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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. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
behavior achieved following reward of closer and closer approximations of desired behavior
the tx for GAD
the associations/complications of bulimia nervosa
Under these conditions do children regress to younger patterns of behavior

2. Substance withdrawal - signs are often opposite of intoxication
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
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
perceptions in the absence of external stimulus

3. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
associated with winter season - improves in response to full spectrum light exposure
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
child neglect

4. Transsexualism
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
pieces of evidence for sexual child abuse
desire to live as the opposite sex - through surgery or hormone tx
the serum markers of alcohol use

5. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the goal of the ego defenses
cyclothymia disorder
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 associations/complications of bulimia nervosa

6. 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
SAD PERSONS
reward received after random number of responses - slowly extinguished - slot machine
intox = ataxia - minor respiratory depression
the tx for bipolar disorder

7. In what disease is ACH decrease?
inbability to recall important personal information - usually subsequent to severe trauma or stress
the 3 types of cluster C personality disorder
gets schizophrenia and the prev
Alzheimers

8. Nl
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
Causes of dementia
the EEG findings in dementia

9. >1month
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
How long does the disturbance last in PTSD
reward received after every response - rapidly extinguished - vending machine
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

10. Schizophrenia
odd or eccentric; inability to develop meaningful social relationships
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
primal urges - freud
auditory hallucinations common

11. Sensitization
the treatment for maternal blues - depression - psychosis
whering clothes of the opposite sex
the definition of alcoholism
repeated stimulation lead sot increase response

12. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the epi of physical child abuse

13. Munchausen's syndrome by proxy
Parkinsons
pieces of evidence for sexual child abuse
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the 5 types of schizophrenia

14. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
in elderly patients who present with dementia - the concern
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

15. Weed
intox = ataxia - minor respiratory depression
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
this drug is a risk factor for schizophrenia in teens

16. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the evidence for child neglect
both illness and motivation are subconcious - sx not intentionally produced or feigned

17. Dec frontal lobe volumes
persistent re - experiencing of a previous traumatic event
the time frame for schizophreniform disorder
This gross neurological finding is associated with ADHD
the evidence for child neglect

18. Opiods
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

19. To make the patient aware of hidden in their unconcious
the tx for atypical depression
the treatments for ADHD
the central goa of freudian psychoanalysis
inbability to recall important personal information - usually subsequent to severe trauma or stress

20. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
exaggerated fear of embarrasment in social situations - disorder and tx
suboxone and the rational of adding an antagonist
heroin users at increased risk of...
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

21. Severe and profound MR?
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
gustatroy hallucinations common
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
<40 and <20

22. Rett's disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
desired reward produces action - mouse presses button for food
the order of loss of orientation

23. Somatization disorder
behavior achieved following reward of closer and closer approximations of desired behavior
Parkinsons
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
inability to remember things that occurred before CNS insult

24. Dissociative fatigue
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
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

25. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
involunatary withholding of an idea or feeling from conscious awareness
the common sx of PTSD
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the concern with use of antidepressants in pts with bipoloar disorder

26. 7 to 9
autism with unusual abilities
the associations/complications of bulimia nervosa
the triad of Wernicke's encephalopathy
When separation anxiety disorder usually presents

27. ECT - disorientation amnesia - usually resolves in 6 months
the 4 W's of deprived babies?
Huntingtons
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

28. Occurs while waking up
application of aversive stimulus extinguishes unwanted behavior
gender autism is more common in
When to hypnopompic hallucinations take place
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

29. Precontemplation - contemplation - preparation - action - maintenance - relapse
patient projects feelings about formative or other important persons onto physician
olfactory hallucinations common
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the stages of change in overcoming substance addiction

30. <1mo - usually stress related
How long infant deprivation can last before it leads to irreversible changes
process whereby avoided ideas and feelings are transferred to some neutral person or object
mediator between primal urges and accepted behavior
the time frame for brief pyschotic disorder

31. Boys
gender autism is more common in
the typical abuser in physical child abuse
What ego dystonic means in relation to OCD
Is body weight maintained within nl range in bulimia nervosa

32. Mallory weiss syndrome
the types of cluster B personality disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
inability to remember things that occurred before CNS insult
How long marijuana is detectable in the urine after last use

33. Irreversible memory loss - confabulation - personality change

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34. Schizophrenia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
the two types of schizoaffective disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
a hypomanic episode

35. Reaction formation - a patient with libidinous thoughts enters a monastery
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
exaggerated fear of embarrasment in social situations - disorder and tx
disorders in the form of through - the way ideas are tied together

36. Nicotine
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Huntingtons
the two types of schizoaffective disorder
intox = restlessness. Withdrawal = irritability - anxiety - craving

37. Conversion disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Diagnosis requres 2 of 5 of which sx
voluntary withholding of an idea or feeling fromk concious awareness

38. Cluster A personality disorder
<40 and <20
primal urges - freud
odd or eccentric; inability to develop meaningful social relationships
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

39. Regression - seen in children under stress and in patients on dialysis (crying)
development of delusions in a person in a close relationship with delusional disorder
persistent re - experiencing of a previous traumatic event
Moral values - conscience can lead to self blame and attacks of ego
turning back the maturational clock and going back to earlier modes of dealing with the world

40. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
odd or eccentric; inability to develop meaningful social relationships
Drugs with what kind of affect can lead to a state of delirium
the tx for GAD

41. 2 or more within a symptom free interval of 2 months
the tx for OCD
the tx for opiod intox and withdrawal
Schizophrenia
Number of major depressive episodes constitute major depressive disorder

42. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
Huntingtons
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

43. MAOi - SSRIs
Depression
the tx for atypical depression
misinterpretations of actual external stimulus
gustatroy hallucinations common

44. 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
causes wernicke - korsakoff syndrome
Depression

45. PTSD
depressant withdrawal - nonspecific
persistent re - experiencing of a previous traumatic event
<40 and <20
delerium tremens symptoms

46. Operant conditioning
learning in which a particular ation is elicited because it produces a reward
Depression
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
patient projects feelings about formative or other important persons onto physician

47. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
development of delusions in a person in a close relationship with delusional disorder
the treatment for maternal blues - depression - psychosis
the EEG findings in dementia
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

48. ADHD
the tx for OCD
tactile hallucinations common
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
psychiatric disorder associated with tourrettes - and the treatment

49. 1 month
an unacceptable internal impulse is attributed to an external source
How long marijuana is detectable in the urine after last use
disorders in the form of through - the way ideas are tied together
reward received after every response - rapidly extinguished - vending machine

50. Naltrexone and BDZ
persistent re - experiencing of a previous traumatic event
less than what percentage of ideal body weight is common in anorexia nervosa
desired reward produces action - mouse presses button for food
the treatment for EtOH intox and withdrawal