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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. The criteria for mental retardation?
IQ<70
disorders in the form of through - the way ideas are tied together
exaggerated fear of embarrasment in social situations - disorder and tx
primal urges - freud

2. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
auditory hallucinations common
the tx for OCD
depressant intoxication - nonspecific

3. Disulfiram and supportive care
Where child neglect is reported
the tx for bipolar disorder
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the tx for alcoholism

4. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
the EEG findings in dementia
the stages of change in overcoming substance addiction
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. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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 types of cluster B personality disorder
visual hallucinations common

6. BDZ
mediator between primal urges and accepted behavior
intox = ataxia - minor respiratory depression
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
depressant intoxication - nonspecific

7. Blacks=whites - males = females - 1.5% lifetime prev
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 various types of cluster A personality disorder
gets schizophrenia and the prev
primal urges - freud

8. Female primary caregiver
the treatment for maternal blues - depression - psychosis
pieces of evidence for sexual child abuse
the typical abuser in physical child abuse
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

9. Autism
gender autism is more common in
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
an unacceptable internal impulse is attributed to an external source

10. Methadone
Long acting oral opiate for heroine detox or long term maintenance
perceptions in the absence of external stimulus
the 5 types of schizophrenia
turning back the maturational clock and going back to earlier modes of dealing with the world

11. Extinction
Separation of feelings from ideas and events
discontinuation of reinforcement eliminates behavior
the tx for OCD
the 3 types of cluster C personality disorder

12. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
the time frame for schizophreniform disorder
application of aversive stimulus extinguishes unwanted behavior
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

13. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
reward received after random number of responses - slowly extinguished - slot machine
the tx of W- K syndrome
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

14. MAOi - SSRIs
exaggerated fear of embarrasment in social situations - disorder and tx
the concern with use of antidepressants in pts with bipoloar disorder
Moral values - conscience can lead to self blame and attacks of ego
the tx for atypical depression

15. Gender identity disorder
strong persistant cross gender identification
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

16. Dissociative identity disorder
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
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
behavior achieved following reward of closer and closer approximations of desired behavior
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

17. Anterograde amnesia
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the stages of change in overcoming substance addiction
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
inability to remember things that occurred after CNS insult

18. To make the patient aware of hidden in their unconcious
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the tx for opiod intox and withdrawal
the central goa of freudian psychoanalysis
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

19. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
reward received after random number of responses - slowly extinguished - slot machine
Under these conditions do children regress to younger patterns of behavior
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

20. 2 or more within a symptom free interval of 2 months
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Number of major depressive episodes constitute major depressive disorder
the time frame for brief pyschotic disorder
causes wernicke - korsakoff syndrome

21. Atypical depression
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
Where child neglect is reported
Number of major depressive episodes constitute major depressive disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

22. Classical conditioning - pavlov's dogs
the treatment for maternal blues - depression - psychosis
an unacceptable internal impulse is attributed to an external source
potential tx for nicotine withdrawal
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

23. 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
olfactory hallucinations common
process whereby avoided ideas and feelings are transferred to some neutral person or object
Drugs with what kind of affect can lead to a state of delirium
SAD PERSONS

24. BDZ - busiprone - SSRIs
the tx for GAD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
learning in which a particular ation is elicited because it produces a reward
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

25. Severe and profound MR?
discontinuation of reinforcement eliminates behavior
application of aversive stimulus extinguishes unwanted behavior
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
<40 and <20

26. Nl
the EEG findings in dementia
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
gets schizophrenia and the prev
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

27. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
reward received after random number of responses - slowly extinguished - slot machine
inbability to recall important personal information - usually subsequent to severe trauma or stress
depressant withdrawal - nonspecific

28. Hypochondriasis
cyclothymia disorder
<40 and <20
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

29. Weed
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
this drug is a risk factor for schizophrenia in teens
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
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

30. Superego - you know you can't have it - taking it is wrong
DIG FAST
Moral values - conscience can lead to self blame and attacks of ego
depressant intoxication - nonspecific
maladaptive pattern of substance use with 3 or more of these 7 criteria

31. In what disease does NE decrease - 5HT decrease and DA decrease?
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the complications/associations of anorexia nervosa
Parkinsons
Depression

32. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
psychiatric disorder associated with tourrettes - and the treatment
Diagnosis requres 2 of 5 of which sx
100 - 15

33. Postpartum depression - 10 to 15%
the tx for bipolar disorder
in elderly patients who present with dementia - the concern
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Moral values - conscience can lead to self blame and attacks of ego

34. Social phobias - tx SSRIs
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the time frame for brief pyschotic disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
exaggerated fear of embarrasment in social situations - disorder and tx

35. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
voluntary withholding of an idea or feeling fromk concious awareness

36. Conversion disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
repeated stimulation lead sot increase response
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
the tx for opiod intox and withdrawal

37. Denial - can occur in new AIDS or cancer diagnosis
the definition of alcoholism
Moral values - conscience can lead to self blame and attacks of ego
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
avoidance of awareness of a some painful reality

38. Tourrette's
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the central goa of freudian psychoanalysis
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
anterograde amnesia caused by thiamine deficiency

39. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
heroin users at increased risk of...
neurologic outcome associated with W- K syndrome
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

40. Transvestism
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
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
pieces of evidence of physical child abuse
whering clothes of the opposite sex

41. Seasonal affective disorder
the serum markers of alcohol use
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
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

42. Somatization disorders
desire to live as the opposite sex - through surgery or hormone tx
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
both illness and motivation are subconcious - sx not intentionally produced or feigned
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

43. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
both illness and motivation are subconcious - sx not intentionally produced or feigned
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
define bipolar disorder and distinguish I from II
auditory hallucinations common

44. Thiamine deficiency
process whereby avoided ideas and feelings are transferred to some neutral person or object
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
causes wernicke - korsakoff syndrome
maladaptive pattern leading to clinically significant impairment or distress

45. Vit B1 - thiamine
associated with winter season - improves in response to full spectrum light exposure
psychiatric disorder associated with tourrettes - and the treatment
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx of W- K syndrome

46. SSRIs - clomipramine
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the associations/complications of bulimia nervosa
the tx for OCD
SIG E CAPS and the criteria for dx

47. Inc mania - high suicide risk
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
whering clothes of the opposite sex
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the concern with use of antidepressants in pts with bipoloar disorder

48. Factitious disorder
heroin users at increased risk of...
learning in which a particular ation is elicited because it produces a reward
an unacceptable internal impulse is attributed to an external source
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

49. Shared delusional disorder
depressant withdrawal - nonspecific
development of delusions in a person in a close relationship with delusional disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the complications of alcoholism

50. Alcohol
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
intox = ataxia - minor respiratory depression
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving