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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. Transference
doctor projects feelings about formative or other important persons onto patient
the serum markers of alcohol use
patient projects feelings about formative or other important persons onto physician
both illness and motivation are subconcious - sx not intentionally produced or feigned

2. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the time frame for schizophreniform disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the goal of the ego defenses
child neglect

3. Methylphenidate - amphetamines - atomoxetine
the treatment for maternal blues - depression - psychosis
pieces of evidence for sexual child abuse
the typical abuser in physical child abuse
the treatments for ADHD

4. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
the serum markers of alcohol use
IQ<70
Causes of dementia
process whereby avoided ideas and feelings are transferred to some neutral person or object

5. Extinction
intox = ataxia - minor respiratory depression
Drugs with what kind of affect can lead to a state of delirium
Causes of dementia
discontinuation of reinforcement eliminates behavior

6. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
heroin users at increased risk of...
potential tx for nicotine withdrawal

7. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
intense fear and discomfort peaking in 10 minutes
belief that people are either all good or all bad at different times due to intolerance or ambiguity
What ego dystonic means in relation to OCD
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

8. Delirium
less than what percentage of ideal body weight is common in anorexia nervosa
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
visual hallucinations common
disorders in the form of through - the way ideas are tied together

9. Like manic but without marked impairement in fxning - no pyschotic features
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
a hypomanic episode

10. EtOH withdrawal - cocaine abusers
tactile hallucinations common
the complications of alcoholism
Long acting oral opiate for heroine detox or long term maintenance
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

11. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
both illness and motivation are subconcious - sx not intentionally produced or feigned
the tx for bipolar disorder
the 5 types of schizophrenia
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

12. Variable ratio reinforcement schedule
the associations/complications of bulimia nervosa
Depression
discontinuation of reinforcement eliminates behavior
reward received after random number of responses - slowly extinguished - slot machine

13. In what disease does NE increase - GABA decrease - and 5HT decrease?
Schizophrenia
olfactory hallucinations common
Anxiety
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

14. Manic episdoe
cyclothymia disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
guilty feelings alleviated by unsolicitied generosity towards others
the treatment for EtOH intox and withdrawal

15. Social phobias - tx SSRIs
reward received after random number of responses - slowly extinguished - slot machine
the typical abuser in physical child abuse
exaggerated fear of embarrasment in social situations - disorder and tx
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

16. Boys
gender autism is more common in
the epi of physical child abuse
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
IQ<70

17. Mallory weiss syndrome
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
behavior acquired by watching others and assimilating actions into one's own repetoire
repeated stimulation lead sot increase response
turning back the maturational clock and going back to earlier modes of dealing with the world

18. Barbituates
Stanford - binet
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the time frame for brief pyschotic disorder

19. Delirium
pieces of evidence of physical child abuse
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
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
delerium tremens symptoms

20. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
How long episodes of major depressive episode usually last
the tx for BDZ intox - MOA
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

21. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
depressant withdrawal - nonspecific
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the tx of W- K syndrome

22. Modeling (social learning)

23. Repression - not remebering a conflictual or traumatic experience
depressant withdrawal - nonspecific
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
the non specific signs of stimulant intox and withdrawal
involunatary withholding of an idea or feeling from conscious awareness

24. .1-1% of gen pop - 20% of obscene speech

25. BDZ
mediator between primal urges and accepted behavior
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = ataxia - minor respiratory depression
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

26. Shared delusional disorder
maladaptive pattern leading to clinically significant impairment or distress
suboxone and the rational of adding an antagonist
development of delusions in a person in a close relationship with delusional disorder
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

27. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the common causes of lack or orientation
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
mediator between primal urges and accepted behavior
anxious - fearful

28. Before 7
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the age of onset of ADHD
gender autism is more common in

29. Childhood disintegrative disorder
intox = ataxia - minor respiratory depression
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
the tx for BDZ intox - MOA
behavior achieved following reward of closer and closer approximations of desired behavior

30. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
Schizophrenia
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the types of cluster B personality disorder
pieces of evidence for sexual child abuse

31. Autism
disorders in the form of through - the way ideas are tied together
the associations/complications of bulimia nervosa
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
suboxone and the rational of adding an antagonist

32. The mean IQ and SD?
pieces of evidence for sexual child abuse
olfactory hallucinations common
dramatic - emotional or erratic
100 - 15

33. Vit B1 - thiamine
the tx of W- K syndrome
visual hallucinations common
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

34. CBT - SSRI - TCI - BDZ
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the treatment for EtOH intox and withdrawal
the tx for panic disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

35. Shaping (social learning)
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
olfactory hallucinations common
behavior achieved following reward of closer and closer approximations of desired behavior
Causes of dementia

36. Depression
turning back the maturational clock and going back to earlier modes of dealing with the world
avoidance of awareness of a some painful reality
in elderly patients who present with dementia - the concern
the tx of W- K syndrome

37. Men early 20s - women late 20s early 30s
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
whenmen vs women present with schizophrenia
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
primal urges - freud

38. Schizophrenia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
auditory hallucinations common
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
repeated stimulation lead sot increase response

39. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the definition of alcoholism
desire to live as the opposite sex - through surgery or hormone tx
the tx for bipolar disorder
Moral values - conscience can lead to self blame and attacks of ego

40. ECT - disorientation amnesia - usually resolves in 6 months
mediator between primal urges and accepted behavior
When to hypnopompic hallucinations take place
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
How long infant deprivation can last before it leads to irreversible changes

41. Rett's disorder
PANICS
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
development of delusions in a person in a close relationship with delusional disorder
Number of major depressive episodes constitute major depressive disorder

42. PTSD
disorders in the form of through - the way ideas are tied together
the types of cluster B personality disorder
persistent re - experiencing of a previous traumatic event
repeated stimulation lead sot increase response

43. Transsexualism
the 4 W's of deprived babies?
involunatary withholding of an idea or feeling from conscious awareness
intox = restlessness. Withdrawal = irritability - anxiety - craving
desire to live as the opposite sex - through surgery or hormone tx

44. Operant conditioning
How long marijuana is detectable in the urine after last use
in elderly patients who present with dementia - the concern
voluntary withholding of an idea or feeling fromk concious awareness
learning in which a particular ation is elicited because it produces a reward

45. Nicotine
appreciating the amusing nature of an anxiety provoking or adverse situation
intox = restlessness. Withdrawal = irritability - anxiety - craving
psychiatric disorder associated with tourrettes - and the treatment
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

46. Transvestism
whering clothes of the opposite sex
the types of cluster B personality disorder
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
gustatroy hallucinations common

47. Munchausen's syndrome by proxy
Drugs with what kind of affect can lead to a state of delirium
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
auditory hallucinations common
learning in which a particular ation is elicited because it produces a reward

48. Peak incidence 9-12 years of age
the epi of sexual abuse
anxious - fearful
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
gustatroy hallucinations common

49. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the common sx of PTSD
the time frame for brief pyschotic disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

50. ADHD
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
in elderly patients who present with dementia - the concern