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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. Habituation - simple learning
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
repeated stimulation leads to decrease response
the tx for BDZ intox - MOA
reward received after every response - rapidly extinguished - vending machine

2. Cluster A personality disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
in elderly patients who present with dementia - the concern
odd or eccentric; inability to develop meaningful social relationships
the non specific signs of stimulant intox and withdrawal

3. Separation anxiety disorder
inability to remember things that occurred after CNS insult
autism with unusual abilities
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
heroin users at increased risk of...

4. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
When separation anxiety disorder usually presents
desire to live as the opposite sex - through surgery or hormone tx

5. Personality disorder
How long does the disturbance last in PTSD
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
How long marijuana is detectable in the urine after last use
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

6. Nl
a hypomanic episode
auditory hallucinations common
When separation anxiety disorder usually presents
the EEG findings in dementia

7. Substance withdrawal - signs are often opposite of intoxication
repeated stimulation leads to decrease response
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
inbability to recall important personal information - usually subsequent to severe trauma or stress

8. Generalized anxiety disorder
the common sx of PTSD
modeling behavior after another person is more powerful - though not necessarily admired
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Where child neglect is reported

9. EtOH withdrawal - cocaine abusers
visual hallucinations common
tactile hallucinations common
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
In ADHD - typical intelligence and school performance

10. Adjustment disorder
the common sx of PTSD
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
reward received after random number of responses - slowly extinguished - slot machine
factors are most important in the etiology of schizophrenia

11. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
SAD PERSONS
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the non specific signs of stimulant intox and withdrawal

12. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
define bipolar disorder and distinguish I from II
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the common sx of PTSD
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

13. In what disease is ACH decrease?
involunatary withholding of an idea or feeling from conscious awareness
Alzheimers
the serum markers of alcohol use
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

14. Precontemplation - contemplation - preparation - action - maintenance - relapse
whenhypnagogic hallucinations take place
the stages of change in overcoming substance addiction
pieces of evidence of physical child abuse
primal urges - freud

15. Boys
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
involunatary withholding of an idea or feeling from conscious awareness
gender autism is more common in

16. Normal intel - trouble in school
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
persistent re - experiencing of a previous traumatic event
neurologic outcome associated with W- K syndrome
In ADHD - typical intelligence and school performance

17. Repression - not remebering a conflictual or traumatic experience
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the epi of physical child abuse
involunatary withholding of an idea or feeling from conscious awareness
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

18. Somatization disorders
process whereby avoided ideas and feelings are transferred to some neutral person or object
the associations/complications of bulimia nervosa
both illness and motivation are subconcious - sx not intentionally produced or feigned
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

19. Postpartum depression - 10 to 15%
visual hallucinations common
patient projects feelings about formative or other important persons onto physician
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

20. Genital/anal trauma - STDs and UTIs
Diagnosis requres 2 of 5 of which sx
Korsakoff's psychosis
pieces of evidence for sexual child abuse
the typical abuser in sexual abuse

21. Hypochondriasis
inbability to recall important personal information - usually subsequent to severe trauma or stress
Alzheimers
How long does the disturbance last in PTSD
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

22. While going to sleep
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
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
Depression
whenhypnagogic hallucinations take place

23. Tourrette's
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
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

24. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
behavior achieved following reward of closer and closer approximations of desired behavior
reward received after random number of responses - slowly extinguished - slot machine
strong persistant cross gender identification
the goal of the ego defenses

25. In what disease does NE increase - GABA decrease - and 5HT decrease?
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the typical abuser in physical child abuse
Anxiety

26. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
the common sx of PTSD
the 5 types of schizophrenia
child neglect
intox = restlessness. Withdrawal = irritability - anxiety - craving

27. 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
the time frame for schizophreniform disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
causes wernicke - korsakoff syndrome

28. Sensitization
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
repeated stimulation lead sot increase response
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
the concern with use of antidepressants in pts with bipoloar disorder

29. Dysthymia
milder form of depression lasting at least 2 years
inbability to recall important personal information - usually subsequent to severe trauma or stress
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

30. Transsexualism
Anxiety
the epi of sexual abuse
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
desire to live as the opposite sex - through surgery or hormone tx

31. Nicotine
intox = restlessness. Withdrawal = irritability - anxiety - craving
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
How long episodes of major depressive episode usually last
doctor projects feelings about formative or other important persons onto patient

32. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the 3 types of cluster C personality disorder
This gross neurological finding is associated with ADHD
the non specific signs of stimulant intox and withdrawal
the evidence for child neglect

33. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
How long infant deprivation can last before it leads to irreversible changes
desired reward produces action - mouse presses button for food
the types of cluster B personality disorder
the tx for alcoholism

34. Maternal blues 50 to 85%
This gross neurological finding is associated with ADHD
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the treatment for maternal blues - depression - psychosis
Under these conditions do children regress to younger patterns of behavior

35. Inc mania - high suicide risk
depressant intoxication - nonspecific
the two types of schizoaffective disorder
the time frame for schizophreniform disorder
the concern with use of antidepressants in pts with bipoloar disorder

36. To make the patient aware of hidden in their unconcious
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the complications/associations of anorexia nervosa
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the central goa of freudian psychoanalysis

37. CBT - SSRI - TCI - BDZ
What ego dystonic means in relation to OCD
the tx for panic disorder
the time frame for schizophreniform disorder
the epi of sexual abuse

38. Disulfiram and supportive care
neurologic outcome associated with W- K syndrome
Stanford - binet
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
the tx for alcoholism

39. BDZ
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
intox = ataxia - minor respiratory depression
the typical abuser in sexual abuse
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

40. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the typical abuser in sexual abuse
the time frame for brief pyschotic disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

41. Before 7
guilty feelings alleviated by unsolicitied generosity towards others
the age of onset of ADHD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
potential tx for nicotine withdrawal

42. Depersonalization disorder

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43. Dissociative identity disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
desired reward produces action - mouse presses button for food

44. Marijuana
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
repeated stimulation lead sot increase response
the typical abuser in sexual abuse

45. Panic disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
intox = ataxia - minor respiratory depression
intense fear and discomfort peaking in 10 minutes
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

46. Korsakoff's amnesia
the order of loss of orientation
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
anterograde amnesia caused by thiamine deficiency
Number of major depressive episodes constitute major depressive disorder

47. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
Under these conditions do children regress to younger patterns of behavior
whenhypnagogic hallucinations take place
the tx for alcoholism
IQ<70

48. Anticholinergic
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
Drugs with what kind of affect can lead to a state of delirium
persistent re - experiencing of a previous traumatic event
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

49. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
SIG E CAPS and the criteria for dx
intox = restlessness - increase diureis - muscle twitching
strong persistant cross gender identification
Drugs with what kind of affect can lead to a state of delirium

50. >1month
Where child neglect is reported
gustatroy hallucinations common
the tx for bipolar disorder
How long does the disturbance last in PTSD