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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
depressant intoxication - nonspecific
IQ<70

2. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
Parkinsons
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
pieces of evidence of physical child abuse
the non specific signs of stimulant intox and withdrawal

3. 6-12 months
perceptions in the absence of external stimulus
How long episodes of major depressive episode usually last
pieces of evidence of physical child abuse
avoidance of awareness of a some painful reality

4. Operant conditioning
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the tx for opiod intox and withdrawal
learning in which a particular ation is elicited because it produces a reward
tactile hallucinations common

5. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
intense fear and discomfort peaking in 10 minutes
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
SIG E CAPS and the criteria for dx

6. Conduct disorder <18 - antisocial personality disorder > 18
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the complications of alcoholism
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
Huntingtons

7. Sensitization
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
repeated stimulation lead sot increase response
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
maladaptive pattern leading to clinically significant impairment or distress

8. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the treatment for maternal blues - depression - psychosis
the time frame for brief pyschotic disorder
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

9. Maternal blues 50 to 85%
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
maladaptive pattern leading to clinically significant impairment or distress
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
discontinuation of reinforcement eliminates behavior

10. Depersonalization disorder

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11. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
psychiatric disorder associated with tourrettes - and the treatment
desired reward produces action - mouse presses button for food
the tx of W- K syndrome
child neglect

12. Schizoaffective disorder
the EEG findings in dementia
repeated stimulation lead sot increase response
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the time frame for schizophreniform disorder

13. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
involunatary withholding of an idea or feeling from conscious awareness
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

14. Time then place then person
the order of loss of orientation
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
In ADHD - typical intelligence and school performance
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

15. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
pieces of evidence of physical child abuse
primal urges - freud
the associations/complications of bulimia nervosa
voluntary withholding of an idea or feeling fromk concious awareness

16. Denial - can occur in new AIDS or cancer diagnosis
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
avoidance of awareness of a some painful reality
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
behavior acquired by watching others and assimilating actions into one's own repetoire

17. Peak incidence 9-12 years of age
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the epi of sexual abuse
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
When to hypnopompic hallucinations take place

18. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
potential tx for nicotine withdrawal
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
depressant withdrawal - nonspecific
the evidence for child neglect

19. Acting out
the 4 W's of deprived babies?
tantrums
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the non specific signs of stimulant intox and withdrawal

20. Supression - not thinking about the USMLE until the week of the exam
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
When to hypnopompic hallucinations take place
voluntary withholding of an idea or feeling fromk concious awareness
discontinuation of reinforcement eliminates behavior

21. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
<40 and <20
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the 3 types of cluster C personality disorder

22. Autonomic system hyperactivity - psychotic symptoms - confusion
the central goa of freudian psychoanalysis
delerium tremens symptoms
the concern with use of antidepressants in pts with bipoloar disorder
perceptions in the absence of external stimulus

23. Splitting - a pt that says all nurses are nice and all doctors are bad
How long episodes of major depressive episode usually last
the 3 types of cluster C personality disorder
an unacceptable internal impulse is attributed to an external source
belief that people are either all good or all bad at different times due to intolerance or ambiguity

24. In what disease does NE decrease - 5HT decrease and DA decrease?
pieces of evidence for sexual child abuse
How long does the disturbance last in PTSD
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Depression

25. Panic disorder
How long marijuana is detectable in the urine after last use
the two types of schizoaffective disorder
Depression
intense fear and discomfort peaking in 10 minutes

26. Manic episdoe
involunatary withholding of an idea or feeling from conscious awareness
the 5 types of schizophrenia
intox = restlessness. Withdrawal = irritability - anxiety - craving
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

27. 85 percent
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
less than what percentage of ideal body weight is common in anorexia nervosa
<40 and <20
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

28. Personality trait
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
whering clothes of the opposite sex
the goal of the ego defenses
the treatment for EtOH intox and withdrawal

29. OCD
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
turning back the maturational clock and going back to earlier modes of dealing with the world
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

30. 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
maladaptive pattern of substance use with 3 or more of these 7 criteria
Causes of dementia
involunatary withholding of an idea or feeling from conscious awareness
the time frame for brief pyschotic disorder

31. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Schizophrenia
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

32. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
This gross neurological finding is associated with ADHD
this drug is a risk factor for schizophrenia in teens
the time frame for brief pyschotic disorder

33. Positive reinforcement
the tx of W- K syndrome
desired reward produces action - mouse presses button for food
child neglect
anterograde amnesia caused by thiamine deficiency

34. 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
milder form of depression lasting at least 2 years
the treatment for maternal blues - depression - psychosis
SIG E CAPS and the criteria for dx
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

35. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the complications/associations of anorexia nervosa
less than what percentage of ideal body weight is common in anorexia nervosa
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

36. Hallucination
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
pieces of evidence of physical child abuse
perceptions in the absence of external stimulus
persistent re - experiencing of a previous traumatic event

37. Identification - abused models abuser
Huntingtons
persistent re - experiencing of a previous traumatic event
modeling behavior after another person is more powerful - though not necessarily admired
in elderly patients who present with dementia - the concern

38. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
exaggerated fear of embarrasment in social situations - disorder and tx
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intox = restlessness - increase diureis - muscle twitching

39. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
turning back the maturational clock and going back to earlier modes of dealing with the world
neurologic outcome associated with W- K syndrome
the triad of Wernicke's encephalopathy
define bipolar disorder and distinguish I from II

40. Habituation - simple learning
whenmen vs women present with schizophrenia
behavior acquired by watching others and assimilating actions into one's own repetoire
the 5 types of schizophrenia
repeated stimulation leads to decrease response

41. Methylphenidate - amphetamines - atomoxetine
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the treatments for ADHD
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
IQ<70

42. CPS
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
When separation anxiety disorder usually presents
Where child neglect is reported
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

43. Anxiety - tremor - seizures - insomnia
How long does the disturbance last in PTSD
depressant withdrawal - nonspecific
delerium tremens symptoms
the types of cluster B personality disorder

44. Delusional disorder
belief that people are either all good or all bad at different times due to intolerance or ambiguity
whenmen vs women present with schizophrenia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
less than what percentage of ideal body weight is common in anorexia nervosa

45. Aspergers
PANICS
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
inability to remember things that occurred after CNS insult
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

46. Isolation of affect - describing murder in graphic detail with no emotional response
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
Separation of feelings from ideas and events
behavior acquired by watching others and assimilating actions into one's own repetoire

47. >1month
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
How long does the disturbance last in PTSD
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

48. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
the various types of cluster A personality disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
in elderly patients who present with dementia - the concern

49. SSRIs - clomipramine
the tx for atypical depression
the tx for OCD
persistent re - experiencing of a previous traumatic event
less than what percentage of ideal body weight is common in anorexia nervosa

50. Rationalization - after getting fired saying the job wasn't that important anyway
intox = restlessness. Withdrawal = irritability - anxiety - craving
voluntary withholding of an idea or feeling fromk concious awareness
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Number of major depressive episodes constitute major depressive disorder

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Psychiatry

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