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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. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
When separation anxiety disorder usually presents
Diagnosis requres 2 of 5 of which sx
maladaptive pattern of substance use with 3 or more of these 7 criteria
the definition of alcoholism

2. Aspergers
Korsakoff's psychosis
whenmen vs women present with schizophrenia
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

3. Gamma glutamyltransferase - GGT - AST 2x ALT
delerium tremens symptoms
both illness and motivation are subconcious - sx not intentionally produced or feigned
the two types of schizoaffective disorder
the serum markers of alcohol use

4. Schizophrenia
the 3 types of cluster C personality disorder
the 4 W's of deprived babies?
auditory hallucinations common
the tx for GAD

5. Depersonalization disorder

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6. Illusion
the typical abuser in sexual abuse
misinterpretations of actual external stimulus
heroin users at increased risk of...
intox = restlessness. Withdrawal = irritability - anxiety - craving

7. Peak incidence 9-12 years of age
the associations/complications of bulimia nervosa
the epi of sexual abuse
misinterpretations of actual external stimulus
the typical abuser in physical child abuse

8. OCD
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the complications/associations of anorexia nervosa

9. Substance withdrawal - signs are often opposite of intoxication
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
delerium tremens symptoms
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

10. Retrograde amnesia
SAD PERSONS
DIG FAST
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
inability to remember things that occurred before CNS insult

11. Thiamine deficiency
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the typical abuser in sexual abuse
causes wernicke - korsakoff syndrome
When separation anxiety disorder usually presents

12. Male - known to the victim
intox = restlessness - increase diureis - muscle twitching
the typical abuser in sexual abuse
Alzheimers
turning back the maturational clock and going back to earlier modes of dealing with the world

13. Methylphenidate - amphetamines - atomoxetine
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
IQ<70
desired reward produces action - mouse presses button for food
the treatments for ADHD

14. Rett's disorder
maladaptive pattern leading to clinically significant impairment or distress
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the EEG findings in dementia

15. Delusional disorder
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Where child neglect is reported
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

16. 7 to 9
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
When separation anxiety disorder usually presents
both illness and motivation are subconcious - sx not intentionally produced or feigned
the tx for opiod intox and withdrawal

17. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the epi of sexual abuse
the goal of the ego defenses
the central goa of freudian psychoanalysis
define bipolar disorder and distinguish I from II

18. <1mo - usually stress related
an unacceptable internal impulse is attributed to an external source
the 5 types of schizophrenia
In ADHD - typical intelligence and school performance
the time frame for brief pyschotic disorder

19. Variable ratio reinforcement schedule
reward received after random number of responses - slowly extinguished - slot machine
the stages of change in overcoming substance addiction
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
whenhypnagogic hallucinations take place

20. Sublimation - actress using an experience of abuse to enhance her acting
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
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
Diagnosis requres 2 of 5 of which sx

21. The criteria for mental retardation?
IQ<70
How long does the disturbance last in PTSD
pieces of evidence for sexual child abuse
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

22. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
SAD PERSONS
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Korsakoff's psychosis

23. PTSD
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
intox = ataxia - minor respiratory depression
persistent re - experiencing of a previous traumatic event

24. Sensitization
the non specific signs of stimulant intox and withdrawal
mediator between primal urges and accepted behavior
repeated stimulation lead sot increase response
the EEG findings in dementia

25. Dissociative fatigue
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
tactile hallucinations common
gets schizophrenia and the prev
How long episodes of major depressive episode usually last

26. Hypochondriasis
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the concern with use of antidepressants in pts with bipoloar disorder
How long marijuana is detectable in the urine after last use
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

27. Autism
the complications/associations of anorexia nervosa
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
autism with unusual abilities
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

28. MAOi - SSRIs
the tx for atypical depression
depressant intoxication - nonspecific
delerium tremens symptoms
inbability to recall important personal information - usually subsequent to severe trauma or stress

29. Dec frontal lobe volumes
Huntingtons
This gross neurological finding is associated with ADHD
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the complications of alcoholism

30. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the 3 types of cluster C personality disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

31. Altruism - mafia boss makes a large donation to charity
development of delusions in a person in a close relationship with delusional disorder
reward received after every response - rapidly extinguished - vending machine
guilty feelings alleviated by unsolicitied generosity towards others
the triad of Wernicke's encephalopathy

32. Reaction formation - a patient with libidinous thoughts enters a monastery
doctor projects feelings about formative or other important persons onto patient
associated with winter season - improves in response to full spectrum light exposure
child neglect
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

33. Munchausen's syndrome by proxy
cyclothymia disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
process whereby avoided ideas and feelings are transferred to some neutral person or object
SAD PERSONS

34. BDZ - busiprone - SSRIs
maladaptive pattern leading to clinically significant impairment or distress
the tx for GAD
perceptions in the absence of external stimulus
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

35. Depression
in elderly patients who present with dementia - the concern
Huntingtons
disorders in the form of through - the way ideas are tied together
the tx for opiod intox and withdrawal

36. Identification - abused models abuser
modeling behavior after another person is more powerful - though not necessarily admired
an unacceptable internal impulse is attributed to an external source
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
How long marijuana is detectable in the urine after last use

37. Rationalization - after getting fired saying the job wasn't that important anyway
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
SIG E CAPS and the criteria for dx
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

38. Opiods
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
belief that people are either all good or all bad at different times due to intolerance or ambiguity
maladaptive pattern of substance use with 3 or more of these 7 criteria
the complications/associations of anorexia nervosa

39. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
intox = ataxia - minor respiratory depression
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the concern with use of antidepressants in pts with bipoloar disorder

40. Flumazenil - competitive GABA antagonist
desired reward produces action - mouse presses button for food
Parkinsons
How long episodes of major depressive episode usually last
the tx for BDZ intox - MOA

41. Postpartum psyschosis - .1 to .2%
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the triad of Wernicke's encephalopathy
the treatment for maternal blues - depression - psychosis
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

42. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
Diagnosis requres 2 of 5 of which sx
the evidence for child neglect
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
tantrums

43. Genital/anal trauma - STDs and UTIs
Anxiety
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
pieces of evidence for sexual child abuse
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

44. Occurs while waking up
the order of loss of orientation
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
When to hypnopompic hallucinations take place
the tx for opiod intox and withdrawal

45. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
100 - 15
tantrums
the definition of alcoholism
DIG FAST

46. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Causes of dementia
Anxiety
strong persistant cross gender identification

47. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
Is body weight maintained within nl range in bulimia nervosa
turning back the maturational clock and going back to earlier modes of dealing with the world
disorders in the form of through - the way ideas are tied together

48. Anxiety - tremor - seizures - insomnia
DIG FAST
depressant withdrawal - nonspecific
SIG E CAPS and the criteria for dx
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

49. Transvestism
whering clothes of the opposite sex
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the typical abuser in sexual abuse
process whereby avoided ideas and feelings are transferred to some neutral person or object

50. In what disease is GABA decrease and ACH decrease?
Huntingtons
the treatment for EtOH intox and withdrawal
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite