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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. Dysthymia followed by hypomania
cyclothymia disorder
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
psychiatric disorder associated with tourrettes - and the treatment

2. Manic episdoe
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the 4 W's of deprived babies?
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
heroin users at increased risk of...

3. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
behavior achieved following reward of closer and closer approximations of desired behavior
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

4. 6 months
child neglect
voluntary withholding of an idea or feeling fromk concious awareness
intense fear and discomfort peaking in 10 minutes
How long infant deprivation can last before it leads to irreversible changes

5. Like manic but without marked impairement in fxning - no pyschotic features
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
a hypomanic episode
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
inability to remember things that occurred before CNS insult

6. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the serum markers of alcohol use
both illness and motivation are subconcious - sx not intentionally produced or feigned
the time frame for brief pyschotic disorder

7. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
the serum markers of alcohol use
suboxone and the rational of adding an antagonist
the non specific signs of stimulant intox and withdrawal
dramatic - emotional or erratic

8. Blacks=whites - males = females - 1.5% lifetime prev
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
gets schizophrenia and the prev
this drug is a risk factor for schizophrenia in teens
involunatary withholding of an idea or feeling from conscious awareness

9. Substance withdrawal - signs are often opposite of intoxication
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
partially remaining at more childish level of development
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
involunatary withholding of an idea or feeling from conscious awareness

10. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
the common causes of lack or orientation
the tx for OCD
the tx for atypical depression

11. The criteria for mental retardation?
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the treatment for maternal blues - depression - psychosis
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
IQ<70

12. Humor - nervous med student jokes about boards
Korsakoff's psychosis
anterograde amnesia caused by thiamine deficiency
appreciating the amusing nature of an anxiety provoking or adverse situation
Stanford - binet

13. Alcohol
the 5 types of schizophrenia
modeling behavior after another person is more powerful - though not necessarily admired
the treatment for EtOH intox and withdrawal
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

14. Conduct disorder <18 - antisocial personality disorder > 18
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the tx for opiod intox and withdrawal
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

15. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the various types of cluster A personality disorder
the treatment for EtOH intox and withdrawal
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

16. Normal intel - trouble in school
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the 4 W's of deprived babies?
the tx for bipolar disorder
In ADHD - typical intelligence and school performance

17. Hallucination
perceptions in the absence of external stimulus
the treatment for EtOH intox and withdrawal
Alzheimers
tantrums

18. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
pieces of evidence for sexual child abuse
Anxiety
SIG E CAPS and the criteria for dx
modeling behavior after another person is more powerful - though not necessarily admired

19. Severe and profound MR?
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
<40 and <20
the goal of the ego defenses

20. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
an unacceptable internal impulse is attributed to an external source
the triad of Wernicke's encephalopathy
the two types of schizoaffective disorder

21. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the time frame for brief pyschotic disorder
behavior acquired by watching others and assimilating actions into one's own repetoire
the 3 types of cluster C personality disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

22. CPS
the serum markers of alcohol use
the time frame for schizophreniform disorder
Where child neglect is reported
partially remaining at more childish level of development

23. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
application of aversive stimulus extinguishes unwanted behavior
exaggerated fear of embarrasment in social situations - disorder and tx
inbability to recall important personal information - usually subsequent to severe trauma or stress

24. 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
Anxiety
Number of major depressive episodes constitute major depressive disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
SAD PERSONS

25. 85 percent
Alzheimers
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
pieces of evidence for sexual child abuse
less than what percentage of ideal body weight is common in anorexia nervosa

26. Gender identity disorder
the two types of schizoaffective disorder
maladaptive pattern leading to clinically significant impairment or distress
strong persistant cross gender identification
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

27. 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
Under these conditions do children regress to younger patterns of behavior
Drugs with what kind of affect can lead to a state of delirium
gets schizophrenia and the prev

28. BDZ
involunatary withholding of an idea or feeling from conscious awareness
Separation of feelings from ideas and events
intox = ataxia - minor respiratory depression
turning back the maturational clock and going back to earlier modes of dealing with the world

29. Paranoid - disorganized - catatonic - undifferentiated - residual
SAD PERSONS
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the 5 types of schizophrenia

30. There are rare
the tx for alcoholism
gustatroy hallucinations common
intox = restlessness. Withdrawal = irritability - anxiety - craving
Parkinsons

31. Thiamine deficiency
causes wernicke - korsakoff syndrome
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
inability to remember things that occurred after CNS insult
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

32. Superego - you know you can't have it - taking it is wrong
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Number of major depressive episodes constitute major depressive disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Moral values - conscience can lead to self blame and attacks of ego

33. Countertransference
Huntingtons
doctor projects feelings about formative or other important persons onto patient
Schizophrenia
child neglect

34. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
IQ<70
the tx for GAD
Where child neglect is reported

35. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the tx for BDZ intox - MOA
the goal of the ego defenses
the common sx of PTSD

36. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the tx for alcoholism
the evidence for child neglect
primal urges - freud

37. Cluster A personality disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
heroin users at increased risk of...
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
odd or eccentric; inability to develop meaningful social relationships

38. Female primary caregiver
pieces of evidence of physical child abuse
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the typical abuser in physical child abuse

39. Nicotine
intox = restlessness. Withdrawal = irritability - anxiety - craving
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
primal urges - freud
whenmen vs women present with schizophrenia

40. Ego - take it and you will get in trouble
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
in elderly patients who present with dementia - the concern
mediator between primal urges and accepted behavior
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

41. OCD - haloperidol
tactile hallucinations common
Huntingtons
psychiatric disorder associated with tourrettes - and the treatment
the 4 W's of deprived babies?

42. BDZ - busiprone - SSRIs
the tx of W- K syndrome
the tx for GAD
the 5 types of schizophrenia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

43. Acting out
tantrums
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
Moral values - conscience can lead to self blame and attacks of ego
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

44. Shaping (social learning)
appreciating the amusing nature of an anxiety provoking or adverse situation
the non specific signs of stimulant intox and withdrawal
patient projects feelings about formative or other important persons onto physician
behavior achieved following reward of closer and closer approximations of desired behavior

45. Habituation - simple learning
desire to live as the opposite sex - through surgery or hormone tx
repeated stimulation leads to decrease response
anterograde amnesia caused by thiamine deficiency
misinterpretations of actual external stimulus

46. Specific phobia
Where child neglect is reported
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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
gender autism is more common in

47. OCD
DIG FAST
application of aversive stimulus extinguishes unwanted behavior
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

48. Naltrexone and BDZ
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the treatment for EtOH intox and withdrawal
involunatary withholding of an idea or feeling from conscious awareness
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

49. Schizophrenia
patient projects feelings about formative or other important persons onto physician
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
auditory hallucinations common

50. Male - known to the victim
reward received after random number of responses - slowly extinguished - slot machine
anxious - fearful
the typical abuser in sexual abuse
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis