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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. Hallucination
perceptions in the absence of external stimulus
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
child neglect
How long does the disturbance last in PTSD

2. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
application of aversive stimulus extinguishes unwanted behavior
the tx of W- K syndrome
maladaptive pattern of substance use with 3 or more of these 7 criteria

3. EtOH withdrawal - cocaine abusers
DIG FAST
the two types of schizoaffective disorder
tactile hallucinations common
Long acting oral opiate for heroine detox or long term maintenance

4. Somatization disorder
How long marijuana is detectable in the urine after last use
How long does the disturbance last in PTSD
child neglect
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

5. Dysthymia followed by hypomania
the tx for GAD
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the 4 W's of deprived babies?
cyclothymia disorder

6. Anxiety - tremor - seizures - insomnia
In ADHD - typical intelligence and school performance
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
depressant withdrawal - nonspecific
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

7. ADHD
the goal of the ego defenses
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

8. Regression - seen in children under stress and in patients on dialysis (crying)
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
turning back the maturational clock and going back to earlier modes of dealing with the world
the 3 types of cluster C personality disorder
anterograde amnesia caused by thiamine deficiency

9. In what disease is GABA decrease and ACH decrease?
Huntingtons
pieces of evidence of physical child abuse
autism with unusual abilities
Stanford - binet

10. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
reward received after random number of responses - slowly extinguished - slot machine
modeling behavior after another person is more powerful - though not necessarily admired
the order of loss of orientation

11. Shared delusional disorder
development of delusions in a person in a close relationship with delusional disorder
PANICS
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
<40 and <20

12. BDZ
the 4 W's of deprived babies?
intox = ataxia - minor respiratory depression
associated with winter season - improves in response to full spectrum light exposure
the serum markers of alcohol use

13. Flumazenil - competitive GABA antagonist
the tx for GAD
Under these conditions do children regress to younger patterns of behavior
turning back the maturational clock and going back to earlier modes of dealing with the world
the tx for BDZ intox - MOA

14. Dissociation - can lead to multiple personality disorder
the triad of Wernicke's encephalopathy
whering clothes of the opposite sex
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

15. Severe and profound MR?
tactile hallucinations common
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
<40 and <20
the non specific signs of stimulant intox and withdrawal

16. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
Long acting oral opiate for heroine detox or long term maintenance
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
psychiatric disorder associated with tourrettes - and the treatment

17. Male - known to the victim
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
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
anxious - fearful
the typical abuser in sexual abuse

18. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
How long infant deprivation can last before it leads to irreversible changes
the triad of Wernicke's encephalopathy
a hypomanic episode
the goal of the ego defenses

19. Oppositional defiant disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
This gross neurological finding is associated with ADHD

20. Barbituates
the common sx of PTSD
Stanford - binet
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
appreciating the amusing nature of an anxiety provoking or adverse situation

21. Boys
gender autism is more common in
SAD PERSONS
PANICS
turning back the maturational clock and going back to earlier modes of dealing with the world

22. Dysthymia
milder form of depression lasting at least 2 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
dramatic - emotional or erratic
Is body weight maintained within nl range in bulimia nervosa

23. BDZ - busiprone - SSRIs
Diagnosis requres 2 of 5 of which sx
the tx for GAD
the non specific signs of stimulant intox and withdrawal
tantrums

24. Adjustment disorder
define bipolar disorder and distinguish I from II
mediator between primal urges and accepted behavior
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

25. Anticholinergic
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Drugs with what kind of affect can lead to a state of delirium
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

26. Gender identity disorder
pieces of evidence of physical child abuse
strong persistant cross gender identification
tactile hallucinations common
When to hypnopompic hallucinations take place

27. Blacks=whites - males = females - 1.5% lifetime prev
this drug is a risk factor for schizophrenia in teens
the types of cluster B personality disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
gets schizophrenia and the prev

28. Punishment
How long does the disturbance last in PTSD
associated with winter season - improves in response to full spectrum light exposure
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
application of aversive stimulus extinguishes unwanted behavior

29. Tourrette's
the tx for atypical depression
IQ<70
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

30. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
Huntingtons
milder form of depression lasting at least 2 years

31. Depersonalization disorder

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32. Classical conditioning - pavlov's dogs
Anxiety
What ego dystonic means in relation to OCD
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

33. Generalized anxiety disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
factors are most important in the etiology of schizophrenia
Under these conditions do children regress to younger patterns of behavior
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

34. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
pieces of evidence for sexual child abuse
the definition of alcoholism
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

35. Naloxone - naltrexone - and symptomatic for withdrawal sx
odd or eccentric; inability to develop meaningful social relationships
gender autism is more common in
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the tx for opiod intox and withdrawal

36. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
Depression
psychiatric disorder associated with tourrettes - and the treatment
Under these conditions do children regress to younger patterns of behavior
the EEG findings in dementia

37. Gamma glutamyltransferase - GGT - AST 2x ALT
inbability to recall important personal information - usually subsequent to severe trauma or stress
avoidance of awareness of a some painful reality
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the serum markers of alcohol use

38. OCD
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Schizophrenia
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

39. There are rare
gustatroy hallucinations common
the treatments for ADHD
misinterpretations of actual external stimulus
exaggerated fear of embarrasment in social situations - disorder and tx

40. In what disease does NE decrease - 5HT decrease and DA decrease?
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Depression
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
strong persistant cross gender identification

41. Delirium
Alzheimers
Number of major depressive episodes constitute major depressive disorder
Under these conditions do children regress to younger patterns of behavior
visual hallucinations common

42. Postpartum depression - 10 to 15%
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
mediator between primal urges and accepted behavior
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Alzheimers

43. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
Separation of feelings from ideas and events
the non specific signs of stimulant intox and withdrawal
What ego dystonic means in relation to OCD
gustatroy hallucinations common

44. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
voluntary withholding of an idea or feeling fromk concious awareness
turning back the maturational clock and going back to earlier modes of dealing with the world
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

45. Marijuana
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
delerium tremens symptoms
maladaptive pattern of substance use with 3 or more of these 7 criteria
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

46. Naltrexone and BDZ
mediator between primal urges and accepted behavior
dramatic - emotional or erratic
reward received after every response - rapidly extinguished - vending machine
the treatment for EtOH intox and withdrawal

47. Body dysmorphic disorder
Where child neglect is reported
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
maladaptive pattern leading to clinically significant impairment or distress
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

48. Projection - a man who wants another women thinks his wife is cheating on him
the typical abuser in sexual abuse
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
an unacceptable internal impulse is attributed to an external source
define bipolar disorder and distinguish I from II

49. >1month
this drug is a risk factor for schizophrenia in teens
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the complications/associations of anorexia nervosa
How long does the disturbance last in PTSD

50. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
neurologic outcome associated with W- K syndrome
pieces of evidence of physical child abuse