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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. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
PANICS
mediator between primal urges and accepted behavior

2. Amphetamines
discontinuation of reinforcement eliminates behavior
tantrums
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

3. Delusional disorder
avoidance of awareness of a some painful reality
causes wernicke - korsakoff syndrome
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Stanford - binet

4. OCD
tactile hallucinations common
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
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

5. Splitting - a pt that says all nurses are nice and all doctors are bad
pieces of evidence for sexual child abuse
belief that people are either all good or all bad at different times due to intolerance or ambiguity
Depression
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

6. 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
define bipolar disorder and distinguish I from II
process whereby avoided ideas and feelings are transferred to some neutral person or object
gustatroy hallucinations common

7. Savant
gustatroy hallucinations common
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the epi of physical child abuse
autism with unusual abilities

8. Methylphenidate - amphetamines - atomoxetine
the complications of alcoholism
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
in elderly patients who present with dementia - the concern
the treatments for ADHD

9. Body dysmorphic disorder
behavior achieved following reward of closer and closer approximations of desired behavior
define bipolar disorder and distinguish I from II
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

10. Cluster A personality disorder
pieces of evidence for sexual child abuse
odd or eccentric; inability to develop meaningful social relationships
visual hallucinations common
the tx for BDZ intox - MOA

11. Specific phobia
the tx for alcoholism
disorders in the form of through - the way ideas are tied together
gustatroy hallucinations common
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

12. Punishment
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
application of aversive stimulus extinguishes unwanted behavior
process whereby avoided ideas and feelings are transferred to some neutral person or object

13. There are rare
the common sx of PTSD
belief that people are either all good or all bad at different times due to intolerance or ambiguity
gustatroy hallucinations common
modeling behavior after another person is more powerful - though not necessarily admired

14. Childhood disintegrative disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
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
Drugs with what kind of affect can lead to a state of delirium
tantrums

15. Periventricular hemorrhage/necrosis of mamillary bodies
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
neurologic outcome associated with W- K syndrome
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the 3 types of cluster C personality disorder

16. Boys
the tx for opiod intox and withdrawal
gender autism is more common in
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
SIG E CAPS and the criteria for dx

17. Dissociative fatigue
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
application of aversive stimulus extinguishes unwanted behavior
delerium tremens symptoms
the tx for BDZ intox - MOA

18. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the treatment for EtOH intox and withdrawal
the tx for bipolar disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
anxious - fearful

19. Disulfiram and supportive care
the tx for alcoholism
gender autism is more common in
odd or eccentric; inability to develop meaningful social relationships
What ego dystonic means in relation to OCD

20. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
psychiatric disorder associated with tourrettes - and the treatment
reward received after random number of responses - slowly extinguished - slot machine
depressant intoxication - nonspecific
factors are most important in the etiology of schizophrenia

21. Postpartum depression - 10 to 15%
gustatroy hallucinations common
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
misinterpretations of actual external stimulus

22. Substance abuse
persistent re - experiencing of a previous traumatic event
maladaptive pattern leading to clinically significant impairment or distress
Causes of dementia
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

23. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the non specific signs of stimulant intox and withdrawal
appreciating the amusing nature of an anxiety provoking or adverse situation
the types of cluster B personality disorder

24. Blacks=whites - males = females - 1.5% lifetime prev
the tx for BDZ intox - MOA
gets schizophrenia and the prev
the types of cluster B personality disorder
Under these conditions do children regress to younger patterns of behavior

25. Countertransference
doctor projects feelings about formative or other important persons onto patient
Alzheimers
Parkinsons
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

26. Patch - gum - losenge - buproprion - varenicline
potential tx for nicotine withdrawal
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
suboxone and the rational of adding an antagonist
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

27. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the complications of alcoholism
the common causes of lack or orientation
odd or eccentric; inability to develop meaningful social relationships
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

28. 1 month
Anxiety
pieces of evidence for sexual child abuse
the common sx of PTSD
How long marijuana is detectable in the urine after last use

29. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
Parkinsons
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the age of onset of ADHD
the time frame for schizophreniform disorder

30. Habituation - simple learning
the complications of alcoholism
repeated stimulation leads to decrease response
associated with winter season - improves in response to full spectrum light exposure
the EEG findings in dementia

31. Loose associations
<40 and <20
disorders in the form of through - the way ideas are tied together
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

32. Conduct disorder <18 - antisocial personality disorder > 18
the tx for bipolar disorder
Under these conditions do children regress to younger patterns of behavior
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

33. Rationalization - after getting fired saying the job wasn't that important anyway
guilty feelings alleviated by unsolicitied generosity towards others
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
persistent re - experiencing of a previous traumatic event

34. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
olfactory hallucinations common
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
This gross neurological finding is associated with ADHD

35. Identification - abused models abuser
disorders in the form of through - the way ideas are tied together
How long episodes of major depressive episode usually last
In ADHD - typical intelligence and school performance
modeling behavior after another person is more powerful - though not necessarily admired

36. Male - known to the victim
the typical abuser in sexual abuse
the epi of sexual abuse
IQ<70
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

37. Sublimation - actress using an experience of abuse to enhance her acting
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
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
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
desire to live as the opposite sex - through surgery or hormone tx

38. 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
Long acting oral opiate for heroine detox or long term maintenance
SIG E CAPS and the criteria for dx
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
factors are most important in the etiology of schizophrenia

39. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Diagnosis requres 2 of 5 of which sx
Schizophrenia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

40. Delirium
waxing and waning level of conciousness with acute onset leading to rapid decrease in attention span/level of arousal - acute changes in mental status - disorganized thinking - hallucinations etc
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Parkinsons
visual hallucinations common

41. In what diseaese is DA decrease - 5HT increase - and increase ACH?
perceptions in the absence of external stimulus
Parkinsons
gustatroy hallucinations common
application of aversive stimulus extinguishes unwanted behavior

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

43. OCD - haloperidol
gustatroy hallucinations common
in elderly patients who present with dementia - the concern
psychiatric disorder associated with tourrettes - and the treatment
How long episodes of major depressive episode usually last

44. Seasonal affective disorder
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the epi of sexual abuse
associated with winter season - improves in response to full spectrum light exposure
Number of major depressive episodes constitute major depressive disorder

45. Substance withdrawal - signs are often opposite of intoxication
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the complications of alcoholism

46. Delirium/secondary to other illness
development of delusions in a person in a close relationship with delusional disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
inability to remember things that occurred before CNS insult
Drugs with what kind of affect can lead to a state of delirium

47. CBT - SSRI - TCI - BDZ
In ADHD - typical intelligence and school performance
the epi of physical child abuse
the time frame for brief pyschotic disorder
the tx for panic disorder

48. Inc mania - high suicide risk
learning in which a particular ation is elicited because it produces a reward
the EEG findings in dementia
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the concern with use of antidepressants in pts with bipoloar disorder

49. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

50. Genes > environment
child neglect
factors are most important in the etiology of schizophrenia
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
reward received after random number of responses - slowly extinguished - slot machine