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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. Marijuana
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Is body weight maintained within nl range in bulimia nervosa
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

2. Peak incidence 9-12 years of age
whenhypnagogic hallucinations take place
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the epi of sexual abuse
persistent re - experiencing of a previous traumatic event

3. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
the time frame for brief pyschotic disorder
PANICS
the tx for opiod intox and withdrawal

4. Ego - take it and you will get in trouble
child neglect
mediator between primal urges and accepted behavior
Number of major depressive episodes constitute major depressive disorder
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

5. Somatization disorders
belief that people are either all good or all bad at different times due to intolerance or ambiguity
both illness and motivation are subconcious - sx not intentionally produced or feigned
visual hallucinations common
factors are most important in the etiology of schizophrenia

6. Reaction formation - a patient with libidinous thoughts enters a monastery
the tx for OCD
strong persistant cross gender identification
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the treatment for EtOH intox and withdrawal

7. Rett's disorder
the types of cluster B personality disorder
Number of major depressive episodes constitute major depressive disorder
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

8. Nl
the EEG findings in dementia
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the common causes of lack or orientation
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

9. Substance abuse
perceptions in the absence of external stimulus
milder form of depression lasting at least 2 years
What ego dystonic means in relation to OCD
maladaptive pattern leading to clinically significant impairment or distress

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

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11. Transference
involunatary withholding of an idea or feeling from conscious awareness
maladaptive pattern leading to clinically significant impairment or distress
causes wernicke - korsakoff syndrome
patient projects feelings about formative or other important persons onto physician

12. Normal intel - trouble in school
intox = ataxia - minor respiratory depression
Under these conditions do children regress to younger patterns of behavior
In ADHD - typical intelligence and school performance
How long infant deprivation can last before it leads to irreversible changes

13. Postpartum depression - 10 to 15%
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
child neglect
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

14. Punishment
process whereby avoided ideas and feelings are transferred to some neutral person or object
application of aversive stimulus extinguishes unwanted behavior
Number of major depressive episodes constitute major depressive disorder
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

15. Thiamine deficiency
causes wernicke - korsakoff syndrome
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
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
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

16. Splitting - a pt that says all nurses are nice and all doctors are bad
the time frame for schizophreniform disorder
potential tx for nicotine withdrawal
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the treatment for EtOH intox and withdrawal

17. Sublimation - actress using an experience of abuse to enhance her acting
the goal of the ego defenses
the order of loss of orientation
potential tx for nicotine withdrawal
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

18. In what disease is DA increase?
involunatary withholding of an idea or feeling from conscious awareness
Schizophrenia
potential tx for nicotine withdrawal
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

19. In what disease is GABA decrease and ACH decrease?
this drug is a risk factor for schizophrenia in teens
primal urges - freud
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Huntingtons

20. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the triad of Wernicke's encephalopathy
Separation of feelings from ideas and events
a hypomanic episode
heroin users at increased risk of...

21. Barbituates
the serum markers of alcohol use
Depression
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

22. Atypical depression
mediator between primal urges and accepted behavior
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
discontinuation of reinforcement eliminates behavior
depressant withdrawal - nonspecific

23. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
define bipolar disorder and distinguish I from II
the tx for panic disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

24. Personality trait
the order of loss of orientation
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
auditory hallucinations common
whering clothes of the opposite sex

25. Delirium
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
inability to remember things that occurred before CNS insult
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
child neglect

26. Aspergers
the associations/complications of bulimia nervosa
associated with winter season - improves in response to full spectrum light exposure
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
maladaptive pattern of substance use with 3 or more of these 7 criteria

27. Extinction
discontinuation of reinforcement eliminates behavior
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
How long infant deprivation can last before it leads to irreversible changes

28. Opiods
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
DIG FAST
the types of cluster B personality disorder
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

29. Fixation - men fixating on sports games
strong persistant cross gender identification
partially remaining at more childish level of development
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the two types of schizoaffective disorder

30. Transsexualism
Depression
Diagnosis requres 2 of 5 of which sx
the order of loss of orientation
desire to live as the opposite sex - through surgery or hormone tx

31. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
avoidance of awareness of a some painful reality
strong persistant cross gender identification
voluntary withholding of an idea or feeling fromk concious awareness
the associations/complications of bulimia nervosa

32. Displacement - mom places blame on kid because she's mad at husband
the tx for OCD
process whereby avoided ideas and feelings are transferred to some neutral person or object
patient projects feelings about formative or other important persons onto physician
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

33. Severe and profound MR?
the treatments for ADHD
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
<40 and <20
intox = ataxia - minor respiratory depression

34. CPS
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
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
Where child neglect is reported

35. Cluster C personality disorder
anxious - fearful
discontinuation of reinforcement eliminates behavior
IQ<70
SIG E CAPS and the criteria for dx

36. Delusions
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Number of major depressive episodes constitute major depressive disorder
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
primal urges - freud

37. Delirium/secondary to other illness
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
<40 and <20
Where child neglect is reported
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

38. Personality disorder
the various types of cluster A personality disorder
causes wernicke - korsakoff syndrome
100 - 15
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

39. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
<40 and <20
Depression

40. Depersonalization disorder

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41. Periventricular hemorrhage/necrosis of mamillary bodies
primal urges - freud
neurologic outcome associated with W- K syndrome
When separation anxiety disorder usually presents
partially remaining at more childish level of development

42. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
the evidence for child neglect
suboxone and the rational of adding an antagonist
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
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

43. Transvestism
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the common sx of PTSD
whering clothes of the opposite sex
desired reward produces action - mouse presses button for food

44. Confusion - opthalmoplegia - and ataxia

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45. Savant
perceptions in the absence of external stimulus
autism with unusual abilities
Is body weight maintained within nl range in bulimia nervosa
the types of cluster B personality disorder

46. Shaping (social learning)
guilty feelings alleviated by unsolicitied generosity towards others
the order of loss of orientation
tactile hallucinations common
behavior achieved following reward of closer and closer approximations of desired behavior

47. Denial - can occur in new AIDS or cancer diagnosis
the age of onset of ADHD
behavior acquired by watching others and assimilating actions into one's own repetoire
avoidance of awareness of a some painful reality
Under these conditions do children regress to younger patterns of behavior

48. Munchausen's syndrome by proxy
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
strong persistant cross gender identification
this drug is a risk factor for schizophrenia in teens

49. Retrograde amnesia
the tx for opiod intox and withdrawal
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
tactile hallucinations common
inability to remember things that occurred before CNS insult

50. Disulfiram and supportive care
the tx for alcoholism
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
modeling behavior after another person is more powerful - though not necessarily admired