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Psychiatry

Instructions:

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. Generalized anxiety disorder
mediator between primal urges and accepted behavior
reward received after random number of responses - slowly extinguished - slot machine
whering clothes of the opposite sex
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

2. 7 to 9
the tx for panic disorder
When separation anxiety disorder usually presents
the 3 types of cluster C personality disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

3. Id - subconcious - I want it
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
primal urges - freud

4. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
inability to remember things that occurred after CNS insult
pieces of evidence for sexual child abuse
Korsakoff's psychosis

5. While going to sleep
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
whenhypnagogic hallucinations take place
depressant intoxication - nonspecific
Depression

6. Dec frontal lobe volumes
<40 and <20
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the age of onset of ADHD
This gross neurological finding is associated with ADHD

7. Transference
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
patient projects feelings about formative or other important persons onto physician
pieces of evidence of physical child abuse

8. Naltrexone and BDZ
the treatment for EtOH intox and withdrawal
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
PANICS
the typical abuser in sexual abuse

9. Classical conditioning - pavlov's dogs
desired reward produces action - mouse presses button for food
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
modeling behavior after another person is more powerful - though not necessarily admired
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

10. Illusion
misinterpretations of actual external stimulus
the epi of sexual abuse
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
reward received after every response - rapidly extinguished - vending machine

11. In what disease is GABA decrease and ACH decrease?
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the goal of the ego defenses
Huntingtons

12. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
PANICS
the tx for BDZ intox - MOA
the complications/associations of anorexia nervosa
mediator between primal urges and accepted behavior

13. Paranoid - disorganized - catatonic - undifferentiated - residual
the tx for OCD
the 5 types of schizophrenia
the definition of alcoholism
inability to remember things that occurred after CNS insult

14. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
SAD PERSONS
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
the types of cluster B personality disorder

15. To make the patient aware of hidden in their unconcious
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the central goa of freudian psychoanalysis

16. Cocaine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the associations/complications of bulimia nervosa
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

17. Gender identity disorder
strong persistant cross gender identification
the associations/complications of bulimia nervosa
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
neurologic outcome associated with W- K syndrome

18. Body dysmorphic disorder
the 3 types of cluster C personality disorder
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
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

19. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
the common sx of PTSD
appreciating the amusing nature of an anxiety provoking or adverse situation
child neglect
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

20. Yes
Is body weight maintained within nl range in bulimia nervosa
the treatments for ADHD
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

21. Separation anxiety disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
turning back the maturational clock and going back to earlier modes of dealing with the world
whenhypnagogic hallucinations take place

22. PCP
olfactory hallucinations common
delerium tremens symptoms
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

23. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
100 - 15
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
pieces of evidence of physical child abuse
DIG FAST

24. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
dramatic - emotional or erratic
the treatment for maternal blues - depression - psychosis
the various types of cluster A personality disorder
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

25. Mallory weiss syndrome
odd or eccentric; inability to develop meaningful social relationships
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
SAD PERSONS
associated with winter season - improves in response to full spectrum light exposure

26. Female primary caregiver
gender autism is more common in
the tx for OCD
the typical abuser in physical child abuse
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

27. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative 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
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
voluntary withholding of an idea or feeling fromk concious awareness
Diagnosis requres 2 of 5 of which sx

28. 1 month
How long marijuana is detectable in the urine after last use
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
IQ<70

29. Cluster B personality disorder
dramatic - emotional or erratic
less than what percentage of ideal body weight is common in anorexia nervosa
whenhypnagogic hallucinations take place
the central goa of freudian psychoanalysis

30. Transsexualism
avoidance of awareness of a some painful reality
desire to live as the opposite sex - through surgery or hormone tx
odd or eccentric; inability to develop meaningful social relationships
intox = restlessness - increase diureis - muscle twitching

31. ECT - disorientation amnesia - usually resolves in 6 months
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
visual hallucinations common
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

32. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
depressant withdrawal - nonspecific
potential tx for nicotine withdrawal

33. Depression
belief that people are either all good or all bad at different times due to intolerance or ambiguity
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
in elderly patients who present with dementia - the concern
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

34. Delirium
visual hallucinations common
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
When separation anxiety disorder usually presents

35. Repression - not remebering a conflictual or traumatic experience
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
involunatary withholding of an idea or feeling from conscious awareness
less than what percentage of ideal body weight is common in anorexia nervosa
Korsakoff's psychosis

36. Substance withdrawal - signs are often opposite of intoxication
appreciating the amusing nature of an anxiety provoking or adverse situation
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
Number of major depressive episodes constitute major depressive disorder
Where child neglect is reported

37. <1mo - usually stress related
<40 and <20
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
intense fear and discomfort peaking in 10 minutes
the time frame for brief pyschotic disorder

38. Cluster C personality disorder
the epi of physical child abuse
gets schizophrenia and the prev
avoidance of awareness of a some painful reality
anxious - fearful

39. 6 months
PANICS
How long infant deprivation can last before it leads to irreversible changes
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Alzheimers

40. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

41. Nicotine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
depressant withdrawal - nonspecific
intox = restlessness. Withdrawal = irritability - anxiety - craving
the order of loss of orientation

42. PTSD
exaggerated fear of embarrasment in social situations - disorder and tx
Moral values - conscience can lead to self blame and attacks of ego
persistent re - experiencing of a previous traumatic event
the typical abuser in physical child abuse

43. Somatization disorders
behavior acquired by watching others and assimilating actions into one's own repetoire
behavior achieved following reward of closer and closer approximations of desired behavior
both illness and motivation are subconcious - sx not intentionally produced or feigned
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

44. Conversion disorder
cyclothymia disorder
Number of major depressive episodes constitute major depressive disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
How long does the disturbance last in PTSD

45. In what disease is ACH decrease?
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
inability to remember things that occurred before CNS insult
the tx for atypical depression
Alzheimers

46. 3000 deaths/yr in the US
repeated stimulation lead sot increase response
the common sx of PTSD
the epi of physical child abuse
Stanford - binet

47. Habituation - simple learning
repeated stimulation leads to decrease response
the age of onset of ADHD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

48. Displacement - mom places blame on kid because she's mad at husband
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
process whereby avoided ideas and feelings are transferred to some neutral person or object
When separation anxiety disorder usually presents
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

49. Specific phobia
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
behavior acquired by watching others and assimilating actions into one's own repetoire
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
maladaptive pattern of substance use with 3 or more of these 7 criteria

50. Variable ratio reinforcement schedule
Schizophrenia
reward received after random number of responses - slowly extinguished - slot machine
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment