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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. BDZ
Is body weight maintained within nl range in bulimia nervosa
intox = ataxia - minor respiratory depression
a hypomanic episode
partially remaining at more childish level of development

2. In what diseaese is DA decrease - 5HT increase - and increase ACH?
pieces of evidence for sexual child abuse
Parkinsons
inbability to recall important personal information - usually subsequent to severe trauma or stress
whering clothes of the opposite sex

3. 85 percent
depressant withdrawal - nonspecific
less than what percentage of ideal body weight is common in anorexia nervosa
intense fear and discomfort peaking in 10 minutes
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

4. Like manic but without marked impairement in fxning - no pyschotic features
patient projects feelings about formative or other important persons onto physician
both illness and motivation are subconcious - sx not intentionally produced or feigned
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
a hypomanic episode

5. In what disease is GABA decrease and ACH decrease?
associated with winter season - improves in response to full spectrum light exposure
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
IQ<70
Huntingtons

6. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
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 goal of the ego defenses
partially remaining at more childish level of development

7. Alcohol
behavior achieved following reward of closer and closer approximations of desired behavior
Diagnosis requres 2 of 5 of which sx
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
associated with winter season - improves in response to full spectrum light exposure

8. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
depressant intoxication - nonspecific
the tx for OCD
patient projects feelings about formative or other important persons onto physician

9. Sublimation - actress using an experience of abuse to enhance her acting
the non specific signs of stimulant intox and withdrawal
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
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

10. Schizophrenia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
auditory hallucinations common
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

11. Oppositional defiant disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the tx for alcoholism
the treatment for maternal blues - depression - psychosis

12. Men early 20s - women late 20s early 30s
auditory hallucinations common
misinterpretations of actual external stimulus
whenmen vs women present with schizophrenia
visual hallucinations common

13. >1month
desired reward produces action - mouse presses button for food
How long episodes of major depressive episode usually last
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
How long does the disturbance last in PTSD

14. Male - known to the victim
delerium tremens symptoms
the typical abuser in sexual abuse
the two types of schizoaffective disorder
pieces of evidence for sexual child abuse

15. Female primary caregiver
the typical abuser in physical child abuse
tantrums
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the common sx of PTSD

16. Flumazenil - competitive GABA antagonist
depressant intoxication - nonspecific
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the tx for BDZ intox - MOA
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

17. Amphetamines
Parkinsons
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the tx for atypical depression
DIG FAST

18. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
pieces of evidence for sexual child abuse
the non specific signs of stimulant intox and withdrawal
Diagnosis requres 2 of 5 of which sx
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

19. Classical conditioning - pavlov's dogs
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
anterograde amnesia caused by thiamine deficiency
the 4 W's of deprived babies?
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. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
cyclothymia 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
depressant intoxication - nonspecific
the various types of cluster A personality disorder

21. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the EEG findings in dementia
the treatment for EtOH intox and withdrawal

22. 3000 deaths/yr in the US
the epi of physical child abuse
the typical abuser in sexual abuse
delerium tremens symptoms
gets schizophrenia and the prev

23. 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
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
behavior acquired by watching others and assimilating actions into one's own repetoire
SAD PERSONS
gender autism is more common in

24. Anorexia nervosa
factors are most important in the etiology of schizophrenia
reward received after random number of responses - slowly extinguished - slot machine
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
persistent re - experiencing of a previous traumatic event

25. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
In ADHD - typical intelligence and school performance
the non specific signs of stimulant intox and withdrawal
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

26. Weed
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
this drug is a risk factor for schizophrenia in teens
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

27. Depression
the treatments for ADHD
the definition of alcoholism
in elderly patients who present with dementia - the concern
depressant withdrawal - nonspecific

28. Autism
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the epi of physical child abuse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the 4 W's of deprived babies?

29. Sensitization
the common causes of lack or orientation
repeated stimulation lead sot increase response
inability to remember things that occurred after CNS insult
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

30. Somatization disorders
the epi of physical child abuse
the age of onset of ADHD
Separation of feelings from ideas and events
both illness and motivation are subconcious - sx not intentionally produced or feigned

31. While going to sleep
causes wernicke - korsakoff syndrome
whenhypnagogic hallucinations take place
the typical abuser in physical child abuse
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

32. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
potential tx for nicotine withdrawal
the tx for GAD
the treatment for maternal blues - depression - psychosis
maladaptive pattern of substance use with 3 or more of these 7 criteria

33. Adjustment disorder
milder form of depression lasting at least 2 years
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
causes wernicke - korsakoff syndrome
whenmen vs women present with schizophrenia

34. 6 months
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
inbability to recall important personal information - usually subsequent to severe trauma or stress
How long infant deprivation can last before it leads to irreversible changes
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

35. Isolation of affect - describing murder in graphic detail with no emotional response
Separation of feelings from ideas and events
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
a hypomanic episode

36. Punishment
maladaptive pattern of substance use with 3 or more of these 7 criteria
application of aversive stimulus extinguishes unwanted behavior
turning back the maturational clock and going back to earlier modes of dealing with the world
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

37. Delusions
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the epi of sexual abuse
the tx of W- K syndrome
disorders in the form of through - the way ideas are tied together

38. Dissociative fatigue
learning in which a particular ation is elicited because it produces a reward
a hypomanic episode
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
this drug is a risk factor for schizophrenia in teens

39. LSD
the 4 W's of deprived babies?
psychiatric disorder associated with tourrettes - and the treatment
Where child neglect is reported
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

40. Paranoid - disorganized - catatonic - undifferentiated - residual
causes wernicke - korsakoff syndrome
the treatment for maternal blues - depression - psychosis
the 5 types of schizophrenia
the concern with use of antidepressants in pts with bipoloar disorder

41. Specific phobia
neurologic outcome associated with W- K syndrome
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
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the typical abuser in sexual abuse

42. Panic disorder
intense fear and discomfort peaking in 10 minutes
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
guilty feelings alleviated by unsolicitied generosity towards others

43. Personality disorder
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
odd or eccentric; inability to develop meaningful social relationships
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
Anxiety

44. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
Anxiety
the 3 types of cluster C personality disorder
the stages of change in overcoming substance addiction
intox = restlessness. Withdrawal = irritability - anxiety - craving

45. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
heroin users at increased risk of...
development of delusions in a person in a close relationship with delusional disorder
less than what percentage of ideal body weight is common in anorexia nervosa

46. Opiods
belief that people are either all good or all bad at different times due to intolerance or ambiguity
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
avoidance of awareness of a some painful reality
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

47. Tourrette's
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
milder form of depression lasting at least 2 years
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
behavior achieved following reward of closer and closer approximations of desired behavior

48. Postpartum psyschosis - .1 to .2%
associated with winter season - improves in response to full spectrum light exposure
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
whering clothes of the opposite sex
patient projects feelings about formative or other important persons onto physician

49. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
causes wernicke - korsakoff syndrome
gender autism is more common in
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

50. Modeling (social learning)

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