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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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1. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
How long marijuana is detectable in the urine after last use
desire to live as the opposite sex - through surgery or hormone tx
the EEG findings in dementia

2. Occurs while waking up
guilty feelings alleviated by unsolicitied generosity towards others
cyclothymia disorder
When separation anxiety disorder usually presents
When to hypnopompic hallucinations take place

3. Inc mania - high suicide risk
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the concern with use of antidepressants in pts with bipoloar disorder
Under these conditions do children regress to younger patterns of behavior
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

4. Seasonal affective disorder
exaggerated fear of embarrasment in social situations - disorder and tx
In ADHD - typical intelligence and school performance
associated with winter season - improves in response to full spectrum light exposure
voluntary withholding of an idea or feeling fromk concious awareness

5. Personality trait
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
associated with winter season - improves in response to full spectrum light exposure

6. Personality disorder
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
factors are most important in the etiology of schizophrenia
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
disorders in the form of through - the way ideas are tied together

7. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
voluntary withholding of an idea or feeling fromk concious awareness
Anxiety
appreciating the amusing nature of an anxiety provoking or adverse situation

8. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
SIG E CAPS and the criteria for dx
discontinuation of reinforcement eliminates behavior
the tx for bipolar disorder

9. Munchausen's syndrome by proxy
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
Drugs with what kind of affect can lead to a state of delirium
voluntary withholding of an idea or feeling fromk concious awareness

10. Shared delusional disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
development of delusions in a person in a close relationship with delusional disorder
PANICS

11. The mean IQ and SD?
psychiatric disorder associated with tourrettes - and the treatment
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
100 - 15
repeated stimulation leads to decrease response

12. Modeling (social learning)

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13. Aura of psychomotor epilepsy and in brain tumors
less than what percentage of ideal body weight is common in anorexia nervosa
guilty feelings alleviated by unsolicitied generosity towards others
olfactory hallucinations common
PANICS

14. Specific phobia
psychiatric disorder associated with tourrettes - and the treatment
anterograde amnesia caused by thiamine deficiency
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
intense fear and discomfort peaking in 10 minutes

15. Acting out
Depression
gustatroy hallucinations common
depressant withdrawal - nonspecific
tantrums

16. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the definition of alcoholism
less than what percentage of ideal body weight is common in anorexia nervosa
Huntingtons

17. OCD - haloperidol
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
gender autism is more common in
cyclothymia disorder
psychiatric disorder associated with tourrettes - and the treatment

18. Men early 20s - women late 20s early 30s
whenmen vs women present with schizophrenia
delerium tremens symptoms
the common sx of PTSD
avoidance of awareness of a some painful reality

19. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
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 treatment for maternal blues - depression - psychosis
cyclothymia disorder

20. Atypical depression
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
Drugs with what kind of affect can lead to a state of delirium
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

21. 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
intox = ataxia - minor respiratory depression
maladaptive pattern of substance use with 3 or more of these 7 criteria
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
In ADHD - typical intelligence and school performance

22. Cluster A personality disorder
the 5 types of schizophrenia
application of aversive stimulus extinguishes unwanted behavior
odd or eccentric; inability to develop meaningful social relationships
Drugs with what kind of affect can lead to a state of delirium

23. Punishment
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
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
an unacceptable internal impulse is attributed to an external source
application of aversive stimulus extinguishes unwanted behavior

24. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
Parkinsons
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
odd or eccentric; inability to develop meaningful social relationships

25. Oppositional defiant disorder
the central goa of freudian psychoanalysis
the tx for GAD
repeated stimulation lead sot increase response
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

26. Variable ratio reinforcement schedule
SIG E CAPS and the criteria for dx
reward received after random number of responses - slowly extinguished - slot machine
the non specific signs of stimulant intox and withdrawal
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

27. Dissociative amnesia
the tx for opiod intox and withdrawal
inbability to recall important personal information - usually subsequent to severe trauma or stress
misinterpretations of actual external stimulus
patient projects feelings about formative or other important persons onto physician

28. Sensitization
Diagnosis requres 2 of 5 of which sx
anterograde amnesia caused by thiamine deficiency
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
repeated stimulation lead sot increase response

29. 1-6 months
the time frame for schizophreniform disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
pieces of evidence of physical child abuse
reward received after every response - rapidly extinguished - vending machine

30. Displacement - mom places blame on kid because she's mad at husband
process whereby avoided ideas and feelings are transferred to some neutral person or object
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
whenhypnagogic hallucinations take place
the common sx of PTSD

31. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
avoidance of awareness of a some painful reality
patient projects feelings about formative or other important persons onto physician
the complications/associations of anorexia nervosa
the 5 types of schizophrenia

32. Normal intel - trouble in school
How long does the disturbance last in PTSD
In ADHD - typical intelligence and school performance
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

33. Dysthymia followed by hypomania
cyclothymia disorder
the types of cluster B personality disorder
Stanford - binet
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

34. Ego - take it and you will get in trouble
heroin users at increased risk of...
mediator between primal urges and accepted behavior
the tx for alcoholism
process whereby avoided ideas and feelings are transferred to some neutral person or object

35. Mallory weiss syndrome
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
guilty feelings alleviated by unsolicitied generosity towards others
the stages of change in overcoming substance addiction
both illness and motivation are subconcious - sx not intentionally produced or feigned

36. Disulfiram and supportive care
the tx for alcoholism
causes wernicke - korsakoff syndrome
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the treatment for EtOH intox and withdrawal

37. CPS
Where child neglect is reported
the complications of alcoholism
application of aversive stimulus extinguishes unwanted behavior
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

38. To make the patient aware of hidden in their unconcious
Alzheimers
the central goa of freudian psychoanalysis
whering clothes of the opposite sex
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

39. Hypochondriasis
the treatments for ADHD
the 5 types of schizophrenia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the order of loss of orientation

40. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the non specific signs of stimulant intox and withdrawal
This gross neurological finding is associated with ADHD
repeated stimulation lead sot increase response
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

41. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
delerium tremens symptoms
the stages of change in overcoming substance addiction
define bipolar disorder and distinguish I from II

42. Depersonalization disorder

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43. Delusions
This gross neurological finding is associated with ADHD
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
voluntary withholding of an idea or feeling fromk concious awareness
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

44. Vit B1 - thiamine
the tx of W- K syndrome
intox = restlessness. Withdrawal = irritability - anxiety - craving
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 3 types of cluster C personality disorder

45. In what disease is GABA decrease and ACH decrease?
What ego dystonic means in relation to OCD
the treatments for ADHD
turning back the maturational clock and going back to earlier modes of dealing with the world
Huntingtons

46. Sublimation - actress using an experience of abuse to enhance her acting
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
desired reward produces action - mouse presses button for food
visual hallucinations common
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

47. In what disease is ACH decrease?
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
<40 and <20
Alzheimers
voluntary withholding of an idea or feeling fromk concious awareness

48. Delirium/secondary to other illness
voluntary withholding of an idea or feeling fromk concious awareness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the common sx of PTSD
Number of major depressive episodes constitute major depressive disorder

49. Anorexia nervosa
discontinuation of reinforcement eliminates behavior
the 4 W's of deprived babies?
the associations/complications of bulimia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

50. >1month
How long does the disturbance last in PTSD
the evidence for child neglect
inability to remember things that occurred before CNS insult
patient projects feelings about formative or other important persons onto physician