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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. Substance withdrawal - signs are often opposite of intoxication
SAD PERSONS
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
an unacceptable internal impulse is attributed to an external source

2. 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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3. Modeling (social learning)

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4. Malingering
in elderly patients who present with dementia - the concern
the various types of cluster A personality disorder
Diagnosis requres 2 of 5 of which sx
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

5. Sublimation - actress using an experience of abuse to enhance her acting
the treatment for EtOH intox and withdrawal
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
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
What ego dystonic means in relation to OCD

6. The mean IQ and SD?
100 - 15
avoidance of awareness of a some painful reality
When separation anxiety disorder usually presents
misinterpretations of actual external stimulus

7. Shared delusional disorder
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
repeated stimulation leads to decrease response
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
development of delusions in a person in a close relationship with delusional disorder

8. Maternal blues 50 to 85%
autism with unusual abilities
gender autism is more common in
the common sx of PTSD
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

9. 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
belief that people are either all good or all bad at different times due to intolerance or ambiguity
SIG E CAPS and the criteria for dx
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

10. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Where child neglect is reported
Parkinsons
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
avoidance of awareness of a some painful reality

11. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the goal of the ego defenses
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the epi of physical child abuse

12. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
the treatment for EtOH intox and withdrawal
Alzheimers
the non specific signs of stimulant intox and withdrawal

13. Atypical depression
In ADHD - typical intelligence and school performance
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
avoidance of awareness of a some painful reality

14. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the tx for bipolar disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
repeated stimulation lead sot increase response
the concern with use of antidepressants in pts with bipoloar disorder

15. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Stanford - binet
When separation anxiety disorder usually presents

16. Delirium
less than what percentage of ideal body weight is common in anorexia nervosa
visual hallucinations common
the serum markers of alcohol use
guilty feelings alleviated by unsolicitied generosity towards others

17. Aspergers
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
strong persistant cross gender identification
Long acting oral opiate for heroine detox or long term maintenance

18. Amphetamines
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
doctor projects feelings about formative or other important persons onto patient
the tx for bipolar disorder

19. 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
Number of major depressive episodes constitute major depressive disorder
Moral values - conscience can lead to self blame and attacks of ego
causes wernicke - korsakoff syndrome

20. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
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
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
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

21. Personality trait
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the goal of the ego defenses
How long marijuana is detectable in the urine after last use

22. Genes > environment
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the tx for atypical depression
factors are most important in the etiology of schizophrenia
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

23. Delirium/secondary to other illness
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the non specific signs of stimulant intox and withdrawal
the common causes of lack or orientation

24. While going to sleep
a hypomanic episode
whenhypnagogic hallucinations take place
the tx for opiod intox and withdrawal
perceptions in the absence of external stimulus

25. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
Anxiety
anterograde amnesia caused by thiamine deficiency

26. Body dysmorphic disorder
gustatroy hallucinations common
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
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
DIG FAST

27. ECT - disorientation amnesia - usually resolves in 6 months
Anxiety
belief that people are either all good or all bad at different times due to intolerance or ambiguity
When separation anxiety disorder usually presents
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

28. 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
Moral values - conscience can lead to self blame and attacks of ego
SAD PERSONS
cyclothymia disorder
dramatic - emotional or erratic

29. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
potential tx for nicotine withdrawal
IQ<70
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

30. Cluster B personality disorder
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
dramatic - emotional or erratic
SAD PERSONS

31. 85 percent
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
less than what percentage of ideal body weight is common in anorexia nervosa
Schizophrenia
the complications of alcoholism

32. Periventricular hemorrhage/necrosis of mamillary bodies
neurologic outcome associated with W- K syndrome
depressant withdrawal - nonspecific
modeling behavior after another person is more powerful - though not necessarily admired
the central goa of freudian psychoanalysis

33. LSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Number of major depressive episodes constitute major depressive disorder
heroin users at increased risk of...
the typical abuser in sexual abuse

34. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the treatment for maternal blues - depression - psychosis
disorders in the form of through - the way ideas are tied together
anterograde amnesia caused by thiamine deficiency
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

35. Anorexia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
whering clothes of the opposite sex
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
tactile hallucinations common

36. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
depressant intoxication - nonspecific
the common sx of PTSD
What ego dystonic means in relation to OCD
Is body weight maintained within nl range in bulimia nervosa

37. Dec frontal lobe volumes
Causes of dementia
This gross neurological finding is associated with ADHD
in elderly patients who present with dementia - the concern
less than what percentage of ideal body weight is common in anorexia nervosa

38. Boys
gender autism is more common in
milder form of depression lasting at least 2 years
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

39. Severe and profound MR?
Long acting oral opiate for heroine detox or long term maintenance
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
<40 and <20
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

40. Gamma glutamyltransferase - GGT - AST 2x ALT
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the treatment for EtOH intox and withdrawal
the serum markers of alcohol use
the typical abuser in physical child abuse

41. Aura of psychomotor epilepsy and in brain tumors
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
olfactory hallucinations common
doctor projects feelings about formative or other important persons onto patient
the typical abuser in physical child abuse

42. Retrograde amnesia
How long infant deprivation can last before it leads to irreversible changes
inability to remember things that occurred before CNS insult
the tx for OCD
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

43. Generalized anxiety disorder
the tx for bipolar disorder
Anxiety
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
auditory hallucinations common

44. Habituation - simple learning
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
maladaptive pattern of substance use with 3 or more of these 7 criteria
repeated stimulation leads to decrease response
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

45. Depersonalization disorder

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46. Supression - not thinking about the USMLE until the week of the exam
This gross neurological finding is associated with ADHD
reward received after every response - rapidly extinguished - vending machine
guilty feelings alleviated by unsolicitied generosity towards others
voluntary withholding of an idea or feeling fromk concious awareness

47. Munchausen's syndrome by proxy
the serum markers of alcohol use
anterograde amnesia caused by thiamine deficiency
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

48. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the tx for panic disorder
the complications/associations of anorexia nervosa
the 3 types of cluster C personality disorder
learning in which a particular ation is elicited because it produces a reward

49. Postpartum psyschosis - .1 to .2%
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
child neglect
the treatment for maternal blues - depression - psychosis

50. Extinction
the time frame for brief pyschotic disorder
gets schizophrenia and the prev
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
discontinuation of reinforcement eliminates behavior

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Psychiatry

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