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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. While going to sleep
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the triad of Wernicke's encephalopathy
whenhypnagogic hallucinations take place
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

2. <1mo - usually stress related
the treatment for EtOH intox and withdrawal
the time frame for brief pyschotic disorder
the tx for GAD
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

3. Bulimia nervosa
delerium tremens symptoms
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

4. Retrograde amnesia
the complications of alcoholism
voluntary withholding of an idea or feeling fromk concious awareness
inability to remember things that occurred before CNS insult
persistent re - experiencing of a previous traumatic event

5. CPS
Schizophrenia
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
Stanford - binet
Where child neglect is reported

6. Transvestism
intox = ataxia - minor respiratory depression
the tx for alcoholism
delerium tremens symptoms
whering clothes of the opposite sex

7. Severe and profound MR?
desire to live as the opposite sex - through surgery or hormone tx
intense fear and discomfort peaking in 10 minutes
<40 and <20
How long infant deprivation can last before it leads to irreversible changes

8. Panic disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the treatment for EtOH intox and withdrawal
cyclothymia disorder
intense fear and discomfort peaking in 10 minutes

9. Marijuana
intox = ataxia - minor respiratory depression
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

10. Modeling (social learning)

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11. Extinction
discontinuation of reinforcement eliminates behavior
application of aversive stimulus extinguishes unwanted behavior
the treatment for EtOH intox and withdrawal
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

12. Caffeine
Huntingtons
PANICS
anterograde amnesia caused by thiamine deficiency
intox = restlessness - increase diureis - muscle twitching

13. Gamma glutamyltransferase - GGT - AST 2x ALT
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the serum markers of alcohol use
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

14. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
primal urges - freud
the 3 types of cluster C personality disorder
persistent re - experiencing of a previous traumatic event

15. Mallory weiss syndrome
inability to remember things that occurred before CNS insult
the tx for alcoholism
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

16. 7 to 9
the epi of sexual abuse
When separation anxiety disorder usually presents
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

17. Manic episdoe
Huntingtons
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
PANICS
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

18. Conversion disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
maladaptive pattern of substance use with 3 or more of these 7 criteria
SAD PERSONS
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

19. Superego - you know you can't have it - taking it is wrong
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Moral values - conscience can lead to self blame and attacks of ego
When separation anxiety disorder usually presents
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

20. Operant conditioning
neurologic outcome associated with W- K syndrome
learning in which a particular ation is elicited because it produces a reward
tantrums
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

21. Depression
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
in elderly patients who present with dementia - the concern
<40 and <20
the concern with use of antidepressants in pts with bipoloar disorder

22. ADHD
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

23. Classical conditioning - pavlov's dogs
odd or eccentric; inability to develop meaningful social relationships
<40 and <20
maladaptive pattern of substance use with 3 or more of these 7 criteria
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

24. Positive reinforcement
desired reward produces action - mouse presses button for food
When to hypnopompic hallucinations take place
inability to remember things that occurred before CNS insult
whenmen vs women present with schizophrenia

25. Seasonal affective disorder
Under these conditions do children regress to younger patterns of behavior
perceptions in the absence of external stimulus
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
associated with winter season - improves in response to full spectrum light exposure

26. Female primary caregiver
the typical abuser in physical child abuse
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
partially remaining at more childish level of development
How long marijuana is detectable in the urine after last use

27. Malingering
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Stanford - binet
the tx for alcoholism
patient conciously fakes or claims to have a disorder in order to gain a specific secondary gain and avoids medical treatmen - complaints cease after gain

28. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
process whereby avoided ideas and feelings are transferred to some neutral person or object
PANICS
the tx for bipolar disorder
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

29. Nicotine
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Where child neglect is reported
intox = restlessness. Withdrawal = irritability - anxiety - craving
neurologic outcome associated with W- K syndrome

30. Somatization disorder
persistent re - experiencing of a previous traumatic event
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
This gross neurological finding is associated with ADHD
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

31. Loose associations
milder form of depression lasting at least 2 years
the typical abuser in physical child abuse
reward received after random number of responses - slowly extinguished - slot machine
disorders in the form of through - the way ideas are tied together

32. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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33. Sensitization
repeated stimulation lead sot increase response
perceptions in the absence of external stimulus
depressant withdrawal - nonspecific
partially remaining at more childish level of development

34. Munchausen's syndrome by proxy
this drug is a risk factor for schizophrenia in teens
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
gustatroy hallucinations common

35. In what disease does NE increase - GABA decrease - and 5HT decrease?
the tx for BDZ intox - MOA
Anxiety
the central goa of freudian psychoanalysis
depressant withdrawal - nonspecific

36. Dementia
modeling behavior after another person is more powerful - though not necessarily admired
When to hypnopompic hallucinations take place
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
whenhypnagogic hallucinations take place

37. Rationalization - after getting fired saying the job wasn't that important anyway
the goal of the ego defenses
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Alzheimers
Separation of feelings from ideas and events

38. Splitting - a pt that says all nurses are nice and all doctors are bad
Stanford - binet
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
anxious - fearful
belief that people are either all good or all bad at different times due to intolerance or ambiguity

39. Personality disorder
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
delerium tremens symptoms
maladaptive pattern of substance use with 3 or more of these 7 criteria
Moral values - conscience can lead to self blame and attacks of ego

40. Peak incidence 9-12 years of age
the epi of sexual abuse
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
strong persistant cross gender identification
the treatment for maternal blues - depression - psychosis

41. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
desired reward produces action - mouse presses button for food
What ego dystonic means in relation to OCD
gustatroy hallucinations common
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

42. Anterograde amnesia
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Separation of feelings from ideas and events
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
inability to remember things that occurred after CNS insult

43. Methadone
Long acting oral opiate for heroine detox or long term maintenance
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 serum markers of alcohol use
depressant withdrawal - nonspecific

44. Naltrexone and BDZ
less than what percentage of ideal body weight is common in anorexia nervosa
the treatment for maternal blues - depression - psychosis
SIG E CAPS and the criteria for dx
the treatment for EtOH intox and withdrawal

45. Transference
patient projects feelings about formative or other important persons onto physician
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
gets schizophrenia and the prev
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

46. Irreversible memory loss - confabulation - personality change

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47. Variable ratio reinforcement schedule
the triad of Wernicke's encephalopathy
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Drugs with what kind of affect can lead to a state of delirium
reward received after random number of responses - slowly extinguished - slot machine

48. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
the tx for panic disorder
How long infant deprivation can last before it leads to irreversible changes
the 5 types of schizophrenia

49. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the tx for OCD
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

50. Delirium
exaggerated fear of embarrasment in social situations - disorder and tx
the time frame for schizophreniform disorder
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
Long acting oral opiate for heroine detox or long term maintenance