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Psychiatry
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Subject
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health-sciences
Instructions:
Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
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. Depression
in elderly patients who present with dementia - the concern
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
How long infant deprivation can last before it leads to irreversible changes
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
2. Fixation - men fixating on sports games
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
partially remaining at more childish level of development
Korsakoff's psychosis
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
3. Opiods
reward received after every response - rapidly extinguished - vending machine
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
discontinuation of reinforcement eliminates behavior
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
4. Flumazenil - competitive GABA antagonist
the non specific signs of stimulant intox and withdrawal
the tx for BDZ intox - MOA
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Number of major depressive episodes constitute major depressive disorder
5. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
repeated stimulation lead sot increase response
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the complications/associations of anorexia nervosa
6. Delirium
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
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
How long does the disturbance last in PTSD
What ego dystonic means in relation to OCD
7. 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
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
intense fear and discomfort peaking in 10 minutes
maladaptive pattern of substance use with 3 or more of these 7 criteria
guilty feelings alleviated by unsolicitied generosity towards others
8. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
olfactory hallucinations common
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the tx for OCD
9. Repression - not remebering a conflictual or traumatic experience
Drugs with what kind of affect can lead to a state of delirium
involunatary withholding of an idea or feeling from conscious awareness
depressant intoxication - nonspecific
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
10. 1-6 months
the time frame for schizophreniform disorder
guilty feelings alleviated by unsolicitied generosity towards others
cyclothymia disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
11. Peak incidence 9-12 years of age
anterograde amnesia caused by thiamine deficiency
the treatment for EtOH intox and withdrawal
the epi of sexual abuse
depressant intoxication - nonspecific
12. Acting out
define bipolar disorder and distinguish I from II
tantrums
the common causes of lack or orientation
heroin users at increased risk of...
13. CPS
Where child neglect is reported
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
psychiatric disorder associated with tourrettes - and the treatment
doctor projects feelings about formative or other important persons onto patient
14. Nl
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
the EEG findings in dementia
the tx for BDZ intox - MOA
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
15. 6 months
cyclothymia disorder
an unacceptable internal impulse is attributed to an external source
turning back the maturational clock and going back to earlier modes of dealing with the world
How long infant deprivation can last before it leads to irreversible changes
16. Superego - you know you can't have it - taking it is wrong
exaggerated fear of embarrasment in social situations - disorder and tx
Moral values - conscience can lead to self blame and attacks of ego
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
child neglect
17. Conversion disorder
delerium tremens symptoms
the non specific signs of stimulant intox and withdrawal
Under these conditions do children regress to younger patterns of behavior
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
18. OCD - haloperidol
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
psychiatric disorder associated with tourrettes - and the treatment
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
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
19. Dissociation - can lead to multiple personality disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
20. >1month
the stages of change in overcoming substance addiction
How long does the disturbance last in PTSD
the tx for panic disorder
the age of onset of ADHD
21. Inc mania - high suicide risk
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the concern with use of antidepressants in pts with bipoloar disorder
22. Anterograde amnesia
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
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
inability to remember things that occurred after CNS insult
the goal of the ego defenses
23. Anorexia nervosa
the time frame for schizophreniform disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
reward received after every response - rapidly extinguished - vending machine
When separation anxiety disorder usually presents
24. Body dysmorphic disorder
<40 and <20
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
development of delusions in a person in a close relationship with delusional disorder
Stanford - binet
25. Childhood disintegrative disorder
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
modeling behavior after another person is more powerful - though not necessarily admired
maladaptive pattern leading to clinically significant impairment or distress
Diagnosis requres 2 of 5 of which sx
26. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the tx of W- K syndrome
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the evidence for child neglect
27. Like manic but without marked impairement in fxning - no pyschotic features
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
repeated stimulation lead sot increase response
a hypomanic episode
Diagnosis requres 2 of 5 of which sx
28. Tourrette's
tactile hallucinations common
the typical abuser in sexual abuse
the tx for bipolar disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
29. PTSD
persistent re - experiencing of a previous traumatic event
the tx for BDZ intox - MOA
the typical abuser in sexual abuse
visual hallucinations common
30. In what disease does NE decrease - 5HT decrease and DA decrease?
depressant withdrawal - nonspecific
Depression
behavior achieved following reward of closer and closer approximations of desired behavior
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
31. Irreversible memory loss - confabulation - personality change
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32. Ego - take it and you will get in trouble
the common sx of PTSD
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
an unacceptable internal impulse is attributed to an external source
mediator between primal urges and accepted behavior
33. Bulimia nervosa
intox = ataxia - minor respiratory depression
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Alzheimers
learning in which a particular ation is elicited because it produces a reward
34. <1mo - usually stress related
less than what percentage of ideal body weight is common in anorexia nervosa
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the time frame for brief pyschotic disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
35. Savant
involunatary withholding of an idea or feeling from conscious awareness
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the serum markers of alcohol use
autism with unusual abilities
36. In what disease is ACH decrease?
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
anxious - fearful
Alzheimers
reward received after random number of responses - slowly extinguished - slot machine
37. Displacement - mom places blame on kid because she's mad at husband
<40 and <20
Long acting oral opiate for heroine detox or long term maintenance
process whereby avoided ideas and feelings are transferred to some neutral person or object
belief that people are either all good or all bad at different times due to intolerance or ambiguity
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
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
PANICS
SIG E CAPS and the criteria for dx
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
39. Countertransference
doctor projects feelings about formative or other important persons onto patient
Where child neglect is reported
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
IQ<70
40. Id - subconcious - I want it
maladaptive pattern leading to clinically significant impairment or distress
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
suboxone and the rational of adding an antagonist
primal urges - freud
41. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
the evidence for child neglect
pieces of evidence of physical child abuse
process whereby avoided ideas and feelings are transferred to some neutral person or object
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
42. Periventricular hemorrhage/necrosis of mamillary bodies
the tx of W- K syndrome
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
neurologic outcome associated with W- K syndrome
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
43. Calculates IQ as mental age/chronological age x 100
behavior achieved following reward of closer and closer approximations of desired behavior
Stanford - binet
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Huntingtons
44. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the triad of Wernicke's encephalopathy
both illness and motivation are subconcious - sx not intentionally produced or feigned
PANICS
45. Negative reinforcement
Separation of feelings from ideas and events
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
appreciating the amusing nature of an anxiety provoking or adverse situation
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
46. Delirium/secondary to other illness
the tx of W- K syndrome
auditory hallucinations common
appreciating the amusing nature of an anxiety provoking or adverse situation
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
47. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
reward received after random number of responses - slowly extinguished - slot machine
the tx for bipolar disorder
inability to remember things that occurred after CNS insult
the common causes of lack or orientation
48. Seasonal affective disorder
the triad of Wernicke's encephalopathy
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
This gross neurological finding is associated with ADHD
associated with winter season - improves in response to full spectrum light exposure
49. Postpartum psyschosis - .1 to .2%
application of aversive stimulus extinguishes unwanted behavior
Depression
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
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
50. Amphetamines
the complications of alcoholism
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
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