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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. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the treatment for maternal blues - depression - psychosis
repeated stimulation lead sot increase 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
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

2. 7 to 9
Causes of dementia
When separation anxiety disorder usually presents
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

3. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
odd or eccentric; inability to develop meaningful social relationships
the 4 W's of deprived babies?
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

4. Hypochondriasis
the tx for BDZ intox - MOA
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
suboxone and the rational of adding an antagonist
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

5. Paranoid - disorganized - catatonic - undifferentiated - residual
auditory hallucinations common
the central goa of freudian psychoanalysis
the 5 types of schizophrenia
olfactory hallucinations common

6. Munchausen's syndrome
gustatroy hallucinations common
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
How long marijuana is detectable in the urine after last use
inbability to recall important personal information - usually subsequent to severe trauma or stress

7. Autism
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
reward received after every response - rapidly extinguished - vending machine
the 3 types of cluster C personality disorder
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

8. Reaction formation - a patient with libidinous thoughts enters a monastery
the types of cluster B personality disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
desire to live as the opposite sex - through surgery or hormone tx
the age of onset of ADHD

9. Munchausen's syndrome by proxy
strong persistant cross gender identification
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
<40 and <20

10. Cocaine
modeling behavior after another person is more powerful - though not necessarily admired
PANICS
appreciating the amusing nature of an anxiety provoking or adverse situation
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

11. Dissociative identity disorder
Under these conditions do children regress to younger patterns of behavior
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Schizophrenia
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

12. Bulimia nervosa
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
turning back the maturational clock and going back to earlier modes of dealing with the world
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
Depression

13. Postpartum depression - 10 to 15%
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
How long infant deprivation can last before it leads to irreversible changes
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Number of major depressive episodes constitute major depressive disorder

14. Depersonalization disorder

15. CBT - SSRI - TCI - BDZ
the tx for panic disorder
doctor projects feelings about formative or other important persons onto patient
Long acting oral opiate for heroine detox or long term maintenance
repeated stimulation leads to decrease response

16. Thiamine deficiency
causes wernicke - korsakoff syndrome
mediator between primal urges and accepted behavior
pieces of evidence for sexual child abuse
development of delusions in a person in a close relationship with delusional disorder

17. Substance withdrawal - signs are often opposite of intoxication
the tx for BDZ intox - MOA
the time frame for schizophreniform disorder
Alzheimers
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

18. PCP
Alzheimers
mediator between primal urges and accepted behavior
the tx of W- K syndrome
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

19. Specific phobia
define bipolar disorder and distinguish I from II
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
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

20. Genital/anal trauma - STDs and UTIs
the EEG findings in dementia
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
desired reward produces action - mouse presses button for food
pieces of evidence for sexual child abuse

21. Inc mania - high suicide risk
the definition of alcoholism
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the concern with use of antidepressants in pts with bipoloar disorder
appreciating the amusing nature of an anxiety provoking or adverse situation

22. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
Separation of feelings from ideas and events
milder form of depression lasting at least 2 years
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

23. Transference
child neglect
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
patient projects feelings about formative or other important persons onto physician
the typical abuser in physical child abuse

24. Atypical depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
odd or eccentric; inability to develop meaningful social relationships
process whereby avoided ideas and feelings are transferred to some neutral person or object
guilty feelings alleviated by unsolicitied generosity towards others

25. Superego - you know you can't have it - taking it is wrong
the tx for GAD
Moral values - conscience can lead to self blame and attacks of ego
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 typical abuser in sexual abuse

26. Alcohol
the EEG findings in dementia
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
heroin users at increased risk of...

27. Naltrexone and BDZ
define bipolar disorder and distinguish I from II
SAD PERSONS
the treatment for EtOH intox and withdrawal
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

28. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
SIG E CAPS and the criteria for dx
disorders in the form of through - the way ideas are tied together
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

29. Vit B1 - thiamine
modeling behavior after another person is more powerful - though not necessarily admired
the tx of W- K syndrome
Alzheimers
discontinuation of reinforcement eliminates behavior

30. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the concern with use of antidepressants in pts with bipoloar disorder
the order of loss of orientation

31. Variable ratio reinforcement schedule
reward received after random number of responses - slowly extinguished - slot machine
Moral values - conscience can lead to self blame and attacks of ego
both illness and motivation are subconcious - sx not intentionally produced or feigned
factors are most important in the etiology of schizophrenia

32. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
behavior achieved following reward of closer and closer approximations of desired behavior
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
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

33. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
Korsakoff's psychosis
suboxone and the rational of adding an antagonist
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
causes wernicke - korsakoff syndrome

34. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
persistent re - experiencing of a previous traumatic event
the tx for OCD
the tx for BDZ intox - MOA
the non specific signs of stimulant intox and withdrawal

35. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
guilty feelings alleviated by unsolicitied generosity towards others
DIG FAST
this drug is a risk factor for schizophrenia in teens
the common causes of lack or orientation

36. MAOi - SSRIs
the tx for BDZ intox - MOA
the two types of schizoaffective disorder
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the tx for atypical depression

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

38. Peak incidence 9-12 years of age
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the epi of sexual abuse
the complications/associations of anorexia nervosa

39. Savant
cyclothymia disorder
the treatment for maternal blues - depression - psychosis
the 4 W's of deprived babies?
autism with unusual abilities

40. Before 7
the age of onset of ADHD
delerium tremens symptoms
the 3 types of cluster C personality disorder
modeling behavior after another person is more powerful - though not necessarily admired

41. In what disease does NE decrease - 5HT decrease and DA decrease?
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Depression
the complications/associations of anorexia nervosa

42. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
the typical abuser in sexual abuse
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Causes of dementia

43. Countertransference
This gross neurological finding is associated with ADHD
Drugs with what kind of affect can lead to a state of delirium
doctor projects feelings about formative or other important persons onto patient
strong persistant cross gender identification

44. Continuous reinforcement schedule
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
reward received after every response - rapidly extinguished - vending machine
How long episodes of major depressive episode usually last
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

45. Tourrette's
Long acting oral opiate for heroine detox or long term maintenance
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
factors are most important in the etiology of schizophrenia
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

46. Dissociative fatigue
the EEG findings in dementia
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
heroin users at increased risk of...
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

47. SSRIs - clomipramine
depressant intoxication - nonspecific
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 tx for OCD
How long infant deprivation can last before it leads to irreversible changes

48. Dipoloar or depressive
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Anxiety
the two types of schizoaffective disorder
avoidance of awareness of a some painful reality

49. Gender identity disorder
an unacceptable internal impulse is attributed to an external source
the time frame for brief pyschotic disorder
strong persistant cross gender identification
Drugs with what kind of affect can lead to a state of delirium

50. Rationalization - after getting fired saying the job wasn't that important anyway
the typical abuser in physical child abuse
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
suboxone and the rational of adding an antagonist
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation