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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. Genes > environment
PANICS
factors are most important in the etiology of schizophrenia
In ADHD - typical intelligence and school performance
the time frame for schizophreniform disorder

2. 6-12 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
How long episodes of major depressive episode usually last
the typical abuser in sexual abuse
the epi of sexual abuse

3. Body dysmorphic disorder
the associations/complications of bulimia nervosa
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the tx for BDZ intox - MOA
desired reward produces action - mouse presses button for food

4. MAOi - SSRIs
the tx for alcoholism
behavior achieved following reward of closer and closer approximations of desired behavior
the tx for atypical depression
Stanford - binet

5. In what disease is ACH decrease?
whenmen vs women present with schizophrenia
the epi of sexual abuse
Alzheimers
the tx for OCD

6. Ego - take it and you will get in trouble
Schizophrenia
associated with winter season - improves in response to full spectrum light exposure
dramatic - emotional or erratic
mediator between primal urges and accepted behavior

7. Extinction
discontinuation of reinforcement eliminates behavior
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

8. ADHD
the typical abuser in sexual abuse
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
delerium tremens symptoms
voluntary withholding of an idea or feeling fromk concious awareness

9. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
milder form of depression lasting at least 2 years
the common sx of PTSD
the tx for panic disorder

10. Loose associations
associated with winter season - improves in response to full spectrum light exposure
disorders in the form of through - the way ideas are tied together
suboxone and the rational of adding an antagonist
olfactory hallucinations common

11. Precontemplation - contemplation - preparation - action - maintenance - relapse
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the types of cluster B personality disorder
the stages of change in overcoming substance addiction
depressant withdrawal - nonspecific

12. Inc mania - high suicide risk
the concern with use of antidepressants in pts with bipoloar disorder
the treatment for maternal blues - depression - psychosis
Stanford - binet
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

13. Sensitization
persistent re - experiencing of a previous traumatic event
the common sx of PTSD
repeated stimulation lead sot increase response
reward received after every response - rapidly extinguished - vending machine

14. Yes
Is body weight maintained within nl range in bulimia nervosa
Korsakoff's psychosis
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

15. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Huntingtons

16. Opiods
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the EEG findings in dementia
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
gustatroy hallucinations common

17. Generalized anxiety disorder
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Korsakoff's psychosis

18. Severe and profound MR?
<40 and <20
the epi of sexual abuse
depressant withdrawal - nonspecific
Under these conditions do children regress to younger patterns of behavior

19. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
intox = ataxia - minor respiratory depression
the central goa of freudian psychoanalysis
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the associations/complications of bulimia nervosa

20. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
Anxiety
whering clothes of the opposite sex
define bipolar disorder and distinguish I from II
turning back the maturational clock and going back to earlier modes of dealing with the world

21. Shaping (social learning)
this drug is a risk factor for schizophrenia in teens
What ego dystonic means in relation to OCD
development of delusions in a person in a close relationship with delusional disorder
behavior achieved following reward of closer and closer approximations of desired behavior

22. Specific phobia
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
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
Drugs with what kind of affect can lead to a state of delirium
repeated stimulation leads to decrease response

23. In what diseaese is DA decrease - 5HT increase - and increase ACH?
voluntary withholding of an idea or feeling fromk concious awareness
the tx for alcoholism
Parkinsons
Anxiety

24. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
inability to remember things that occurred before CNS insult
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

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

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26. <1mo - usually stress related
misinterpretations of actual external stimulus
intox = restlessness. Withdrawal = irritability - anxiety - craving
Is body weight maintained within nl range in bulimia nervosa
the time frame for brief pyschotic disorder

27. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
anterograde amnesia caused by thiamine deficiency
PANICS
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

28. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
an unacceptable internal impulse is attributed to an external source
the triad of Wernicke's encephalopathy
persistent re - experiencing of a previous traumatic event
Causes of dementia

29. 1-6 months
Where child neglect is reported
reward received after every response - rapidly extinguished - vending machine
the time frame for schizophreniform disorder
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

30. Punishment
application of aversive stimulus extinguishes unwanted behavior
Causes of dementia
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the associations/complications of bulimia nervosa

31. In what disease is DA increase?
Schizophrenia
anterograde amnesia caused by thiamine deficiency
Long acting oral opiate for heroine detox or long term maintenance
the order of loss of orientation

32. 3000 deaths/yr in the US
depressant intoxication - nonspecific
the common causes of lack or orientation
the order of loss of orientation
the epi of physical child abuse

33. Orientation
an unacceptable internal impulse is attributed to an external source
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

34. Caffeine
intox = restlessness - increase diureis - muscle twitching
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
repeated stimulation leads to decrease response
Diagnosis requres 2 of 5 of which sx

35. SSRIs - clomipramine
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
tactile hallucinations common
the tx for OCD

36. Blacks=whites - males = females - 1.5% lifetime prev
visual hallucinations common
How long infant deprivation can last before it leads to irreversible changes
gets schizophrenia and the prev
the typical abuser in physical child abuse

37. BDZ
delerium tremens symptoms
intox = ataxia - minor respiratory depression
inbability to recall important personal information - usually subsequent to severe trauma or stress
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

38. Positive reinforcement
milder form of depression lasting at least 2 years
desired reward produces action - mouse presses button for food
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
tantrums

39. Id - subconcious - I want it
the treatment for maternal blues - depression - psychosis
the order of loss of orientation
reward received after every response - rapidly extinguished - vending machine
primal urges - freud

40. Delusions
dramatic - emotional or erratic
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the EEG findings in dementia
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

41. Conduct disorder <18 - antisocial personality disorder > 18
whering clothes of the opposite sex
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
whenhypnagogic hallucinations take place
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

42. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
process whereby avoided ideas and feelings are transferred to some neutral person or object
pieces of evidence of physical child abuse
the two types of schizoaffective disorder
the triad of Wernicke's encephalopathy

43. Munchausen's syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Stanford - binet
the EEG findings in dementia
the time frame for brief pyschotic disorder

44. Disulfiram and supportive care
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
depressant intoxication - nonspecific
the tx for alcoholism
the complications of alcoholism

45. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
<40 and <20
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

46. Irreversible memory loss - confabulation - personality change

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47. Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Korsakoff's psychosis
In ADHD - typical intelligence and school performance
disorders in the form of through - the way ideas are tied together

48. Paranoid - disorganized - catatonic - undifferentiated - residual
PANICS
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the 5 types of schizophrenia
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

49. Normal intel - trouble in school
the non specific signs of stimulant intox and withdrawal
the common causes of lack or orientation
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
In ADHD - typical intelligence and school performance

50. Gender identity disorder
How long does the disturbance last in PTSD
the tx for opiod intox and withdrawal
strong persistant cross gender identification
causes wernicke - korsakoff syndrome