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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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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. Splitting - a pt that says all nurses are nice and all doctors are bad
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
belief that people are either all good or all bad at different times due to intolerance or ambiguity
in elderly patients who present with dementia - the concern
inbability to recall important personal information - usually subsequent to severe trauma or stress

2. 85 percent
doctor projects feelings about formative or other important persons onto patient
less than what percentage of ideal body weight is common in anorexia nervosa
involunatary withholding of an idea or feeling from conscious awareness
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

3. Boys
intox = restlessness - increase diureis - muscle twitching
gender autism is more common in
Anxiety
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

4. Methylphenidate - amphetamines - atomoxetine
the tx for OCD
the central goa of freudian psychoanalysis
the treatments for ADHD
intox = restlessness - increase diureis - muscle twitching

5. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
Schizophrenia
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the common causes of lack or orientation

6. 1 month
doctor projects feelings about formative or other important persons onto patient
Parkinsons
How long marijuana is detectable in the urine after last use
the triad of Wernicke's encephalopathy

7. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
Separation of feelings from ideas and events
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
pieces of evidence of physical child abuse

8. Irreversible memory loss - confabulation - personality change

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9. Confusion - opthalmoplegia - and ataxia

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10. Inc mania - high suicide risk
the epi of physical child abuse
the concern with use of antidepressants in pts with bipoloar disorder
When to hypnopompic hallucinations take place
intox = restlessness. Withdrawal = irritability - anxiety - craving

11. Peak incidence 9-12 years of age
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
pieces of evidence of physical child abuse
this drug is a risk factor for schizophrenia in teens
the epi of sexual abuse

12. 3000 deaths/yr in the US
the epi of physical child abuse
Drugs with what kind of affect can lead to a state of delirium
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
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

13. The criteria for mental retardation?
<40 and <20
anxious - fearful
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
IQ<70

14. Mallory weiss syndrome
the treatments for ADHD
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
an unacceptable internal impulse is attributed to an external source
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

15. Alcohol
causes wernicke - korsakoff syndrome
gets schizophrenia and the prev
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

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

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17. Male - known to the victim
factors are most important in the etiology of schizophrenia
the typical abuser in sexual abuse
the typical abuser in physical child abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

18. <1mo - usually stress related
the time frame for brief pyschotic disorder
perceptions in the absence of external stimulus
the associations/complications of bulimia nervosa
Under these conditions do children regress to younger patterns of behavior

19. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
heroin users at increased risk of...
define bipolar disorder and distinguish I from II
the age of onset of ADHD

20. 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
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
intox = restlessness - increase diureis - muscle twitching
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

21. Periventricular hemorrhage/necrosis of mamillary bodies
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the EEG findings in dementia
neurologic outcome associated with W- K syndrome
behavior acquired by watching others and assimilating actions into one's own repetoire

22. Modeling (social learning)

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23. Extinction
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
discontinuation of reinforcement eliminates behavior
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
persistent re - experiencing of a previous traumatic event

24. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
the tx for bipolar disorder
SIG E CAPS and the criteria for dx
the associations/complications of bulimia nervosa

25. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
define bipolar disorder and distinguish I from II
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

26. Barbituates
tactile hallucinations common
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
<40 and <20
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

27. PTSD
persistent re - experiencing of a previous traumatic event
whenmen vs women present with schizophrenia
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

28. Loose associations
disorders in the form of through - the way ideas are tied together
application of aversive stimulus extinguishes unwanted 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
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

29. Conversion disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the common sx of PTSD
learning in which a particular ation is elicited because it produces a reward
a hypomanic episode

30. Altruism - mafia boss makes a large donation to charity
Parkinsons
guilty feelings alleviated by unsolicitied generosity towards others
reward received after random number of responses - slowly extinguished - slot machine
SAD PERSONS

31. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
anxious - fearful
the non specific signs of stimulant intox and withdrawal
Under these conditions do children regress to younger patterns of 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

32. Munchausen's syndrome
repeated stimulation leads to decrease response
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

33. 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
whenhypnagogic hallucinations take place
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the treatment for maternal blues - depression - psychosis

34. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Under these conditions do children regress to younger patterns of behavior
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

35. Like manic but without marked impairement in fxning - no pyschotic features
a hypomanic episode
avoidance of awareness of a some painful reality
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
causes wernicke - korsakoff syndrome

36. Autism
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the tx for opiod intox and withdrawal
intox = restlessness - increase diureis - muscle twitching

37. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
suboxone and the rational of adding an antagonist
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

38. In what disease is DA increase?
associated with winter season - improves in response to full spectrum light exposure
primal urges - freud
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Schizophrenia

39. Acting out
voluntary withholding of an idea or feeling fromk concious awareness
tantrums
causes wernicke - korsakoff syndrome
mediator between primal urges and accepted behavior

40. Sublimation - actress using an experience of abuse to enhance her acting
olfactory 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
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
IQ<70

41. Identification - abused models abuser
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
modeling behavior after another person is more powerful - though not necessarily admired
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Where child neglect is reported

42. Dec frontal lobe volumes
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
anxious - fearful
inability to remember things that occurred after CNS insult
This gross neurological finding is associated with ADHD

43. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
repeated stimulation leads to decrease response
the epi of sexual abuse
Is body weight maintained within nl range in bulimia nervosa

44. Schizophrenia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

45. LSD
appreciating the amusing nature of an anxiety provoking or adverse situation
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
involunatary withholding of an idea or feeling from conscious awareness
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

46. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
<40 and <20
the types of cluster B personality disorder
the serum markers of alcohol use
the treatment for maternal blues - depression - psychosis

47. Substance withdrawal - signs are often opposite of intoxication
potential tx for nicotine withdrawal
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
Depression
appreciating the amusing nature of an anxiety provoking or adverse situation

48. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
voluntary withholding of an idea or feeling fromk concious awareness
auditory hallucinations common
the evidence for child neglect
Causes of dementia

49. Delirium
maladaptive pattern of substance use with 3 or more of these 7 criteria
odd or eccentric; inability to develop meaningful social relationships
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
the tx for atypical depression

50. Genes > environment
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
mediator between primal urges and accepted behavior
factors are most important in the etiology of schizophrenia
guilty feelings alleviated by unsolicitied generosity towards others

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Psychiatry

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