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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. Separation anxiety disorder
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
repeated stimulation lead sot increase response
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

2. Identification - abused models abuser
modeling behavior after another person is more powerful - though not necessarily admired
the non specific signs of stimulant intox and withdrawal
learning in which a particular ation is elicited because it produces a reward
odd or eccentric; inability to develop meaningful social relationships

3. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
child neglect
tantrums
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

4. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the non specific signs of stimulant intox and withdrawal
Schizophrenia
the triad of Wernicke's encephalopathy
discontinuation of reinforcement eliminates behavior

5. Flumazenil - competitive GABA antagonist
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the typical abuser in sexual abuse
the treatment for EtOH intox and withdrawal
the tx for BDZ intox - MOA

6. Autism
anterograde amnesia caused by thiamine deficiency
Stanford - binet
factors are most important in the etiology of schizophrenia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

7. Amphetamines
the tx for OCD
the 4 W's of deprived babies?
Korsakoff's psychosis
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

8. Cluster C personality disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
auditory hallucinations common
anxious - fearful
the tx for alcoholism

9. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
the concern with use of antidepressants in pts with bipoloar disorder
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
repeated stimulation leads to decrease response

10. 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
development of delusions in a person in a close relationship with delusional disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
SIG E CAPS and the criteria for dx
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

11. Substance withdrawal - signs are often opposite of intoxication
the associations/complications of bulimia nervosa
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
Under these conditions do children regress to younger patterns of behavior

12. 1 month
<40 and <20
How long marijuana is detectable in the urine after last use
less than what percentage of ideal body weight is common in anorexia nervosa
SAD PERSONS

13. To make the patient aware of hidden in their unconcious
repeated stimulation leads to decrease response
in elderly patients who present with dementia - the concern
the central goa of freudian psychoanalysis
inability to remember things that occurred before CNS insult

14. Bulimia nervosa
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
heroin users at increased risk of...
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
doctor projects feelings about formative or other important persons onto patient

15. Oppositional defiant disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
associated with winter season - improves in response to full spectrum light exposure
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
in elderly patients who present with dementia - the concern

16. Genes > environment
factors are most important in the etiology of schizophrenia
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
desired reward produces action - mouse presses button for food
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

17. Factitious disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
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
maladaptive pattern of substance use with 3 or more of these 7 criteria
How long marijuana is detectable in the urine after last use

18. Dissociative fatigue
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the epi of sexual abuse
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
gets schizophrenia and the prev

19. ADHD
the order of loss of orientation
potential tx for nicotine withdrawal
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
Anxiety

20. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
misinterpretations of actual external stimulus
the typical abuser in physical child abuse
the tx for alcoholism

21. Disulfiram and supportive care
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
the tx for alcoholism
the two types of schizoaffective disorder
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

22. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
heroin users at increased risk of...
the time frame for brief pyschotic disorder

23. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
the central goa of freudian psychoanalysis
the complications of alcoholism
odd or eccentric; inability to develop meaningful social relationships
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

24. Cocaine
How long episodes of major depressive episode usually last
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
pieces of evidence for sexual child abuse
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

25. Weed
IQ<70
the tx of W- K syndrome
this drug is a risk factor for schizophrenia in teens
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

26. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the types of cluster B personality disorder
When to hypnopompic hallucinations take place
the definition of alcoholism
the age of onset of ADHD

27. Reaction formation - a patient with libidinous thoughts enters a monastery
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Parkinsons
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the typical abuser in physical child abuse

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
How long episodes of major depressive episode usually last
factors are most important in the etiology of schizophrenia
SAD PERSONS
Where child neglect is reported

29. Altruism - mafia boss makes a large donation to charity
the tx for OCD
the age of onset of ADHD
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
guilty feelings alleviated by unsolicitied generosity towards others

30. Gamma glutamyltransferase - GGT - AST 2x ALT
the treatment for maternal blues - depression - psychosis
Causes of dementia
the serum markers of alcohol use
heroin users at increased risk of...

31. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the tx for BDZ intox - MOA
IQ<70
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

32. Thiamine deficiency
Korsakoff's psychosis
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
causes wernicke - korsakoff syndrome
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

33. Time then place then person
misinterpretations of actual external stimulus
the order of loss of orientation
process whereby avoided ideas and feelings are transferred to some neutral person or object
Where child neglect is reported

34. 6-12 months
intense fear and discomfort peaking in 10 minutes
DIG FAST
How long episodes of major depressive episode usually last
the various types of cluster A personality disorder

35. Somatization disorder
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

36. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
olfactory hallucinations common
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
dramatic - emotional or erratic
suboxone and the rational of adding an antagonist

37. Orientation
the tx for atypical depression
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
tantrums
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

38. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
intense fear and discomfort peaking in 10 minutes
the complications/associations of anorexia nervosa
the typical abuser in physical child abuse

39. Hallucination
avoidance of awareness of a some painful reality
inability to remember things that occurred after CNS insult
autism with unusual abilities
perceptions in the absence of external stimulus

40. Cluster A personality disorder
discontinuation of reinforcement eliminates behavior
a hypomanic episode
odd or eccentric; inability to develop meaningful social relationships
Korsakoff's psychosis

41. Severe and profound MR?
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the common causes of lack or orientation
the treatments for ADHD
<40 and <20

42. Rett's disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
anxious - fearful
the common sx of PTSD
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

43. Regression - seen in children under stress and in patients on dialysis (crying)
voluntary withholding of an idea or feeling fromk concious awareness
the time frame for schizophreniform disorder
turning back the maturational clock and going back to earlier modes of dealing with the world
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

44. Habituation - simple learning
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
odd or eccentric; inability to develop meaningful social relationships
the tx for atypical depression
repeated stimulation leads to decrease response

45. Naloxone - naltrexone - and symptomatic for withdrawal sx
dramatic - emotional or erratic
the tx for opiod intox and withdrawal
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

46. Delirium/secondary to other illness
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
both illness and motivation are subconcious - sx not intentionally produced or feigned
mediator between primal urges and accepted behavior

47. Specific phobia
delerium tremens symptoms
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
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
the triad of Wernicke's encephalopathy

48. While going to sleep
whenhypnagogic hallucinations take place
avoidance of awareness of a some painful reality
PANICS
the complications/associations of anorexia nervosa

49. Sublimation - actress using an experience of abuse to enhance her acting
discontinuation of reinforcement eliminates 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
<40 and <20
the types of cluster B personality disorder

50. Postpartum psyschosis - .1 to .2%
auditory hallucinations common
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the associations/complications of bulimia nervosa
Where child neglect is reported