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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. Id - subconcious - I want it
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
perceptions in the absence of external stimulus
the types of cluster B personality disorder
primal urges - freud

2. Irreversible memory loss - confabulation - personality change

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3. Countertransference
the typical abuser in sexual abuse
doctor projects feelings about formative or other important persons onto patient
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

4. Delirium
potential tx for nicotine withdrawal
visual hallucinations common
gets schizophrenia and the prev
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

5. Alcohol
the tx for BDZ intox - MOA
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the 3 types of cluster C personality disorder
the serum markers of alcohol use

6. SSRIs - clomipramine
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the tx for OCD
exaggerated fear of embarrasment in social situations - disorder and tx

7. Depersonalization disorder

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8. Naltrexone and BDZ
behavior acquired by watching others and assimilating actions into one's own repetoire
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the treatment for EtOH intox and withdrawal
the tx for atypical depression

9. Men early 20s - women late 20s early 30s
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
voluntary withholding of an idea or feeling fromk concious awareness
whenmen vs women present with schizophrenia

10. Patch - gum - losenge - buproprion - varenicline
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
potential tx for nicotine withdrawal
This gross neurological finding is associated with ADHD
the triad of Wernicke's encephalopathy

11. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
doctor projects feelings about formative or other important persons onto patient
guilty feelings alleviated by unsolicitied generosity towards others
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the complications of alcoholism

12. <1mo - usually stress related
the time frame for brief pyschotic disorder
odd or eccentric; inability to develop meaningful social relationships
SAD PERSONS
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

13. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the common causes of lack or orientation
the various types of cluster A personality disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress

14. OCD - haloperidol
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Anxiety
the epi of sexual abuse
psychiatric disorder associated with tourrettes - and the treatment

15. There are rare
causes wernicke - korsakoff syndrome
the stages of change in overcoming substance addiction
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
gustatroy hallucinations common

16. Superego - you know you can't have it - taking it is wrong
an unacceptable internal impulse is attributed to an external source
strong persistant cross gender identification
intox = ataxia - minor respiratory depression
Moral values - conscience can lead to self blame and attacks of ego

17. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
intox = ataxia - minor respiratory depression
100 - 15

18. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
behavior acquired by watching others and assimilating actions into one's own repetoire
In ADHD - typical intelligence and school performance
PANICS
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

19. Calculates IQ as mental age/chronological age x 100
reward received after random number of responses - slowly extinguished - slot machine
the tx for opiod intox and withdrawal
<40 and <20
Stanford - binet

20. Barbituates
the age of onset of ADHD
whenhypnagogic hallucinations take place
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the treatments for ADHD

21. Transference
perceptions in the absence of external stimulus
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the tx for opiod intox and withdrawal
patient projects feelings about formative or other important persons onto physician

22. Anterograde amnesia
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
inability to remember things that occurred after CNS insult
DIG FAST
the stages of change in overcoming substance addiction

23. Before 7
the age of onset of ADHD
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
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
avoidance of awareness of a some painful reality

24. Specific phobia
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
patient projects feelings about formative or other important persons onto physician
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
child neglect

25. Genital/anal trauma - STDs and UTIs
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
pieces of evidence for sexual child abuse
depressant intoxication - nonspecific

26. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the time frame for brief pyschotic disorder
potential tx for nicotine withdrawal
the definition of alcoholism
neurologic outcome associated with W- K syndrome

27. Personality disorder
gender autism is more common in
belief that people are either all good or all bad at different times due to intolerance or ambiguity
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
the tx for panic disorder

28. Delirium/secondary to other illness
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
inability to remember things that occurred after CNS insult
misinterpretations of actual external stimulus

29. Childhood disintegrative disorder
persistent re - experiencing of a previous traumatic event
suboxone and the rational of adding an antagonist
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
causes wernicke - korsakoff syndrome

30. Schizophrenia
mediator between primal urges and accepted behavior
voluntary withholding of an idea or feeling fromk concious awareness
whenmen vs women present with schizophrenia
auditory hallucinations common

31. The mean IQ and SD?
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
100 - 15
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
the epi of physical child abuse

32. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
olfactory hallucinations common
persistent re - experiencing of a previous traumatic event
Under these conditions do children regress to younger patterns of behavior

33. PTSD
Is body weight maintained within nl range in bulimia nervosa
the treatment for EtOH intox and withdrawal
desire to live as the opposite sex - through surgery or hormone tx
persistent re - experiencing of a previous traumatic event

34. Delusions
the EEG findings in dementia
the non specific signs of stimulant intox and withdrawal
mediator between primal urges and accepted behavior
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

35. Munchausen's syndrome
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
DIG FAST
100 - 15

36. Operant conditioning
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the common causes of lack or orientation
learning in which a particular ation is elicited because it produces a reward
the 5 types of schizophrenia

37. Variable ratio reinforcement schedule
This gross neurological finding is associated with ADHD
the triad of Wernicke's encephalopathy
reward received after random number of responses - slowly extinguished - slot machine
the tx for panic disorder

38. Supression - not thinking about the USMLE until the week of the exam
the goal of the ego defenses
voluntary withholding of an idea or feeling fromk concious awareness
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Moral values - conscience can lead to self blame and attacks of ego

39. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the epi of sexual abuse
voluntary withholding of an idea or feeling fromk concious awareness
application of aversive stimulus extinguishes unwanted behavior

40. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
dramatic - emotional or erratic
suboxone and the rational of adding an antagonist
discontinuation of reinforcement eliminates behavior
maladaptive pattern leading to clinically significant impairment or distress

41. MAOi - SSRIs
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 tx for atypical depression
Parkinsons

42. Transvestism
the tx for OCD
whering clothes of the opposite sex
the tx for BDZ intox - MOA
auditory hallucinations common

43. >1month
involunatary withholding of an idea or feeling from conscious awareness
anxious - fearful
How long does the disturbance last in PTSD
intox = restlessness - increase diureis - muscle twitching

44. ECT - disorientation amnesia - usually resolves in 6 months
doctor projects feelings about formative or other important persons onto patient
voluntary withholding of an idea or feeling fromk concious awareness
100 - 15
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

45. .1-1% of gen pop - 20% of obscene speech

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46. Regression - seen in children under stress and in patients on dialysis (crying)
odd or eccentric; inability to develop meaningful social relationships
turning back the maturational clock and going back to earlier modes of dealing with the world
the complications of alcoholism
process whereby avoided ideas and feelings are transferred to some neutral person or object

47. Identification - abused models abuser
the common causes of lack or orientation
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
modeling behavior after another person is more powerful - though not necessarily admired
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

48. Shared delusional disorder
a hypomanic episode
In ADHD - typical intelligence and school performance
development of delusions in a person in a close relationship with delusional disorder
reward received after random number of responses - slowly extinguished - slot machine

49. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
In ADHD - typical intelligence and school performance
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the treatment for EtOH intox and withdrawal

50. Repression - not remebering a conflictual or traumatic experience
the tx for alcoholism
involunatary withholding of an idea or feeling from conscious awareness
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for panic disorder