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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. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
whenmen vs women present with schizophrenia
the evidence for child neglect
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
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

2. Dysthymia
reward received after every response - rapidly extinguished - vending machine
the epi of physical child abuse
milder form of depression lasting at least 2 years
the 4 W's of deprived babies?

3. Genital/anal trauma - STDs and UTIs
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
turning back the maturational clock and going back to earlier modes of dealing with the world
100 - 15
pieces of evidence for sexual child abuse

4. Maternal blues 50 to 85%
Drugs with what kind of affect can lead to a state of delirium
the complications of alcoholism
the tx for alcoholism
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

5. Personality trait
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for BDZ intox - MOA
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
persistent re - experiencing of a previous traumatic event

6. .1-1% of gen pop - 20% of obscene speech

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7. The criteria for mental retardation?
Schizophrenia
IQ<70
depressant intoxication - nonspecific
the common causes of lack or orientation

8. Yes
Parkinsons
less than what percentage of ideal body weight is common in anorexia nervosa
Korsakoff's psychosis
Is body weight maintained within nl range in bulimia nervosa

9. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
the goal of the ego defenses
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the 5 types of schizophrenia

10. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
DIG FAST
the associations/complications of bulimia nervosa
this drug is a risk factor for schizophrenia in teens
Korsakoff's psychosis

11. Altruism - mafia boss makes a large donation to charity
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
guilty feelings alleviated by unsolicitied generosity towards others
a hypomanic episode
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

12. 6 months
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Huntingtons
How long infant deprivation can last before it leads to irreversible changes
SAD PERSONS

13. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Where child neglect is reported
the definition of alcoholism
application of aversive stimulus extinguishes unwanted behavior

14. CPS
potential tx for nicotine withdrawal
avoidance of awareness of a some painful reality
Where child neglect is reported
modeling behavior after another person is more powerful - though not necessarily admired

15. Continuous reinforcement schedule
associated with winter season - improves in response to full spectrum light exposure
reward received after every response - rapidly extinguished - vending machine
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Long acting oral opiate for heroine detox or long term maintenance

16. In what disease is ACH decrease?
Alzheimers
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
development of delusions in a person in a close relationship with delusional disorder
anxious - fearful

17. In what disease does NE increase - GABA decrease - and 5HT decrease?
doctor projects feelings about formative or other important persons onto patient
Anxiety
Moral values - conscience can lead to self blame and attacks of ego
exaggerated fear of embarrasment in social situations - disorder and tx

18. 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
inability to remember things that occurred after CNS insult
the definition of alcoholism
whering clothes of the opposite sex
SAD PERSONS

19. Peak incidence 9-12 years of age
the 5 types of schizophrenia
misinterpretations of actual external stimulus
reward received after random number of responses - slowly extinguished - slot machine
the epi of sexual abuse

20. Somatization disorder
inability to remember things that occurred after CNS insult
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the 4 W's of deprived babies?
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

21. Alcohol
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Depression
DIG FAST
the evidence for child neglect

22. Anxiety - tremor - seizures - insomnia
depressant withdrawal - nonspecific
appreciating the amusing nature of an anxiety provoking or adverse situation
intense fear and discomfort peaking in 10 minutes
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

23. Gender identity disorder
strong persistant cross gender identification
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

24. 1 month
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
Is body weight maintained within nl range in bulimia nervosa
How long marijuana is detectable in the urine after last use

25. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
Separation of feelings from ideas and events
depressant intoxication - nonspecific
psychiatric disorder associated with tourrettes - and the treatment
desire to live as the opposite sex - through surgery or hormone tx

26. Disulfiram and supportive care
define bipolar disorder and distinguish I from II
the complications/associations of anorexia nervosa
the tx for alcoholism
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

27. Korsakoff's amnesia
odd or eccentric; inability to develop meaningful social relationships
the non specific signs of stimulant intox and withdrawal
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
anterograde amnesia caused by thiamine deficiency

28. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
heroin users at increased risk of...
child neglect
depressant intoxication - nonspecific

29. Barbituates
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
olfactory hallucinations common
the tx of W- K syndrome
pieces of evidence for sexual child abuse

30. Depression
in elderly patients who present with dementia - the concern
misinterpretations of actual external stimulus
partially remaining at more childish level of development
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

31. Occurs while waking up
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the tx for opiod intox and withdrawal
When to hypnopompic hallucinations take place
tactile hallucinations common

32. Munchausen's syndrome by proxy
Moral values - conscience can lead to self blame and attacks of ego
the 5 types of schizophrenia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

33. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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34. Dipoloar or depressive
the two types of schizoaffective disorder
appreciating the amusing nature of an anxiety provoking or adverse situation
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the time frame for brief pyschotic disorder

35. Nl
Drugs with what kind of affect can lead to a state of delirium
IQ<70
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the EEG findings in dementia

36. Rett's disorder
How long infant deprivation can last before it leads to irreversible changes
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
Where child neglect is reported
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

37. Acting out
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
tantrums
Parkinsons
the central goa of freudian psychoanalysis

38. Confusion - opthalmoplegia - and ataxia

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39. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
the tx for opiod intox and withdrawal
partially remaining at more childish level of development
DIG FAST
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

40. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the associations/complications of bulimia nervosa
the non specific signs of stimulant intox and withdrawal
Drugs with what kind of affect can lead to a state of delirium
an unacceptable internal impulse is attributed to an external source

41. Generalized anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the concern with use of antidepressants in pts with bipoloar disorder
How long episodes of major depressive episode usually last
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

42. Before 7
intox = restlessness. Withdrawal = irritability - anxiety - craving
process whereby avoided ideas and feelings are transferred to some neutral person or object
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the age of onset of ADHD

43. Like manic but without marked impairement in fxning - no pyschotic features
a hypomanic episode
the 5 types of schizophrenia
depressant intoxication - nonspecific
associated with winter season - improves in response to full spectrum light exposure

44. Gamma glutamyltransferase - GGT - AST 2x ALT
depressant intoxication - nonspecific
the serum markers of alcohol use
the triad of Wernicke's encephalopathy
desired reward produces action - mouse presses button for food

45. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
belief that people are either all good or all bad at different times due to intolerance or ambiguity

46. Cluster A personality disorder
milder form of depression lasting at least 2 years
the tx of W- K syndrome
odd or eccentric; inability to develop meaningful social relationships
visual hallucinations common

47. Denial - can occur in new AIDS or cancer diagnosis
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
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
avoidance of awareness of a some painful reality
anterograde amnesia caused by thiamine deficiency

48. Anticholinergic
gustatroy hallucinations common
Drugs with what kind of affect can lead to a state of delirium
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

49. Illusion
misinterpretations of actual external stimulus
in elderly patients who present with dementia - the concern
dramatic - emotional or erratic
Drugs with what kind of affect can lead to a state of delirium

50. Manic episdoe
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
gender autism is more common in
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the tx for bipolar disorder