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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. Genital/anal trauma - STDs and UTIs
the non specific signs of stimulant intox and withdrawal
pieces of evidence for sexual child abuse
whenmen vs women present with schizophrenia
inability to remember things that occurred before CNS insult

2. Dipoloar or depressive
the two types of schizoaffective disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

3. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
maladaptive pattern of substance use with 3 or more of these 7 criteria
the tx of W- K syndrome
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

4. Boys
the order of loss of orientation
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Where child neglect is reported
gender autism is more common in

5. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
the treatment for EtOH intox and withdrawal
DIG FAST
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
cyclothymia disorder

6. Delirium
define bipolar disorder and distinguish I from II
Alzheimers
mediator between primal urges and accepted behavior
visual hallucinations common

7. Cluster C personality disorder
anxious - fearful
cyclothymia disorder
milder form of depression lasting at least 2 years
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

8. ECT - disorientation amnesia - usually resolves in 6 months
Parkinsons
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
suboxone and the rational of adding an antagonist
Stanford - binet

9. Depersonalization disorder

10. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
patient projects feelings about formative or other important persons onto physician
define bipolar disorder and distinguish I from II
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

11. Anxiety - tremor - seizures - insomnia
the tx for panic disorder
less than what percentage of ideal body weight is common in anorexia nervosa
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
depressant withdrawal - nonspecific

12. Atypical depression
<40 and <20
Number of major depressive episodes constitute major depressive disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
repeated stimulation leads to decrease response

13. Habituation - simple learning
the goal of the ego defenses
repeated stimulation leads to decrease response
depressant withdrawal - nonspecific
the epi of sexual abuse

14. Schizophrenia
disorders in the form of through - the way ideas are tied together
depressant withdrawal - nonspecific
intox = restlessness. Withdrawal = irritability - anxiety - craving
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

15. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
behavior acquired by watching others and assimilating actions into one's own repetoire
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the treatment for maternal blues - depression - psychosis

16. Periventricular hemorrhage/necrosis of mamillary bodies
intox = restlessness - increase diureis - muscle twitching
neurologic outcome associated with W- K syndrome
How long does the disturbance last in PTSD
the common causes of lack or orientation

17. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the complications/associations of anorexia nervosa
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

18. Pain disorder
suboxone and the rational of adding an antagonist
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
maladaptive pattern of substance use with 3 or more of these 7 criteria
Korsakoff's psychosis

19. Rett's disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
desired reward produces action - mouse presses button for food
maladaptive pattern leading to clinically significant impairment or distress

20. 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
Schizophrenia
Korsakoff's psychosis
SAD PERSONS
<40 and <20

21. Transvestism
the 3 types of cluster C personality disorder
whering clothes of the opposite sex
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

22. Dissociative identity disorder
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
How long marijuana is detectable in the urine after last use
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

23. Methylphenidate - amphetamines - atomoxetine
the tx for alcoholism
disorders in the form of through - the way ideas are tied together
the treatments for ADHD
desired reward produces action - mouse presses button for food

24. Bulimia nervosa
patient projects feelings about formative or other important persons onto physician
the time frame for schizophreniform disorder
causes wernicke - korsakoff syndrome
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

25. .1-1% of gen pop - 20% of obscene speech

26. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

27. While going to sleep
cyclothymia disorder
When to hypnopompic hallucinations take place
whenhypnagogic hallucinations take place
gets schizophrenia and the prev

28. Severe and profound MR?
the 3 types of cluster C personality disorder
an unacceptable internal impulse is attributed to an external source
<40 and <20
the tx of W- K syndrome

29. Patch - gum - losenge - buproprion - varenicline
Korsakoff's psychosis
application of aversive stimulus extinguishes unwanted behavior
<40 and <20
potential tx for nicotine withdrawal

30. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
the concern with use of antidepressants in pts with bipoloar disorder
Parkinsons
desired reward produces action - mouse presses button for food

31. Dysthymia
IQ<70
the evidence for child neglect
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
milder form of depression lasting at least 2 years

32. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
intox = restlessness. Withdrawal = irritability - anxiety - craving
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

33. Delirium
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
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
reward received after every response - rapidly extinguished - vending machine
the 5 types of schizophrenia

34. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
modeling behavior after another person is more powerful - though not necessarily admired
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

35. Amphetamines
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
child neglect
patient projects feelings about formative or other important persons onto physician

36. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Is body weight maintained within nl range in bulimia nervosa
intox = ataxia - minor respiratory depression
Huntingtons

37. OCD
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the serum markers of alcohol use
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

38. Gender identity disorder
strong persistant cross gender identification
visual hallucinations common
repeated stimulation leads to decrease response
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

39. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
the complications of alcoholism
How long marijuana is detectable in the urine after last use
the tx for alcoholism

40. 7 to 9
tactile hallucinations common
Anxiety
When separation anxiety disorder usually presents
Schizophrenia

41. Gamma glutamyltransferase - GGT - AST 2x ALT
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the serum markers of alcohol use
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the order of loss of orientation

42. Hypochondriasis
the tx for alcoholism
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
behavior achieved following reward of closer and closer approximations of desired behavior
the non specific signs of stimulant intox and withdrawal

43. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
partially remaining at more childish level of development
pieces of evidence of physical child abuse
the complications of alcoholism
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

44. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
Causes of dementia
the tx for OCD
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the common causes of lack or orientation

45. Cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
this drug is a risk factor for schizophrenia in teens
the tx of W- K syndrome
depressant intoxication - nonspecific

46. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
When separation anxiety disorder usually presents
the types of cluster B personality disorder
gets schizophrenia and the prev
primal urges - freud

47. Confusion - opthalmoplegia - and ataxia

48. Ego - take it and you will get in trouble
mediator between primal urges and accepted behavior
process whereby avoided ideas and feelings are transferred to some neutral person or object
Causes of dementia
How long does the disturbance last in PTSD

49. The criteria for mental retardation?
suboxone and the rational of adding an antagonist
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
guilty feelings alleviated by unsolicitied generosity towards others
IQ<70

50. Naloxone - naltrexone - and symptomatic for withdrawal sx
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the two types of schizoaffective disorder
the stages of change in overcoming substance addiction
the tx for opiod intox and withdrawal