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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. The criteria for mental retardation?
desire to live as the opposite sex - through surgery or hormone tx
application of aversive stimulus extinguishes unwanted behavior
IQ<70
the serum markers of alcohol use

2. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
the triad of Wernicke's encephalopathy
Stanford - binet
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

3. Dementia
the concern with use of antidepressants in pts with bipoloar disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
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
the 4 W's of deprived babies?

4. 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
discontinuation of reinforcement eliminates behavior
the tx for BDZ intox - MOA
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

5. Dysthymia
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the tx of W- K syndrome
milder form of depression lasting at least 2 years
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

6. Panic disorder
intox = restlessness - increase diureis - muscle twitching
Separation of feelings from ideas and events
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intense fear and discomfort peaking in 10 minutes

7. Depersonalization disorder

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8. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
the epi of physical child abuse
process whereby avoided ideas and feelings are transferred to some neutral person or object
Long acting oral opiate for heroine detox or long term maintenance

9. Nl
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
depressant intoxication - nonspecific
the EEG findings in dementia
voluntary withholding of an idea or feeling fromk concious awareness

10. Anorexia nervosa
define bipolar disorder and distinguish I from II
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
modeling behavior after another person is more powerful - though not necessarily admired
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. Ego - take it and you will get in trouble
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
mediator between primal urges and accepted behavior
patient projects feelings about formative or other important persons onto physician
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

12. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
dramatic - emotional or erratic
depressant intoxication - nonspecific
associated with winter season - improves in response to full spectrum light exposure

13. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the treatment for EtOH intox and 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

14. Yes
application of aversive stimulus extinguishes unwanted behavior
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Is body weight maintained within nl range in bulimia nervosa

15. OCD
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
gets schizophrenia and the prev

16. Flumazenil - competitive GABA antagonist
this drug is a risk factor for schizophrenia in teens
the age of onset of ADHD
Depression
the tx for BDZ intox - MOA

17. Displacement - mom places blame on kid because she's mad at husband
the stages of change in overcoming substance addiction
whenhypnagogic hallucinations take place
olfactory hallucinations common
process whereby avoided ideas and feelings are transferred to some neutral person or object

18. 6-12 months
reward received after every response - rapidly extinguished - vending machine
How long episodes of major depressive episode usually last
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the age of onset of ADHD

19. CBT - SSRI - TCI - BDZ
IQ<70
the tx for panic disorder
the treatment for maternal blues - depression - psychosis
autism with unusual abilities

20. Social phobias - tx SSRIs
voluntary withholding of an idea or feeling fromk concious awareness
exaggerated fear of embarrasment in social situations - disorder and tx
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

21. Depression
the tx for BDZ intox - MOA
misinterpretations of actual external stimulus
in elderly patients who present with dementia - the concern
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

22. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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
reward received after random number of responses - slowly extinguished - slot machine
suboxone and the rational of adding an antagonist

23. Methadone
Long acting oral opiate for heroine detox or long term maintenance
behavior acquired by watching others and assimilating actions into one's own repetoire
avoidance of awareness of a some painful reality
tantrums

24. Bulimia nervosa
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
pieces of evidence of physical child abuse
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

25. Cluster B personality disorder
strong persistant cross gender identification
the epi of sexual abuse
dramatic - emotional or erratic
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

26. Substance abuse
Parkinsons
the various types of cluster A personality disorder
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
maladaptive pattern leading to clinically significant impairment or distress

27. Rationalization - after getting fired saying the job wasn't that important anyway
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
How long episodes of major depressive episode usually last
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
mediator between primal urges and accepted behavior

28. Thiamine deficiency
causes wernicke - korsakoff syndrome
primal urges - freud
the common causes of lack or orientation
anterograde amnesia caused by thiamine deficiency

29. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
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
autism with unusual abilities
the common causes of lack or orientation
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

30. Aura of psychomotor epilepsy and in brain tumors
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the complications of alcoholism
olfactory hallucinations common
depressant intoxication - nonspecific

31. Paranoid - disorganized - catatonic - undifferentiated - residual
Long acting oral opiate for heroine detox or long term maintenance
the 5 types of schizophrenia
modeling behavior after another person is more powerful - though not necessarily admired
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

32. Schizophrenia
maladaptive pattern of substance use with 3 or more of these 7 criteria
inability to remember things that occurred after CNS insult
the typical abuser in sexual abuse
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

33. Sublimation - actress using an experience of abuse to enhance her acting
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
the order of loss of orientation
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
intox = restlessness. Withdrawal = irritability - anxiety - craving

34. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
learning in which a particular ation is elicited because it produces a reward
repeated stimulation leads to decrease response
the treatment for maternal blues - depression - psychosis
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

35. 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
SAD PERSONS
gender autism is more common in
When to hypnopompic hallucinations take place
in elderly patients who present with dementia - the concern

36. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the two types of schizoaffective disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

37. In what disease is GABA decrease and ACH decrease?
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Huntingtons

38. Dipoloar or depressive
the two types of schizoaffective disorder
olfactory hallucinations common
the EEG findings in dementia
autism with unusual abilities

39. Positive reinforcement
the treatment for EtOH intox and withdrawal
desired reward produces action - mouse presses button for food
whenmen vs women present with schizophrenia
reward received after random number of responses - slowly extinguished - slot machine

40. Personality trait
How long episodes of major depressive episode usually last
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
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

41. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
Number of major depressive episodes constitute major depressive disorder
pieces of evidence of physical child abuse
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
depressant withdrawal - nonspecific

42. Normal intel - trouble in school
Korsakoff's psychosis
Schizophrenia
In ADHD - typical intelligence and school performance
whering clothes of the opposite sex

43. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
gustatroy hallucinations common
the complications/associations of anorexia nervosa
Moral values - conscience can lead to self blame and attacks of ego
the typical abuser in sexual abuse

44. Seasonal affective disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
appreciating the amusing nature of an anxiety provoking or adverse situation
associated with winter season - improves in response to full spectrum light exposure
Depression

45. Autonomic system hyperactivity - psychotic symptoms - confusion
the tx for BDZ intox - MOA
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
delerium tremens symptoms
Drugs with what kind of affect can lead to a state of delirium

46. Pain disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the various types of cluster A personality disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
causes wernicke - korsakoff syndrome

47. In what disease does NE decrease - 5HT decrease and DA decrease?
associated with winter season - improves in response to full spectrum light exposure
intox = restlessness - increase diureis - muscle twitching
Depression
this drug is a risk factor for schizophrenia in teens

48. Weed
the evidence for child neglect
the types of cluster B personality disorder
this drug is a risk factor for schizophrenia in teens
the associations/complications of bulimia nervosa

49. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the treatment for EtOH intox and withdrawal
in elderly patients who present with dementia - the concern
This gross neurological finding is associated with ADHD
the definition of alcoholism

50. Substance withdrawal - signs are often opposite of intoxication
How long episodes of major depressive episode usually last
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the non specific signs of stimulant intox and withdrawal
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