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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. Sublimation - actress using an experience of abuse to enhance her acting
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the treatments for ADHD
Moral values - conscience can lead to self blame and attacks of ego
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

2. Schizophrenia
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
How long marijuana is detectable in the urine after last use

3. >1month
repeated stimulation leads to decrease response
How long does the disturbance last in PTSD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
factors are most important in the etiology of schizophrenia

4. Displacement - mom places blame on kid because she's mad at husband
tactile hallucinations common
persistent re - experiencing of a previous traumatic event
process whereby avoided ideas and feelings are transferred to some neutral person or object
partially remaining at more childish level of development

5. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the triad of Wernicke's encephalopathy
the types of cluster B personality disorder
the non specific signs of stimulant intox and withdrawal

6. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the treatment for EtOH intox and withdrawal
whenmen vs women present with schizophrenia
belief that people are either all good or all bad at different times due to intolerance or ambiguity

7. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
tantrums
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
inbability to recall important personal information - usually subsequent to severe trauma or stress

8. LSD
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the concern with use of antidepressants in pts with bipoloar disorder
avoidance of awareness of a some painful reality
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

9. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
the complications/associations of anorexia nervosa
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
Long acting oral opiate for heroine detox or long term maintenance

10. Manic episdoe
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
inbability to recall important personal information - usually subsequent to severe trauma or stress
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

11. Barbituates
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
strong persistant cross gender identification
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

12. 1 month
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
desire to live as the opposite sex - through surgery or hormone tx
suboxone and the rational of adding an antagonist
How long marijuana is detectable in the urine after last use

13. Identification - abused models abuser
the tx of W- K syndrome
modeling behavior after another person is more powerful - though not necessarily admired
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
application of aversive stimulus extinguishes unwanted behavior

14. Conversion disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
turning back the maturational clock and going back to earlier modes of dealing with the world
an unacceptable internal impulse is attributed to an external source
Stanford - binet

15. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
suboxone and the rational of adding an antagonist
gets schizophrenia and the prev
Diagnosis requres 2 of 5 of which sx

16. Delusional disorder
the time frame for brief pyschotic disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

17. Schizoaffective disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
the 5 types of schizophrenia
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
reward received after random number of responses - slowly extinguished - slot machine

18. Specific phobia
patient projects feelings about formative or other important persons onto physician
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
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

19. Genital/anal trauma - STDs and UTIs
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
pieces of evidence for sexual child abuse
When to hypnopompic hallucinations take place
in elderly patients who present with dementia - the concern

20. Peak incidence 9-12 years of age
pieces of evidence for sexual child abuse
behavior acquired by watching others and assimilating actions into one's own repetoire
exaggerated fear of embarrasment in social situations - disorder and tx
the epi of sexual abuse

21. Depression
the central goa of freudian psychoanalysis
in elderly patients who present with dementia - the concern
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the treatments for ADHD

22. Orientation
the central goa of freudian psychoanalysis
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
in elderly patients who present with dementia - the concern
depressant intoxication - nonspecific

23. Adjustment disorder
Parkinsons
the typical abuser in sexual abuse
the types of cluster B personality disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

24. Male - known to the victim
anxious - fearful
milder form of depression lasting at least 2 years
inability to remember things that occurred after CNS insult
the typical abuser in sexual abuse

25. 6-12 months
associated with winter season - improves in response to full spectrum light exposure
desired reward produces action - mouse presses button for food
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
How long episodes of major depressive episode usually last

26. Dementia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
PANICS
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
What ego dystonic means in relation to OCD

27. Loose associations
olfactory hallucinations common
disorders in the form of through - the way ideas are tied together
gets schizophrenia and the prev
the 4 W's of deprived babies?

28. Boys
neurologic outcome associated with W- K syndrome
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
gender autism is more common in
inbability to recall important personal information - usually subsequent to severe trauma or stress

29. Continuous reinforcement schedule
auditory hallucinations common
pieces of evidence of physical child abuse
How long infant deprivation can last before it leads to irreversible changes
reward received after every response - rapidly extinguished - vending machine

30. Anterograde amnesia
inability to remember things that occurred after CNS insult
repeated stimulation lead sot increase response
repeated stimulation leads to decrease response
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

31. OCD - haloperidol
the treatment for maternal blues - depression - psychosis
anxious - fearful
psychiatric disorder associated with tourrettes - and the treatment
the treatments for ADHD

32. Ego - take it and you will get in trouble
reward received after every response - rapidly extinguished - vending machine
the 3 types of cluster C personality disorder
intense fear and discomfort peaking in 10 minutes
mediator between primal urges and accepted behavior

33. Substance abuse
the complications of alcoholism
maladaptive pattern leading to clinically significant impairment or distress
development of delusions in a person in a close relationship with delusional disorder
the EEG findings in dementia

34. Occurs while waking up
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
When to hypnopompic hallucinations take place
belief that people are either all good or all bad at different times due to intolerance or ambiguity
olfactory hallucinations common

35. Id - subconcious - I want it
primal urges - freud
application of aversive stimulus extinguishes unwanted behavior
intense fear and discomfort peaking in 10 minutes
100 - 15

36. In what disease is ACH decrease?
maladaptive pattern leading to clinically significant impairment or distress
Alzheimers
the tx of W- K syndrome
the triad of Wernicke's encephalopathy

37. <1mo - usually stress related
the epi of physical child abuse
the time frame for brief pyschotic disorder
<40 and <20
the tx for alcoholism

38. PCP
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
inability to remember things that occurred after CNS insult
maladaptive pattern leading to clinically significant impairment or distress

39. Splitting - a pt that says all nurses are nice and all doctors are bad
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the non specific signs of stimulant intox and withdrawal
belief that people are either all good or all bad at different times due to intolerance or ambiguity

40. Substance withdrawal - signs are often opposite of intoxication
whering clothes of the opposite sex
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
desire to live as the opposite sex - through surgery or hormone tx
guilty feelings alleviated by unsolicitied generosity towards others

41. Social phobias - tx SSRIs
When separation anxiety disorder usually presents
exaggerated fear of embarrasment in social situations - disorder and tx
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
delerium tremens symptoms

42. 2 or more within a symptom free interval of 2 months
the epi of sexual abuse
Number of major depressive episodes constitute major depressive disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the treatment for EtOH intox and withdrawal

43. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
behavior acquired by watching others and assimilating actions into one's own repetoire
the typical abuser in sexual abuse

44. Weed
the tx for OCD
define bipolar disorder and distinguish I from II
the common sx of PTSD
this drug is a risk factor for schizophrenia in teens

45. Confusion - opthalmoplegia - and ataxia

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46. Like manic but without marked impairement in fxning - no pyschotic features
Diagnosis requres 2 of 5 of which sx
visual hallucinations common
a hypomanic episode
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

47. Body dysmorphic disorder
define bipolar disorder and distinguish I from II
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
How long marijuana is detectable in the urine after last use

48. Seasonal affective disorder
milder form of depression lasting at least 2 years
associated with winter season - improves in response to full spectrum light exposure
heroin users at increased risk of...
How long marijuana is detectable in the urine after last use

49. Schizophrenia
exaggerated fear of embarrasment in social situations - disorder and tx
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
auditory hallucinations common
the epi of sexual abuse

50. Transsexualism
anxious - fearful
autism with unusual abilities
desire to live as the opposite sex - through surgery or hormone tx
the epi of sexual abuse

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Psychiatry

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