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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Munchausen's syndrome
intox = restlessness - increase diureis - muscle twitching
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

2. Acting out
tantrums
What ego dystonic means in relation to OCD
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the tx for BDZ intox - MOA

3. Calculates IQ as mental age/chronological age x 100
the goal of the ego defenses
the concern with use of antidepressants in pts with bipoloar disorder
Stanford - binet
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

4. SSRIs - clomipramine
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
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the evidence for child neglect
the tx for OCD

5. Boys
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
appreciating the amusing nature of an anxiety provoking or adverse situation
desire to live as the opposite sex - through surgery or hormone tx
gender autism is more common in

6. <1mo - usually stress related
the time frame for brief pyschotic disorder
Anxiety
dramatic - emotional or erratic
the goal of the ego defenses

7. Depression
desired reward produces action - mouse presses button for food
Anxiety
development of delusions in a person in a close relationship with delusional disorder
in elderly patients who present with dementia - the concern

8. Orientation
Korsakoff's psychosis
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the central goa of freudian psychoanalysis
learning in which a particular ation is elicited because it produces a reward

9. Sensitization
associated with winter season - improves in response to full spectrum light exposure
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
repeated stimulation lead sot increase response
Korsakoff's psychosis

10. 7 to 9
discontinuation of reinforcement eliminates behavior
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
When separation anxiety disorder usually presents
neurologic outcome associated with W- K syndrome

11. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
the definition of alcoholism
Where child neglect is reported
define bipolar disorder and distinguish I from II
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

12. Factitious disorder
SIG E CAPS and the criteria for dx
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
disorders in the form of through - the way ideas are tied together
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

13. Normal intel - trouble in school
cyclothymia disorder
In ADHD - typical intelligence and school performance
avoidance of awareness of a some painful reality
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

14. Superego - you know you can't have it - taking it is wrong
cyclothymia disorder
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Moral values - conscience can lead to self blame and attacks of ego
In ADHD - typical intelligence and school performance

15. Vit B1 - thiamine
the treatment for maternal blues - depression - psychosis
turning back the maturational clock and going back to earlier modes of dealing with the world
the tx of W- K syndrome
SIG E CAPS and the criteria for dx

16. Reaction formation - a patient with libidinous thoughts enters a monastery
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
less than what percentage of ideal body weight is common in anorexia nervosa
the tx for panic disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

17. Delirium
visual hallucinations common
When to hypnopompic hallucinations take place
psychiatric disorder associated with tourrettes - and the treatment
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

18. Specific phobia
the tx for opiod intox and withdrawal
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
process whereby avoided ideas and feelings are transferred to some neutral person or object
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

19. Dysthymia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
milder form of depression lasting at least 2 years
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

20. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
inbability to recall important personal information - usually subsequent to severe trauma or stress
child neglect
the non specific signs of stimulant intox and withdrawal

21. Schizophrenia
the typical abuser in sexual abuse
primal urges - freud
repeated stimulation lead sot increase response
auditory hallucinations common

22. 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
the central goa of freudian psychoanalysis
the time frame for schizophreniform disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
maladaptive pattern of substance use with 3 or more of these 7 criteria

23. Weed
Alzheimers
this drug is a risk factor for schizophrenia in teens
doctor projects feelings about formative or other important persons onto patient
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

24. Illusion
misinterpretations of actual external stimulus
the tx of W- K syndrome
Depression
disorders in the form of through - the way ideas are tied together

25. Classical conditioning - pavlov's dogs
the treatment for EtOH intox and withdrawal
a hypomanic episode
reward received after every response - rapidly extinguished - vending machine
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

26. Humor - nervous med student jokes about boards
application of aversive stimulus extinguishes unwanted behavior
the 4 W's of deprived babies?
appreciating the amusing nature of an anxiety provoking or adverse situation
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

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

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28. Yes
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
pieces of evidence of physical child abuse
Is body weight maintained within nl range in bulimia nervosa
Drugs with what kind of affect can lead to a state of delirium

29. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
depressant intoxication - nonspecific
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the common causes of lack or orientation

30. Substance abuse
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
maladaptive pattern leading to clinically significant impairment or distress
psychiatric disorder associated with tourrettes - and the treatment

31. Fixation - men fixating on sports games
process whereby avoided ideas and feelings are transferred to some neutral person or object
partially remaining at more childish level of development
the stages of change in overcoming substance addiction
the tx of W- K syndrome

32. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
factors are most important in the etiology of schizophrenia
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the non specific signs of stimulant intox and withdrawal
anterograde amnesia caused by thiamine deficiency

33. Positive reinforcement
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
desired reward produces action - mouse presses button for food

34. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
reward received after random number of responses - slowly extinguished - slot machine
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

35. Cluster A personality disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
When to hypnopompic hallucinations take place
odd or eccentric; inability to develop meaningful social relationships

36. Gender identity disorder
define bipolar disorder and distinguish I from II
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
strong persistant cross gender identification

37. In what disease is GABA decrease and ACH decrease?
primal urges - freud
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the tx for opiod intox and withdrawal
Huntingtons

38. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
the tx for BDZ intox - MOA
autism with unusual abilities
avoidance of awareness of a some painful reality

39. Nl
anxious - fearful
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the EEG findings in dementia
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

40. Anxiety - tremor - seizures - insomnia
IQ<70
depressant withdrawal - nonspecific
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

41. Conduct disorder <18 - antisocial personality disorder > 18
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
belief that people are either all good or all bad at different times due to intolerance or ambiguity

42. Occurs while waking up
milder form of depression lasting at least 2 years
delerium tremens symptoms
strong persistant cross gender identification
When to hypnopompic hallucinations take place

43. Before 7
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
reward received after random number of responses - slowly extinguished - slot machine
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the age of onset of ADHD

44. 2 or more within a symptom free interval of 2 months
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
heroin users at increased risk of...
Number of major depressive episodes constitute major depressive disorder
development of delusions in a person in a close relationship with delusional disorder

45. In what disease does NE increase - GABA decrease - and 5HT decrease?
Anxiety
factors are most important in the etiology of schizophrenia
Moral values - conscience can lead to self blame and attacks of ego
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

46. The mean IQ and SD?
100 - 15
Diagnosis requres 2 of 5 of which sx
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
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

47. Delirium/secondary to other illness
psychiatric disorder associated with tourrettes - and the treatment
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
This gross neurological finding is associated with ADHD
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

48. Caffeine
the age of onset of ADHD
auditory hallucinations common
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
intox = restlessness - increase diureis - muscle twitching

49. Projection - a man who wants another women thinks his wife is cheating on him
an unacceptable internal impulse is attributed to an external source
process whereby avoided ideas and feelings are transferred to some neutral person or object
the non specific signs of stimulant intox and withdrawal
exaggerated fear of embarrasment in social situations - disorder and tx

50. Naltrexone and BDZ
causes wernicke - korsakoff syndrome
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the treatment for EtOH intox and withdrawal
mediator between primal urges and accepted behavior

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Psychiatry

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