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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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1. CPS
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
Where child neglect is reported
inability to remember things that occurred after CNS insult
dramatic - emotional or erratic

2. >1month
the central goa of freudian psychoanalysis
pieces of evidence for sexual child abuse
desire to live as the opposite sex - through surgery or hormone tx
How long does the disturbance last in PTSD

3. Substance withdrawal - signs are often opposite of intoxication
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
psychiatric disorder associated with tourrettes - and the treatment
mediator between primal urges and accepted behavior

4. Extinction
perceptions in the absence of external stimulus
the epi of sexual abuse
learning in which a particular ation is elicited because it produces a reward
discontinuation of reinforcement eliminates behavior

5. Nl
the EEG findings in dementia
auditory hallucinations common
This gross neurological finding is associated with ADHD
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

6. Transference
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
persistent re - experiencing of a previous traumatic event
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
patient projects feelings about formative or other important persons onto physician

7. Before 7
less than what percentage of ideal body weight is common in anorexia nervosa
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the age of onset of ADHD
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

8. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Diagnosis requres 2 of 5 of which sx
psychiatric disorder associated with tourrettes - and the treatment
doctor projects feelings about formative or other important persons onto patient

9. The criteria for mental retardation?
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
IQ<70
Drugs with what kind of affect can lead to a state of delirium

10. Malingering
Is body weight maintained within nl range in bulimia nervosa
milder form of depression lasting at least 2 years
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
Under these conditions do children regress to younger patterns of behavior

11. Social phobias - tx SSRIs
Parkinsons
tactile hallucinations common
exaggerated fear of embarrasment in social situations - disorder and tx
this drug is a risk factor for schizophrenia in teens

12. ADHD
heroin users at increased risk of...
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
When to hypnopompic hallucinations take place

13. Personality disorder
the treatment for EtOH intox and withdrawal
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
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
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

14. Gamma glutamyltransferase - GGT - AST 2x ALT
voluntary withholding of an idea or feeling fromk concious awareness
the serum markers of alcohol use
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Diagnosis requres 2 of 5 of which sx

15. 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
Korsakoff's psychosis
olfactory hallucinations common
the two types of schizoaffective disorder

16. Modeling (social learning)

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17. Paranoid - disorganized - catatonic - undifferentiated - residual
depressant intoxication - nonspecific
How long marijuana is detectable in the urine after last use
the 5 types of schizophrenia
gustatroy hallucinations common

18. Continuous reinforcement schedule
reward received after every response - rapidly extinguished - vending machine
dramatic - emotional or erratic
inability to remember things that occurred before CNS insult
the associations/complications of bulimia nervosa

19. In what disease is ACH decrease?
the tx for atypical depression
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Alzheimers
appreciating the amusing nature of an anxiety provoking or adverse situation

20. Genes > environment
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
factors are most important in the etiology of schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the goal of the ego defenses

21. Body dysmorphic disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
primal urges - freud
the stages of change in overcoming substance addiction
milder form of depression lasting at least 2 years

22. Periventricular hemorrhage/necrosis of mamillary bodies
PANICS
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
neurologic outcome associated with W- K syndrome
dramatic - emotional or erratic

23. Anorexia nervosa
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
discontinuation of reinforcement eliminates behavior
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

24. Id - subconcious - I want it
DIG FAST
primal urges - freud
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

25. Adjustment disorder
the tx for opiod intox and withdrawal
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
process whereby avoided ideas and feelings are transferred to some neutral person or object
reward received after every response - rapidly extinguished - vending machine

26. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
the tx for BDZ intox - MOA
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
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

27. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
Anxiety
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
odd or eccentric; inability to develop meaningful social relationships

28. Mallory weiss syndrome
intox = ataxia - minor respiratory depression
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the various types of cluster A personality disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

29. Humor - nervous med student jokes about boards
the various types of cluster A personality disorder
inability to remember things that occurred after CNS insult
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
appreciating the amusing nature of an anxiety provoking or adverse situation

30. Manic episdoe
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the goal of the ego defenses
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

31. 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
Alzheimers
Drugs with what kind of affect can lead to a state of delirium
factors are most important in the etiology of schizophrenia
SAD PERSONS

32. Depression
in elderly patients who present with dementia - the concern
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intox = restlessness - increase diureis - muscle twitching
development of delusions in a person in a close relationship with delusional disorder

33. Sublimation - actress using an experience of abuse to enhance her acting
reward received after every response - rapidly extinguished - vending machine
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
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
Causes of dementia

34. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
the order of loss of orientation
How long episodes of major depressive episode usually last
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

35. Inc mania - high suicide risk
depressant withdrawal - nonspecific
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the concern with use of antidepressants in pts with bipoloar disorder

36. Postpartum psyschosis - .1 to .2%
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the time frame for brief pyschotic disorder

37. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
exaggerated fear of embarrasment in social situations - disorder and tx
the treatment for maternal blues - depression - psychosis

38. 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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39. PCP
the non specific signs of stimulant intox and withdrawal
guilty feelings alleviated by unsolicitied generosity towards others
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Diagnosis requres 2 of 5 of which sx

40. Projection - a man who wants another women thinks his wife is cheating on him
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
an unacceptable internal impulse is attributed to an external source
modeling behavior after another person is more powerful - though not necessarily admired
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

41. Acting out
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
tantrums
Long acting oral opiate for heroine detox or long term maintenance
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

42. Transvestism
repeated stimulation lead sot increase response
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
a hypomanic episode
whering clothes of the opposite sex

43. Disulfiram and supportive care
desire to live as the opposite sex - through surgery or hormone tx
the tx for alcoholism
both illness and motivation are subconcious - sx not intentionally produced or feigned
the triad of Wernicke's encephalopathy

44. Calculates IQ as mental age/chronological age x 100
SIG E CAPS and the criteria for dx
Stanford - binet
the epi of sexual abuse
belief that people are either all good or all bad at different times due to intolerance or ambiguity

45. In what disease does NE decrease - 5HT decrease and DA decrease?
Depression
Is body weight maintained within nl range in bulimia nervosa
voluntary withholding of an idea or feeling fromk concious awareness
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

46. Caffeine
reward received after random number of responses - slowly extinguished - slot machine
intox = restlessness - increase diureis - muscle twitching
desire to live as the opposite sex - through surgery or hormone tx
depressant intoxication - nonspecific

47. Delusions
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Moral values - conscience can lead to self blame and attacks of ego

48. Time then place then person
suboxone and the rational of adding an antagonist
How long infant deprivation can last before it leads to irreversible changes
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the order of loss of orientation

49. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
an unacceptable internal impulse is attributed to an external source
primal urges - freud
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

50. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
the non specific signs of stimulant intox and withdrawal
psychiatric disorder associated with tourrettes - and the treatment
the complications/associations of anorexia nervosa
gustatroy hallucinations common