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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. 1-6 months
the time frame for schizophreniform disorder
intox = ataxia - minor respiratory depression
heroin users at increased risk of...
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

2. Hallucination
odd or eccentric; inability to develop meaningful social relationships
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
dramatic - emotional or erratic
perceptions in the absence of external stimulus

3. CPS
development of delusions in a person in a close relationship with delusional disorder
Where child neglect is reported
Schizophrenia
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

4. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
whering clothes of the opposite sex
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
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the complications/associations of anorexia nervosa

5. Anterograde amnesia
repeated stimulation lead sot increase response
cyclothymia 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
inability to remember things that occurred after CNS insult

6. Depersonalization disorder

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7. Caffeine
the time frame for schizophreniform disorder
intox = restlessness - increase diureis - muscle twitching
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

8. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
milder form of depression lasting at least 2 years
gets schizophrenia and the prev

9. Id - subconcious - I want it
the definition of alcoholism
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the associations/complications of bulimia nervosa
primal urges - freud

10. Depression
Causes of dementia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the 3 types of cluster C personality disorder
in elderly patients who present with dementia - the concern

11. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
When separation anxiety disorder usually presents
When to hypnopompic hallucinations take place
strong persistant cross gender identification

12. Projection - a man who wants another women thinks his wife is cheating on him
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the time frame for brief pyschotic disorder
How long infant deprivation can last before it leads to irreversible changes
an unacceptable internal impulse is attributed to an external source

13. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
disorders in the form of through - the way ideas are tied together
the complications of alcoholism
maladaptive pattern leading to clinically significant impairment or distress
causes wernicke - korsakoff syndrome

14. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
Under these conditions do children regress to younger patterns of behavior
milder form of depression lasting at least 2 years
the tx for bipolar disorder
Long acting oral opiate for heroine detox or long term maintenance

15. The mean IQ and SD?
cyclothymia disorder
How long does the disturbance last in PTSD
100 - 15
milder form of depression lasting at least 2 years

16. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
the time frame for brief pyschotic disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
strong persistant cross gender identification

17. Loose associations
disorders in the form of through - the way ideas are tied together
this drug is a risk factor for schizophrenia in teens
anxious - fearful
the various types of cluster A personality disorder

18. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
Moral values - conscience can lead to self blame and attacks of ego
this drug is a risk factor for schizophrenia in teens
tantrums

19. Savant
autism with unusual abilities
When separation anxiety disorder usually presents
maladaptive pattern of substance use with 3 or more of these 7 criteria
Drugs with what kind of affect can lead to a state of delirium

20. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the associations/complications of bulimia nervosa
PANICS
a hypomanic episode

21. Orientation
repeated stimulation leads to decrease response
the time frame for schizophreniform disorder
the serum markers of alcohol use
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

22. Sensitization
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
repeated stimulation lead sot increase response
intox = restlessness. Withdrawal = irritability - anxiety - craving
whering clothes of the opposite sex

23. Delusional disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
100 - 15
the tx for OCD
gets schizophrenia and the prev

24. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
Where child neglect is reported
discontinuation of reinforcement eliminates behavior
tactile hallucinations common

25. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
Number of major depressive episodes constitute major depressive disorder
in elderly patients who present with dementia - the concern
the time frame for brief pyschotic disorder

26. Dementia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
100 - 15
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
behavior acquired by watching others and assimilating actions into one's own repetoire

27. The criteria for mental retardation?
SIG E CAPS and the criteria for dx
Moral values - conscience can lead to self blame and attacks of ego
inability to remember things that occurred before CNS insult
IQ<70

28. EtOH withdrawal - cocaine abusers
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
tactile hallucinations common
the stages of change in overcoming substance addiction
repeated stimulation leads to decrease response

29. Cocaine
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Under these conditions do children regress to younger patterns of behavior
an unacceptable internal impulse is attributed to an external source
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

30. Opiods
the epi of physical child abuse
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

31. Dissociative identity disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the definition of alcoholism
inbability to recall important personal information - usually subsequent to severe trauma or stress
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

32. Variable ratio reinforcement schedule
reward received after random number of responses - slowly extinguished - slot machine
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the concern with use of antidepressants in pts with bipoloar disorder
desired reward produces action - mouse presses button for food

33. Substance withdrawal - signs are often opposite of intoxication
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
SIG E CAPS and the criteria for dx
learning in which a particular ation is elicited because it produces a reward
modeling behavior after another person is more powerful - though not necessarily admired

34. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the tx for bipolar disorder
the goal of the ego defenses
the non specific signs of stimulant intox and withdrawal
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

35. In what disease does NE decrease - 5HT decrease and DA decrease?
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Depression
disorders in the form of through - the way ideas are tied together
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

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

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37. SSRIs - clomipramine
the tx for OCD
the 4 W's of deprived babies?
persistent re - experiencing of a previous traumatic event
the common causes of lack or orientation

38. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
the order of loss of orientation
dramatic - emotional or erratic
pieces of evidence of physical child abuse
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

39. Splitting - a pt that says all nurses are nice and all doctors are bad
PANICS
intox = ataxia - minor respiratory depression
anterograde amnesia caused by thiamine deficiency
belief that people are either all good or all bad at different times due to intolerance or ambiguity

40. Personality disorder
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
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
the various types of cluster A personality disorder
the treatment for maternal blues - depression - psychosis

41. While going to sleep
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
whenhypnagogic hallucinations take place
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
reward received after random number of responses - slowly extinguished - slot machine

42. Continuous reinforcement schedule
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
reward received after every response - rapidly extinguished - vending machine
the tx for BDZ intox - MOA

43. PTSD
learning in which a particular ation is elicited because it produces a reward
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
persistent re - experiencing of a previous traumatic event
partially remaining at more childish level of development

44. Transference
delerium tremens symptoms
patient projects feelings about formative or other important persons onto physician
Moral values - conscience can lead to self blame and attacks of ego
the serum markers of alcohol use

45. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
primal urges - freud
child neglect
How long infant deprivation can last before it leads to irreversible changes
modeling behavior after another person is more powerful - though not necessarily admired

46. Cluster B personality disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Diagnosis requres 2 of 5 of which sx
the evidence for child neglect
dramatic - emotional or erratic

47. Before 7
both illness and motivation are subconcious - sx not intentionally produced or feigned
IQ<70
the age of onset of ADHD
Drugs with what kind of affect can lead to a state of delirium

48. Bulimia nervosa
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
less than what percentage of ideal body weight is common in anorexia nervosa

49. Normal intel - trouble in school
In ADHD - typical intelligence and school performance
the evidence for child neglect
When to hypnopompic hallucinations take place
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

50. Mallory weiss syndrome
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
potential tx for nicotine withdrawal
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite