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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. Dissociative identity disorder
the treatment for EtOH intox and withdrawal
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
factors are most important in the etiology of schizophrenia
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

2. 1-6 months
Long acting oral opiate for heroine detox or long term maintenance
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
misinterpretations of actual external stimulus
the time frame for schizophreniform disorder

3. In what diseaese is DA decrease - 5HT increase - and increase ACH?
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
Parkinsons
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Moral values - conscience can lead to self blame and attacks of ego

4. Humor - nervous med student jokes about boards
define bipolar disorder and distinguish I from II
appreciating the amusing nature of an anxiety provoking or adverse situation
In ADHD - typical intelligence and school performance
How long marijuana is detectable in the urine after last use

5. Manic episdoe
delerium tremens symptoms
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
repeated stimulation leads to decrease response

6. Anticholinergic
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
Drugs with what kind of affect can lead to a state of delirium
gender autism is more common in
mediator between primal urges and accepted behavior

7. Depersonalization disorder

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8. OCD - haloperidol
discontinuation of reinforcement eliminates behavior
psychiatric disorder associated with tourrettes - and the treatment
anxious - fearful
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

9. Positive reinforcement
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
desired reward produces action - mouse presses button for food
causes wernicke - korsakoff syndrome
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

10. Anorexia nervosa
When separation anxiety disorder usually presents
partially remaining at more childish level of development
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

11. LSD
persistent re - experiencing of a previous traumatic event
doctor projects feelings about formative or other important persons onto patient
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the definition of alcoholism

12. Acting out
the complications of alcoholism
a hypomanic episode
the central goa of freudian psychoanalysis
tantrums

13. Ego - take it and you will get in trouble
mediator between primal urges and accepted behavior
a hypomanic episode
autism with unusual abilities
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent

14. Weed
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
this drug is a risk factor for schizophrenia in teens
strong persistant cross gender identification
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

15. Variable ratio reinforcement schedule
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the central goa of freudian psychoanalysis
reward received after random number of responses - slowly extinguished - slot machine
the 5 types of schizophrenia

16. Postpartum psyschosis - .1 to .2%
PANICS
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the types of cluster B personality disorder
doctor projects feelings about formative or other important persons onto patient

17. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
mediator between primal urges and accepted behavior
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
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 non specific signs of stimulant intox and withdrawal

18. Sublimation - actress using an experience of abuse to enhance her acting
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
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
depressant intoxication - nonspecific
pieces of evidence of physical child abuse

19. Like manic but without marked impairement in fxning - no pyschotic features
Diagnosis requres 2 of 5 of which sx
intox = restlessness. Withdrawal = irritability - anxiety - craving
the tx for opiod intox and withdrawal
a hypomanic episode

20. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
associated with winter season - improves in response to full spectrum light exposure
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

21. Caffeine
intox = restlessness - increase diureis - muscle twitching
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
auditory hallucinations common
misinterpretations of actual external stimulus

22. Negative reinforcement
whenhypnagogic hallucinations take place
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
avoidance of awareness of a some painful reality
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

23. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the tx for BDZ intox - MOA
the treatment for EtOH intox and withdrawal
Number of major depressive episodes constitute major depressive disorder
the common sx of PTSD

24. Sensitization
reward received after random number of responses - slowly extinguished - slot machine
partially remaining at more childish level of development
the epi of physical child abuse
repeated stimulation lead sot increase response

25. Vit B1 - thiamine
the tx of W- K syndrome
heroin users at increased risk of...
the tx for panic disorder
primal urges - freud

26. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
patient projects feelings about formative or other important persons onto physician
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
whering clothes of the opposite sex
PANICS

27. Peak incidence 9-12 years of age
the epi of sexual abuse
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
whering clothes of the opposite sex

28. Mallory weiss syndrome
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
Moral values - conscience can lead to self blame and attacks of ego
disorders in the form of through - the way ideas are tied together
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

29. Yes
Is body weight maintained within nl range in bulimia nervosa
IQ<70
in elderly patients who present with dementia - the concern
learning in which a particular ation is elicited because it produces a reward

30. Munchausen's syndrome by proxy
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Huntingtons
the serum markers of alcohol use
patient projects feelings about formative or other important persons onto physician

31. Seasonal affective disorder
the tx for BDZ intox - MOA
the typical abuser in sexual abuse
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
associated with winter season - improves in response to full spectrum light exposure

32. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
odd or eccentric; inability to develop meaningful social relationships
anterograde amnesia caused by thiamine deficiency
partially remaining at more childish level of development

33. Dysthymia
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
pieces of evidence of physical child abuse
How long episodes of major depressive episode usually last
milder form of depression lasting at least 2 years

34. Dysthymia followed by hypomania
the types of cluster B personality disorder
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
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
cyclothymia disorder

35. Precontemplation - contemplation - preparation - action - maintenance - relapse
the various types of cluster A personality disorder
Long acting oral opiate for heroine detox or long term maintenance
the stages of change in overcoming substance addiction
intense fear and discomfort peaking in 10 minutes

36. Substance withdrawal - signs are often opposite of intoxication
guilty feelings alleviated by unsolicitied generosity towards others
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
inability to remember things that occurred before CNS insult

37. Dissociative fatigue
Schizophrenia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
100 - 15

38. Paranoid - disorganized - catatonic - undifferentiated - residual
the 5 types of schizophrenia
the time frame for brief pyschotic disorder
Alzheimers
in elderly patients who present with dementia - the concern

39. Dementia
the order of loss of orientation
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
delerium tremens symptoms
the concern with use of antidepressants in pts with bipoloar disorder

40. Postpartum depression - 10 to 15%
intox = ataxia - minor respiratory depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Drugs with what kind of affect can lead to a state of delirium
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

41. Pain disorder
Diagnosis requres 2 of 5 of which sx
the tx for alcoholism
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
gustatroy hallucinations common

42. Savant
autism with unusual abilities
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
How long episodes of major depressive episode usually last
olfactory hallucinations common

43. Periventricular hemorrhage/necrosis of mamillary bodies
When separation anxiety disorder usually presents
neurologic outcome associated with W- K syndrome
Where child neglect is reported
inability to remember things that occurred before CNS insult

44. ECT - disorientation amnesia - usually resolves in 6 months
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
exaggerated fear of embarrasment in social situations - disorder and tx
process whereby avoided ideas and feelings are transferred to some neutral person or object
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

45. Rationalization - after getting fired saying the job wasn't that important anyway
the complications of alcoholism
psychiatric disorder associated with tourrettes - and the treatment
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

46. To make the patient aware of hidden in their unconcious
neurologic outcome associated with W- K syndrome
the central goa of freudian psychoanalysis
involunatary withholding of an idea or feeling from conscious awareness
pieces of evidence of physical child abuse

47. Displacement - mom places blame on kid because she's mad at husband
the tx for panic disorder
Huntingtons
Moral values - conscience can lead to self blame and attacks of ego
process whereby avoided ideas and feelings are transferred to some neutral person or object

48. Time then place then person
the order of loss of orientation
belief that people are either all good or all bad at different times due to intolerance or ambiguity
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

49. BDZ - busiprone - SSRIs
the epi of sexual abuse
the tx for GAD
cyclothymia disorder
disorders in the form of through - the way ideas are tied together

50. Anterograde amnesia
inability to remember things that occurred after CNS insult
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
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 withdrawal - nonspecific