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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. Fixation - men fixating on sports games
pieces of evidence of physical child abuse
less than what percentage of ideal body weight is common in anorexia nervosa
partially remaining at more childish level of development
tactile hallucinations common

2. Delusions
Is body weight maintained within nl range in bulimia nervosa
Separation of feelings from ideas and events
whenhypnagogic hallucinations take place
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

3. Periventricular hemorrhage/necrosis of mamillary bodies
patient projects feelings about formative or other important persons onto physician
neurologic outcome associated with W- K syndrome
pieces of evidence for sexual child abuse
Depression

4. In what disease is GABA decrease and ACH decrease?
tantrums
the evidence for child neglect
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Huntingtons

5. Nl
How long infant deprivation can last before it leads to irreversible changes
the EEG findings in dementia
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

6. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
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
repeated stimulation leads to decrease response

7. Habituation - simple learning
repeated stimulation leads to decrease response
discontinuation of reinforcement eliminates behavior
intox = restlessness - increase diureis - muscle twitching
Anxiety

8. Somatization disorder
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
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
inability to remember things that occurred before CNS insult
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

9. >1month
How long does the disturbance last in PTSD
voluntary withholding of an idea or feeling fromk concious awareness
Causes of dementia
DIG FAST

10. Humor - nervous med student jokes about boards
the 4 W's of deprived babies?
the order of loss of orientation
the tx for atypical depression
appreciating the amusing nature of an anxiety provoking or adverse situation

11. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
the epi of physical child abuse
the tx for bipolar disorder
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 various types of cluster A personality disorder

12. PCP
Huntingtons
mediator between primal urges and accepted behavior
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
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

13. Flumazenil - competitive GABA antagonist
delerium tremens symptoms
the tx for BDZ intox - MOA
inability to remember things that occurred after CNS insult
How long does the disturbance last in PTSD

14. Id - subconcious - I want it
primal urges - freud
When separation anxiety disorder usually presents
dramatic - emotional or erratic
pieces of evidence for sexual child abuse

15. Personality disorder
Huntingtons
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 tx for alcoholism
process whereby avoided ideas and feelings are transferred to some neutral person or object

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

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17. Rett's disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the tx for opiod intox and withdrawal
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
inability to remember things that occurred before CNS insult

18. Postpartum psyschosis - .1 to .2%
partially remaining at more childish level of development
the common causes of lack or orientation
the EEG findings in dementia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

19. Denial - can occur in new AIDS or cancer diagnosis
a hypomanic episode
How long does the disturbance last in PTSD
avoidance of awareness of a some painful reality
gets schizophrenia and the prev

20. 2 or more within a symptom free interval of 2 months
primal urges - freud
tactile hallucinations common
Number of major depressive episodes constitute major depressive disorder
inability to remember things that occurred before CNS insult

21. Oppositional defiant disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
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
Stanford - binet
whering clothes of the opposite sex

22. Transvestism
whering clothes of the opposite sex
Schizophrenia
mediator between primal urges and accepted behavior
neurologic outcome associated with W- K syndrome

23. Normal intel - trouble in school
define bipolar disorder and distinguish I from II
In ADHD - typical intelligence and school performance
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
tactile hallucinations common

24. Amphetamines
the typical abuser in sexual abuse
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

25. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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 3 types of cluster C personality disorder
the complications of alcoholism

26. .1-1% of gen pop - 20% of obscene speech

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27. Childhood disintegrative disorder
tactile hallucinations common
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 of W- K syndrome
primal urges - freud

28. 1-6 months
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
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
the time frame for schizophreniform disorder
SIG E CAPS and the criteria for dx

29. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
heroin users at increased risk of...
behavior acquired by watching others and assimilating actions into one's own repetoire

30. Substance withdrawal - signs are often opposite of intoxication
intox = restlessness. Withdrawal = irritability - anxiety - craving
pieces of evidence of physical child abuse
tantrums
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

31. 6-12 months
How long episodes of major depressive episode usually last
PANICS
What ego dystonic means in relation to OCD
the EEG findings in dementia

32. Cocaine
the epi of physical child abuse
the 3 types of cluster C personality disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
maladaptive pattern leading to clinically significant impairment or distress

33. The mean IQ and SD?
the non specific signs of stimulant intox and withdrawal
Stanford - binet
100 - 15
the treatments for ADHD

34. Like manic but without marked impairement in fxning - no pyschotic features
Stanford - binet
Alzheimers
a hypomanic episode
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

35. EtOH withdrawal - cocaine abusers
tactile hallucinations common
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the time frame for brief pyschotic disorder
a hypomanic episode

36. Personality trait
DIG FAST
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

37. There are rare
How long episodes of major depressive episode usually last
gustatroy hallucinations common
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Is body weight maintained within nl range in bulimia nervosa

38. Dissociation - can lead to multiple personality disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
SAD PERSONS
the tx of W- K syndrome
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

39. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
inability to remember things that occurred before CNS insult
define bipolar disorder and distinguish I from II
doctor projects feelings about formative or other important persons onto patient

40. Factitious disorder
the typical abuser in physical child abuse
causes wernicke - korsakoff syndrome
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
maladaptive pattern leading to clinically significant impairment or distress

41. Transsexualism
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
whenmen vs women present with schizophrenia
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
desire to live as the opposite sex - through surgery or hormone tx

42. Barbituates
associated with winter season - improves in response to full spectrum light exposure
learning in which a particular ation is elicited because it produces a reward
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the tx for atypical depression

43. MAOi - SSRIs
delerium tremens symptoms
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
the tx for atypical depression
pieces of evidence of physical child abuse

44. While going to sleep
the complications of alcoholism
autism with unusual abilities
whenhypnagogic hallucinations take place
heroin users at increased risk of...

45. Opiods
discontinuation of reinforcement eliminates behavior
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
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
anterograde amnesia caused by thiamine deficiency

46. Marijuana
100 - 15
the 5 types of schizophrenia
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

47. Isolation of affect - describing murder in graphic detail with no emotional response
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
Separation of feelings from ideas and events
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
psychiatric disorder associated with tourrettes - and the treatment

48. Thiamine deficiency
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the associations/complications of bulimia nervosa
causes wernicke - korsakoff syndrome
the concern with use of antidepressants in pts with bipoloar disorder

49. Gamma glutamyltransferase - GGT - AST 2x ALT
the triad of Wernicke's encephalopathy
the serum markers of alcohol use
When separation anxiety disorder usually presents
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

50. Before 7
the age of onset of ADHD
persistent re - experiencing of a previous traumatic event
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
cyclothymia disorder