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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Delirium
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
reward received after every response - rapidly extinguished - vending machine
the stages of change in overcoming substance addiction
pieces of evidence of physical child abuse

2. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
psychiatric disorder associated with tourrettes - and the treatment
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
reward received after every response - rapidly extinguished - vending machine

3. Rett's disorder
the evidence for child neglect
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
modeling behavior after another person is more powerful - though not necessarily admired
potential tx for nicotine withdrawal

4. Anorexia nervosa
When separation anxiety disorder usually presents
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
gets schizophrenia and the prev
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

5. Atypical depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
disorders in the form of through - the way ideas are tied together

6. Specific phobia
whenmen vs women present with schizophrenia
the typical abuser in sexual abuse
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
cyclothymia disorder

7. Classical conditioning - pavlov's dogs
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 two types of schizoaffective disorder
gustatroy hallucinations common
Number of major depressive episodes constitute major depressive disorder

8. 6 months
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
How long infant deprivation can last before it leads to irreversible changes
the tx for atypical depression

9. PTSD
the definition of alcoholism
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
persistent re - experiencing of a previous traumatic event
the tx for opiod intox and withdrawal

10. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
100 - 15
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
desire to live as the opposite sex - through surgery or hormone tx

11. Anticholinergic
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
SIG E CAPS and the criteria for dx
Drugs with what kind of affect can lead to a state of delirium
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

12. Schizophrenia
discontinuation of reinforcement eliminates behavior
Long acting oral opiate for heroine detox or long term maintenance
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
process whereby avoided ideas and feelings are transferred to some neutral person or object

13. BDZ
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
intox = ataxia - minor respiratory depression
both illness and motivation are subconcious - sx not intentionally produced or feigned
Stanford - binet

14. Cluster B personality disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
child neglect
dramatic - emotional or erratic
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

15. The criteria for mental retardation?
IQ<70
avoidance of awareness of a some painful reality
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
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

16. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the typical abuser in physical child abuse
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

17. Mood elevation - decrease anxiety - sedation - behavior disinhibition - 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
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
depressant intoxication - nonspecific
the epi of sexual abuse

18. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
SIG E CAPS and the criteria for dx
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
PANICS
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school

19. LSD
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Number of major depressive episodes constitute major depressive disorder
depressant intoxication - nonspecific

20. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

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21. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
How long infant deprivation can last before it leads to irreversible changes
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
heroin users at increased risk of...

22. Somatization disorders
the central goa of freudian psychoanalysis
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Anxiety
both illness and motivation are subconcious - sx not intentionally produced or feigned

23. Childhood disintegrative disorder
the serum markers of alcohol use
the common sx of PTSD
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
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

24. Savant
a hypomanic episode
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
autism with unusual abilities
the tx for GAD

25. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
intox = restlessness - increase diureis - muscle twitching
the definition of alcoholism
behavior achieved following reward of closer and closer approximations of desired behavior
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

26. Autonomic system hyperactivity - psychotic symptoms - confusion
causes wernicke - korsakoff syndrome
the evidence for child neglect
delerium tremens symptoms
the treatment for maternal blues - depression - psychosis

27. SSRIs - clomipramine
strong persistant cross gender identification
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the tx for OCD
the common causes of lack or orientation

28. Men early 20s - women late 20s early 30s
the tx for atypical depression
the definition of alcoholism
whenmen vs women present with schizophrenia
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. Personality trait
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the types of cluster B personality disorder
whenhypnagogic hallucinations take place
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

30. Loose associations
How long infant deprivation can last before it leads to irreversible changes
dramatic - emotional or erratic
disorders in the form of through - the way ideas are tied together
less than what percentage of ideal body weight is common in anorexia nervosa

31. MAOi - SSRIs
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the tx for atypical depression
Drugs with what kind of affect can lead to a state of delirium
intox = restlessness. Withdrawal = irritability - anxiety - craving

32. Schizophrenia
auditory hallucinations common
perceptions in the absence of external stimulus
primal urges - freud
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

33. Dementia
odd or eccentric; inability to develop meaningful social relationships
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the non specific signs of stimulant intox and withdrawal
both illness and motivation are subconcious - sx not intentionally produced or feigned

34. Illusion
misinterpretations of actual external stimulus
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
the two types of schizoaffective disorder
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

35. Body dysmorphic disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
milder form of depression lasting at least 2 years
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
the typical abuser in sexual abuse

36. 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
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
100 - 15
SAD PERSONS
the tx for panic disorder

37. Extinction
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
an unacceptable internal impulse is attributed to an external source
discontinuation of reinforcement eliminates behavior
the common sx of PTSD

38. Negative reinforcement
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
How long episodes of major depressive episode usually last
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

39. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
desire to live as the opposite sex - through surgery or hormone tx
guilty feelings alleviated by unsolicitied generosity towards others

40. Marijuana
maladaptive pattern leading to clinically significant impairment or distress
IQ<70
the tx for GAD
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

41. Yes
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Is body weight maintained within nl range in bulimia nervosa
the types of cluster B personality disorder
depressant intoxication - nonspecific

42. Occurs while waking up
the two types of schizoaffective disorder
the tx for GAD
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
When to hypnopompic hallucinations take place

43. Social phobias - tx SSRIs
exaggerated fear of embarrasment in social situations - disorder and tx
cyclothymia disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the 5 types of schizophrenia

44. Anterograde amnesia
inability to remember things that occurred after CNS insult
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
neurologic outcome associated with W- K syndrome
What ego dystonic means in relation to OCD

45. Sublimation - actress using an experience of abuse to enhance her acting
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
define bipolar disorder and distinguish I from II
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

46. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
development of delusions in a person in a close relationship with delusional disorder
the complications/associations of anorexia nervosa
the various types of cluster A personality disorder
Moral values - conscience can lead to self blame and attacks of ego

47. 85 percent
the 3 types of cluster C personality disorder
both illness and motivation are subconcious - sx not intentionally produced or feigned
less than what percentage of ideal body weight is common in anorexia nervosa
behavior acquired by watching others and assimilating actions into one's own repetoire

48. Continuous reinforcement schedule
intox = restlessness - increase diureis - muscle twitching
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
reward received after every response - rapidly extinguished - vending machine
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

49. Peak incidence 9-12 years of age
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
DIG FAST
the epi of sexual abuse
cyclothymia disorder

50. Precontemplation - contemplation - preparation - action - maintenance - relapse
the stages of change in overcoming substance addiction
What ego dystonic means in relation to OCD
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the common sx of PTSD

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Psychiatry

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