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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. Boys
Long acting oral opiate for heroine detox or long term maintenance
intox = restlessness - increase diureis - muscle twitching
define bipolar disorder and distinguish I from II
gender autism is more common in

2. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the treatments for ADHD

3. Substance withdrawal - signs are often opposite of intoxication
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

4. Ego - take it and you will get in trouble
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
suboxone and the rational of adding an antagonist
mediator between primal urges and accepted behavior
When separation anxiety disorder usually presents

5. Disulfiram and supportive care
gender autism is more common in
tantrums
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
the tx for alcoholism

6. Dipoloar or depressive
the epi of physical child abuse
whenmen vs women present with schizophrenia
the two types of schizoaffective disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

7. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
How long episodes of major depressive episode usually last
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
odd or eccentric; inability to develop meaningful social relationships

8. Irreversible memory loss - confabulation - personality change

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9. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
This gross neurological finding is associated with ADHD
the complications of alcoholism
Diagnosis requres 2 of 5 of which sx

10. Genital/anal trauma - STDs and UTIs
gustatroy hallucinations common
the tx for GAD
misinterpretations of actual external stimulus
pieces of evidence for sexual child abuse

11. Anticholinergic
define bipolar disorder and distinguish I from II
the tx for GAD
Drugs with what kind of affect can lead to a state of delirium
the non specific signs of stimulant intox and withdrawal

12. Methylphenidate - amphetamines - atomoxetine
behavior achieved following reward of closer and closer approximations of desired behavior
How long infant deprivation can last before it leads to irreversible changes
the treatments for ADHD
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

13. 2 or more within a symptom free interval of 2 months
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Number of major depressive episodes constitute major depressive disorder
the definition of alcoholism
the tx for atypical depression

14. Alcohol
the tx of W- K syndrome
inability to remember things that occurred after CNS insult
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

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

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16. Before 7
the complications/associations of anorexia nervosa
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the age of onset of ADHD

17. >1month
gustatroy hallucinations common
How long does the disturbance last in PTSD
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the treatment for EtOH intox and withdrawal

18. 6-12 months
How long episodes of major depressive episode usually last
avoidance of awareness of a some painful reality
modeling behavior after another person is more powerful - though not necessarily admired
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

19. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
dramatic - emotional or erratic
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the evidence for child neglect

20. ECT - disorientation amnesia - usually resolves in 6 months
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the treatments for ADHD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the tx for bipolar disorder

21. Sublimation - actress using an experience of abuse to enhance her acting
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
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
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

22. Postpartum psyschosis - .1 to .2%
suboxone and the rational of adding an antagonist
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
inbability to recall important personal information - usually subsequent to severe trauma or stress
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

23. In what disease does NE decrease - 5HT decrease and DA decrease?
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Depression
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
How long episodes of major depressive episode usually last

24. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
the tx of W- K syndrome
DIG FAST
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
autism with unusual abilities

25. Depression
the complications of alcoholism
Huntingtons
in elderly patients who present with dementia - the concern
Moral values - conscience can lead to self blame and attacks of ego

26. Somatization disorders
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
both illness and motivation are subconcious - sx not intentionally produced or feigned
factors are most important in the etiology of schizophrenia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

27. Supression - not thinking about the USMLE until the week of the exam
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the 3 types of cluster C personality disorder
voluntary withholding of an idea or feeling fromk concious awareness
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

28. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
associated with winter season - improves in response to full spectrum light exposure
the various types of cluster A personality disorder
inability to remember things that occurred after CNS insult
When to hypnopompic hallucinations take place

29. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
learning in which a particular ation is elicited because it produces a reward
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
Korsakoff's psychosis

30. Aura of psychomotor epilepsy and in brain tumors
olfactory hallucinations common
neurologic outcome associated with W- K syndrome
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

31. There are rare
the tx for atypical depression
gustatroy hallucinations common
less than what percentage of ideal body weight is common in anorexia nervosa
guilty feelings alleviated by unsolicitied generosity towards others

32. 6 months
How long infant deprivation can last before it leads to irreversible changes
the typical abuser in physical child abuse
the time frame for schizophreniform disorder
the complications of alcoholism

33. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the two types of schizoaffective disorder
the stages of change in overcoming substance addiction
the definition of alcoholism
the 4 W's of deprived babies?

34. 1 month
How long marijuana is detectable in the urine after last use
Moral values - conscience can lead to self blame and attacks of ego
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the goal of the ego defenses

35. MAOi - SSRIs
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
guilty feelings alleviated by unsolicitied generosity towards others
the tx for atypical depression

36. While going to sleep
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
whenhypnagogic hallucinations take place
avoidance of awareness of a some painful reality
application of aversive stimulus extinguishes unwanted behavior

37. Autism
the treatment for EtOH intox and withdrawal
intox = restlessness. Withdrawal = irritability - anxiety - craving
Parkinsons
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

38. Delirium
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the order of loss of orientation
olfactory hallucinations common
visual hallucinations common

39. Yes
psychiatric disorder associated with tourrettes - and the treatment
Is body weight maintained within nl range in bulimia nervosa
Korsakoff's psychosis
the age of onset of ADHD

40. Amphetamines
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
<40 and <20
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the central goa of freudian psychoanalysis

41. Confusion - opthalmoplegia - and ataxia

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42. Seasonal affective disorder
the treatment for EtOH intox and withdrawal
associated with winter season - improves in response to full spectrum light exposure
In ADHD - typical intelligence and school performance
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

43. Specific phobia
the treatments for ADHD
suboxone and the rational of adding an antagonist
repeated stimulation lead sot increase response
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

44. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
gets schizophrenia and the prev
suboxone and the rational of adding an antagonist
define bipolar disorder and distinguish I from II
the two types of schizoaffective disorder

45. SSRIs - clomipramine
psychiatric disorder associated with tourrettes - and the treatment
the evidence for child neglect
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the tx for OCD

46. Id - subconcious - I want it
primal urges - freud
child neglect
whenmen vs women present with schizophrenia
delerium tremens symptoms

47. Hypochondriasis
desired reward produces action - mouse presses button for food
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
olfactory hallucinations common
SIG E CAPS and the criteria for dx

48. Tourrette's
intox = restlessness - increase diureis - muscle twitching
When to hypnopompic hallucinations take place
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

49. Conversion disorder
the definition of alcoholism
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
In ADHD - typical intelligence and school performance
the typical abuser in physical child abuse

50. Projection - a man who wants another women thinks his wife is cheating on him
When to hypnopompic hallucinations take place
an unacceptable internal impulse is attributed to an external source
turning back the maturational clock and going back to earlier modes of dealing with the world
delerium tremens symptoms