dramatic - emotional or erratic
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
autism with unusual abilities
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

17. Munchausen's syndrome
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
Anxiety
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the EEG findings in dementia

18. Repression - not remebering a conflictual or traumatic experience
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
involunatary withholding of an idea or feeling from conscious awareness
less than what percentage of ideal body weight is common in anorexia nervosa
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

19. Disulfiram and supportive care
Alzheimers
the tx for alcoholism
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

20. Modeling (social learning)

21. Female primary caregiver
the tx for bipolar disorder
the typical abuser in sexual abuse
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the typical abuser in physical child abuse

22. Delirium
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
visual hallucinations common
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

23. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
whenmen vs women present with schizophrenia
SIG E CAPS and the criteria for dx

24. Cluster C personality disorder
psychiatric disorder associated with tourrettes - and the treatment
anxious - fearful
intox = ataxia - minor respiratory depression
exaggerated fear of embarrasment in social situations - disorder and tx

25. Before 7
the 5 types of schizophrenia
the age of onset of ADHD
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

26. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
behavior achieved following reward of closer and closer approximations of desired behavior
How long infant deprivation can last before it leads to irreversible changes
psychiatric disorder associated with tourrettes - and the treatment

27. Panic disorder
Huntingtons
intense fear and discomfort peaking in 10 minutes
guilty feelings alleviated by unsolicitied generosity towards others
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

28. Calculates IQ as mental age/chronological age x 100
Is body weight maintained within nl range in bulimia nervosa
Stanford - binet
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
SIG E CAPS and the criteria for dx

29. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
Anxiety
the treatments for ADHD
pieces of evidence of physical child abuse

30. Regression - seen in children under stress and in patients on dialysis (crying)
the goal of the ego defenses
the typical abuser in physical child abuse
the 5 types of schizophrenia
turning back the maturational clock and going back to earlier modes of dealing with the world

31. BDZ
the treatments for ADHD
intox = ataxia - minor respiratory depression
the tx for BDZ intox - MOA
Alzheimers

32. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
the common sx of PTSD
Depression
the typical abuser in sexual abuse

33. Substance withdrawal - signs are often opposite of intoxication
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
How long does the disturbance last in PTSD
tantrums
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

34. Autism
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
the typical abuser in physical child abuse
whenmen vs women present with schizophrenia

35. Occurs while waking up
maladaptive pattern of substance use with 3 or more of these 7 criteria
When separation anxiety disorder usually presents
When to hypnopompic hallucinations take place
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

36. Dissociative amnesia
Moral values - conscience can lead to self blame and attacks of ego
the triad of Wernicke's encephalopathy
depressant intoxication - nonspecific
inbability to recall important personal information - usually subsequent to severe trauma or stress

37. Delusional disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
autism with unusual abilities
olfactory hallucinations common

38. Extinction
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
persistent re - experiencing of a previous traumatic event
discontinuation of reinforcement eliminates behavior
odd or eccentric; inability to develop meaningful social relationships

39. Habituation - simple learning
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the time frame for brief pyschotic disorder
repeated stimulation leads to decrease response
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

40. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
depressant intoxication - nonspecific
the definition of alcoholism
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
odd or eccentric; inability to develop meaningful social relationships

41. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
odd or eccentric; inability to develop meaningful social relationships
the tx for opiod intox and withdrawal
application of aversive stimulus extinguishes unwanted behavior

42. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
factors are most important in the etiology of schizophrenia
belief that people are either all good or all bad at different times due to intolerance or ambiguity
neurologic outcome associated with W- K syndrome

43. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the complications/associations of anorexia nervosa
intox = restlessness - increase diureis - muscle twitching
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the associations/complications of bulimia nervosa

44. Reaction formation - a patient with libidinous thoughts enters a monastery
the common sx of PTSD
auditory hallucinations common
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

45. In what disease is GABA decrease and ACH decrease?
odd or eccentric; inability to develop meaningful social relationships
Huntingtons
suboxone and the rational of adding an antagonist
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

46. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Stanford - binet
pieces of evidence for sexual child abuse

47. Confusion - opthalmoplegia - and ataxia

48. Schizoaffective disorder
modeling behavior after another person is more powerful - though not necessarily admired
voluntary withholding of an idea or feeling fromk concious awareness
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
intox = restlessness. Withdrawal = irritability - anxiety - craving

49. Shaping (social learning)
Schizophrenia
behavior achieved following reward of closer and closer approximations of desired behavior
modeling behavior after another person is more powerful - though not necessarily admired
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

50. Men early 20s - women late 20s early 30s
the common causes of lack or orientation
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the central goa of freudian psychoanalysis
whenmen vs women present with schizophrenia