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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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1. Schizophrenia
heroin users at increased risk of...
How long infant deprivation can last before it leads to irreversible changes
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 mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

2. Dysthymia
milder form of depression lasting at least 2 years
How long infant deprivation can last before it leads to irreversible changes
the tx for bipolar disorder
Number of major depressive episodes constitute major depressive disorder

3. Dissociation - can lead to multiple personality disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
belief that people are either all good or all bad at different times due to intolerance or ambiguity
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

4. Male - known to the victim
the typical abuser in sexual abuse
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
learning in which a particular ation is elicited because it produces a reward
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

5. Positive reinforcement
the evidence for child neglect
whenmen vs women present with schizophrenia
the 3 types of cluster C personality disorder
desired reward produces action - mouse presses button for food

6. Specific phobia
the common sx of PTSD
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
involunatary withholding of an idea or feeling from conscious awareness
the triad of Wernicke's encephalopathy

7. Generalized anxiety disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the order of loss of orientation
the two types of schizoaffective disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

8. In what disease does NE increase - GABA decrease - and 5HT decrease?
Anxiety
Depression
inbability to recall important personal information - usually subsequent to severe trauma or stress
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

9. Marijuana
How long marijuana is detectable in the urine after last use
Where child neglect is reported
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

10. <1mo - usually stress related
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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the time frame for brief pyschotic disorder
This gross neurological finding is associated with ADHD

11. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
Drugs with what kind of affect can lead to a state of delirium
PANICS
behavior acquired by watching others and assimilating actions into one's own repetoire

12. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the tx for OCD
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the concern with use of antidepressants in pts with bipoloar disorder
the 3 types of cluster C personality disorder

13. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
auditory hallucinations common
pieces of evidence of physical child abuse
anterograde amnesia caused by thiamine deficiency
Number of major depressive episodes constitute major depressive disorder

14. CPS
development of delusions in a person in a close relationship with delusional disorder
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
Where child neglect is reported
discontinuation of reinforcement eliminates behavior

15. While going to sleep
the 3 types of cluster C personality disorder
whenhypnagogic hallucinations take place
the tx for panic disorder
Causes of dementia

16. Denial - can occur in new AIDS or cancer diagnosis
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
When separation anxiety disorder usually presents
avoidance of awareness of a some painful reality
disorders in the form of through - the way ideas are tied together

17. 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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18. Precontemplation - contemplation - preparation - action - maintenance - relapse
In ADHD - typical intelligence and school performance
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the stages of change in overcoming substance addiction
depressant intoxication - nonspecific

19. Aspergers
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
voluntary withholding of an idea or feeling fromk concious awareness
olfactory hallucinations common
maladaptive pattern leading to clinically significant impairment or distress

20. Bulimia nervosa
appreciating the amusing nature of an anxiety provoking or adverse situation
the tx for panic disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
strong persistant cross gender identification

21. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the epi of sexual abuse
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the complications/associations of anorexia nervosa
the tx for OCD

22. Naloxone - naltrexone - and symptomatic for withdrawal sx
maladaptive pattern of substance use with 3 or more of these 7 criteria
the tx for opiod intox and withdrawal
the serum markers of alcohol use
discontinuation of reinforcement eliminates behavior

23. Cluster A personality disorder
the treatments for ADHD
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
odd or eccentric; inability to develop meaningful social relationships
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

24. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
IQ<70
the complications of alcoholism
Is body weight maintained within nl range in bulimia nervosa

25. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
learning in which a particular ation is elicited because it produces a reward
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the treatment for maternal blues - depression - psychosis
guilty feelings alleviated by unsolicitied generosity towards others

26. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
turning back the maturational clock and going back to earlier modes of dealing with the world

27. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the definition of alcoholism
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

28. Anticholinergic
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Drugs with what kind of affect can lead to a state of delirium
whenhypnagogic hallucinations take place
When to hypnopompic hallucinations take place

29. Substance abuse
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
maladaptive pattern leading to clinically significant impairment or distress
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Stanford - binet

30. There are rare
gustatroy hallucinations common
whenhypnagogic hallucinations take place
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the epi of sexual abuse

31. LSD
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the treatments for ADHD
intox = restlessness. Withdrawal = irritability - anxiety - craving

32. Dec frontal lobe volumes
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
This gross neurological finding is associated with ADHD
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

33. Depression
potential tx for nicotine withdrawal
in elderly patients who present with dementia - the concern
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
This gross neurological finding is associated with ADHD

34. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
development of delusions in a person in a close relationship with delusional disorder
voluntary withholding of an idea or feeling fromk concious awareness
maladaptive pattern leading to clinically significant impairment or distress

35. Somatization disorders
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the EEG findings in dementia
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
both illness and motivation are subconcious - sx not intentionally produced or feigned

36. Irreversible memory loss - confabulation - personality change

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37. In what disease is DA increase?
mediator between primal urges and accepted behavior
SAD PERSONS
Schizophrenia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

38. Illusion
odd or eccentric; inability to develop meaningful social relationships
misinterpretations of actual external stimulus
mediator between primal urges and accepted behavior
define bipolar disorder and distinguish I from II

39. Yes
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
Is body weight maintained within nl range in bulimia nervosa
Anxiety
When separation anxiety disorder usually presents

40. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
heroin users at increased risk of...
development of delusions in a person in a close relationship with delusional disorder
the tx for atypical depression
PANICS

41. Cluster C personality disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
anxious - fearful
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

42. .1-1% of gen pop - 20% of obscene speech

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43. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
Alzheimers
misinterpretations of actual external stimulus
doctor projects feelings about formative or other important persons onto patient

44. Transference
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Where child neglect is reported
patient projects feelings about formative or other important persons onto physician
associated with winter season - improves in response to full spectrum light exposure

45. Patch - gum - losenge - buproprion - varenicline
Huntingtons
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
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
potential tx for nicotine withdrawal

46. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the common causes of lack or orientation
the typical abuser in physical child abuse

47. Methadone
Korsakoff's psychosis
doctor projects feelings about formative or other important persons onto patient
Long acting oral opiate for heroine detox or long term maintenance
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

48. Occurs while waking up
inbability to recall important personal information - usually subsequent to severe trauma or stress
involunatary withholding of an idea or feeling from conscious awareness
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
When to hypnopompic hallucinations take place

49. Dysthymia followed by hypomania
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
reward received after every response - rapidly extinguished - vending machine
cyclothymia disorder
pieces of evidence for sexual child abuse

50. BDZ
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Causes of dementia
intox = ataxia - minor respiratory depression
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment