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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. Sensitization
desire to live as the opposite sex - through surgery or hormone tx
tactile hallucinations common
repeated stimulation lead sot increase response
When separation anxiety disorder usually presents

2. LSD
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
reward received after every response - rapidly extinguished - vending machine
neurologic outcome associated with W- K syndrome

3. Peak incidence 9-12 years of age
the tx for opiod intox and withdrawal
In ADHD - typical intelligence and school performance
<40 and <20
the epi of sexual abuse

4. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
heroin users at increased risk of...
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 tx for panic disorder
Causes of dementia

5. Nicotine
the complications of alcoholism
intox = restlessness. Withdrawal = irritability - anxiety - craving
the non specific signs of stimulant intox and withdrawal
misinterpretations of actual external stimulus

6. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
the triad of Wernicke's encephalopathy
pieces of evidence of physical child abuse
Under these conditions do children regress to younger patterns of behavior
whenhypnagogic hallucinations take place

7. Anxiety - tremor - seizures - insomnia
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
What ego dystonic means in relation to OCD
depressant withdrawal - nonspecific
neurologic outcome associated with W- K syndrome

8. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the stages of change in overcoming substance addiction
the 3 types of cluster C personality disorder
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
define bipolar disorder and distinguish I from II

9. Mallory weiss syndrome
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
patient projects feelings about formative or other important persons onto physician
this drug is a risk factor for schizophrenia in teens
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

10. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
Korsakoff's psychosis
SAD PERSONS
cyclothymia disorder

11. Modeling (social learning)

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12. 1-6 months
the evidence for child neglect
the time frame for schizophreniform disorder
milder form of depression lasting at least 2 years
desired reward produces action - mouse presses button for food

13. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
pieces of evidence for sexual child abuse
Huntingtons

14. Orientation
the stages of change in overcoming substance addiction
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
an unacceptable internal impulse is attributed to an external source
Is body weight maintained within nl range in bulimia nervosa

15. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
delerium tremens symptoms
the time frame for brief pyschotic disorder
the tx for bipolar disorder

16. Precontemplation - contemplation - preparation - action - maintenance - relapse
the stages of change in overcoming substance addiction
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
anterograde amnesia caused by thiamine deficiency
psychiatric disorder associated with tourrettes - and the treatment

17. Sublimation - actress using an experience of abuse to enhance her acting
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
How long episodes of major depressive episode usually last
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
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

18. Splitting - a pt that says all nurses are nice and all doctors are bad
Anxiety
partially remaining at more childish level of development
belief that people are either all good or all bad at different times due to intolerance or ambiguity
whenmen vs women present with schizophrenia

19. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
How long infant deprivation can last before it leads to irreversible changes
the tx for OCD
heroin users at increased risk of...

20. Continuous reinforcement schedule
In ADHD - typical intelligence and school performance
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
gustatroy hallucinations common
reward received after every response - rapidly extinguished - vending machine

21. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the 5 types of schizophrenia
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Where child neglect is reported

22. Calculates IQ as mental age/chronological age x 100
SAD PERSONS
appreciating the amusing nature of an anxiety provoking or adverse situation
Stanford - binet
the tx for GAD

23. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
DIG FAST
In ADHD - typical intelligence and school performance
the goal of the ego defenses
behavior achieved following reward of closer and closer approximations of desired behavior

24. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
intox = ataxia - minor respiratory depression
the goal of the ego defenses
gender autism is more common in

25. Habituation - simple learning
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
intox = restlessness. Withdrawal = irritability - anxiety - craving
repeated stimulation leads to decrease response

26. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
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
child neglect
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
application of aversive stimulus extinguishes unwanted behavior

27. Panic disorder
Alzheimers
intense fear and discomfort peaking in 10 minutes
When to hypnopompic hallucinations take place
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

28. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the time frame for brief pyschotic disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the associations/complications of bulimia nervosa
the treatments for ADHD

29. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
whenmen vs women present with schizophrenia
autism with unusual abilities
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

30. In what disease is DA increase?
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Schizophrenia
misinterpretations of actual external stimulus
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

31. Oppositional defiant disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
exaggerated fear of embarrasment in social situations - disorder and tx
perceptions in the absence of external stimulus
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

32. Aspergers
in elderly patients who present with dementia - the concern
Under these conditions do children regress to younger patterns of behavior
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

33. Savant
factors are most important in the etiology of schizophrenia
DIG FAST
When to hypnopompic hallucinations take place
autism with unusual abilities

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

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35. Dysthymia followed by hypomania
depressant withdrawal - nonspecific
How long marijuana is detectable in the urine after last use
cyclothymia disorder
Depression

36. Tourrette's
belief that people are either all good or all bad at different times due to intolerance or ambiguity
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
exaggerated fear of embarrasment in social situations - disorder and tx
When to hypnopompic hallucinations take place

37. CPS
Where child neglect is reported
How long marijuana is detectable in the urine after last use
delerium tremens symptoms
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

38. OCD
the time frame for brief pyschotic disorder
in elderly patients who present with dementia - the concern
the tx for GAD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

39. Normal intel - trouble in school
avoidance of awareness of a some painful reality
the time frame for schizophreniform disorder
application of aversive stimulus extinguishes unwanted behavior
In ADHD - typical intelligence and school performance

40. Delirium/secondary to other illness
the epi of sexual abuse
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the triad of Wernicke's encephalopathy
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

41. The mean IQ and SD?
repeated stimulation lead sot increase response
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the tx for bipolar disorder
100 - 15

42. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
Number of major depressive episodes constitute major depressive disorder
gustatroy hallucinations common
the common causes of lack or orientation
the tx for alcoholism

43. In what disease does NE increase - GABA decrease - and 5HT decrease?
Depression
doctor projects feelings about formative or other important persons onto patient
behavior achieved following reward of closer and closer approximations of desired behavior
Anxiety

44. Separation anxiety disorder
the tx for OCD
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

45. Regression - seen in children under stress and in patients on dialysis (crying)
the age of onset of ADHD
process whereby avoided ideas and feelings are transferred to some neutral person or object
turning back the maturational clock and going back to earlier modes of dealing with the world
define bipolar disorder and distinguish I from II

46. 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
maladaptive pattern of substance use with 3 or more of these 7 criteria
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

47. Rett's disorder
the tx for BDZ intox - MOA
neurologic outcome associated with W- K syndrome
the tx for GAD
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

48. Dissociative fatigue
In ADHD - typical intelligence and school performance
intox = ataxia - minor respiratory depression
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
suboxone and the rational of adding an antagonist

49. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
gender autism is more common in
the various types of cluster A personality disorder
the types of cluster B personality disorder

50. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
desire to live as the opposite sex - through surgery or hormone tx
PANICS
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the definition of alcoholism