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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. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
reward received after random number of responses - slowly extinguished - slot machine
the treatment for EtOH intox and withdrawal
inability to remember things that occurred before CNS insult

2. Manic episdoe
less than what percentage of ideal body weight is common in anorexia nervosa
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
auditory hallucinations common
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

3. In what disease is DA increase?
this drug is a risk factor for schizophrenia in teens
Schizophrenia
In ADHD - typical intelligence and school performance
inability to remember things that occurred after CNS insult

4. Splitting - a pt that says all nurses are nice and all doctors are bad
belief that people are either all good or all bad at different times due to intolerance or ambiguity
associated with winter season - improves in response to full spectrum light exposure
the two types of schizoaffective disorder
child neglect

5. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
appreciating the amusing nature of an anxiety provoking or adverse situation
repeated stimulation leads to decrease response
inability to remember things that occurred after CNS insult

6. LSD
When separation anxiety disorder usually presents
autism with unusual abilities
Stanford - binet
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

7. Female primary caregiver
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the common sx of PTSD
the typical abuser in physical child abuse

8. Retrograde amnesia
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
inability to remember things that occurred before CNS insult
psychiatric disorder associated with tourrettes - and the treatment
intox = restlessness. Withdrawal = irritability - anxiety - craving

9. Delirium
causes wernicke - korsakoff syndrome
visual hallucinations common
the treatment for EtOH intox and withdrawal
associated with winter season - improves in response to full spectrum light exposure

10. Extinction
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
discontinuation of reinforcement eliminates behavior
whenhypnagogic hallucinations take place
neurologic outcome associated with W- K syndrome

11. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the tx for bipolar disorder
gender autism is more common in

12. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
learning in which a particular ation is elicited because it produces a reward
exaggerated fear of embarrasment in social situations - disorder and tx

13. Ego - take it and you will get in trouble
inbability to recall important personal information - usually subsequent to severe trauma or stress
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
belief that people are either all good or all bad at different times due to intolerance or ambiguity
mediator between primal urges and accepted behavior

14. 1-6 months
dramatic - emotional or erratic
appreciating the amusing nature of an anxiety provoking or adverse situation
the time frame for schizophreniform disorder
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

15. Normal intel - trouble in school
the common sx of PTSD
odd or eccentric; inability to develop meaningful social relationships
In ADHD - typical intelligence and school performance
behavior achieved following reward of closer and closer approximations of desired behavior

16. Disulfiram and supportive care
perceptions in the absence of external stimulus
the evidence for child neglect
the tx for alcoholism
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

17. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
this drug is a risk factor for schizophrenia in teens
What ego dystonic means in relation to OCD
the typical abuser in sexual abuse
Separation of feelings from ideas and events

18. Separation anxiety disorder
development of delusions in a person in a close relationship with delusional disorder
PANICS
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
Causes of dementia

19. Confusion - opthalmoplegia - and ataxia

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20. Shared delusional disorder
development of delusions in a person in a close relationship with delusional disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the central goa of freudian psychoanalysis
the tx for opiod intox and withdrawal

21. In what disease is ACH decrease?
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Stanford - binet
a hypomanic episode
Alzheimers

22. Time then place then person
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Moral values - conscience can lead to self blame and attacks of ego
the order of loss of orientation
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

23. CBT - SSRI - TCI - BDZ
the tx for panic disorder
anterograde amnesia caused by thiamine deficiency
primal urges - freud
less than what percentage of ideal body weight is common in anorexia nervosa

24. Weed
anxious - fearful
this drug is a risk factor for schizophrenia in teens
avoidance of awareness of a some painful reality
How long marijuana is detectable in the urine after last use

25. Dementia
the 4 W's of deprived babies?
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

26. Denial - can occur in new AIDS or cancer diagnosis
avoidance of awareness of a some painful reality
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
pieces of evidence of physical child abuse
process whereby avoided ideas and feelings are transferred to some neutral person or object

27. Delirium
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
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 stages of change in overcoming substance addiction

28. To make the patient aware of hidden in their unconcious
Anxiety
voluntary withholding of an idea or feeling fromk concious awareness
the central goa of freudian psychoanalysis
the tx of W- K syndrome

29. Specific phobia
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
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
100 - 15
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

30. Like manic but without marked impairement in fxning - no pyschotic features
tantrums
a hypomanic episode
process whereby avoided ideas and feelings are transferred to some neutral person or object
the central goa of freudian psychoanalysis

31. Nicotine
intox = restlessness. Withdrawal = irritability - anxiety - craving
the typical abuser in physical child abuse
child neglect
Korsakoff's psychosis

32. BDZ
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
intox = ataxia - minor respiratory depression
guilty feelings alleviated by unsolicitied generosity towards others
belief that people are either all good or all bad at different times due to intolerance or ambiguity

33. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
olfactory hallucinations common
reward received after every response - rapidly extinguished - vending machine
whenhypnagogic hallucinations take place
the associations/complications of bulimia nervosa

34. >1month
How long does the disturbance last in PTSD
Where child neglect is reported
the stages of change in overcoming substance addiction
discontinuation of reinforcement eliminates behavior

35. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Diagnosis requres 2 of 5 of which sx
tantrums
the stages of change in overcoming substance addiction
How long episodes of major depressive episode usually last

36. Childhood disintegrative disorder
the tx of W- K syndrome
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
When separation anxiety disorder usually presents
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

37. Generalized anxiety disorder
the definition of alcoholism
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
pieces of evidence of physical child abuse

38. Men early 20s - women late 20s early 30s
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
psychiatric disorder associated with tourrettes - and the treatment
whenmen vs women present with schizophrenia
How long does the disturbance last in PTSD

39. Irreversible memory loss - confabulation - personality change

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40. 6 months
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the tx for panic disorder
How long infant deprivation can last before it leads to irreversible changes
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

41. Gender identity disorder
SIG E CAPS and the criteria for dx
strong persistant cross gender identification
the tx for GAD
child neglect

42. There are rare
anxious - fearful
Is body weight maintained within nl range in bulimia nervosa
modeling behavior after another person is more powerful - though not necessarily admired
gustatroy hallucinations common

43. .1-1% of gen pop - 20% of obscene speech

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44. Variable ratio reinforcement schedule
depressant intoxication - nonspecific
Under these conditions do children regress to younger patterns of behavior
reward received after random number of responses - slowly extinguished - slot machine
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance

45. Yes
Is body weight maintained within nl range in bulimia nervosa
primal urges - freud
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the 4 W's of deprived babies?

46. EtOH withdrawal - cocaine abusers
tactile hallucinations common
Depression
associated with winter season - improves in response to full spectrum light exposure
the tx for opiod intox and withdrawal

47. Body dysmorphic disorder
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the typical abuser in sexual abuse
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
modeling behavior after another person is more powerful - though not necessarily admired

48. Anxiety - tremor - seizures - insomnia
intox = restlessness - increase diureis - muscle twitching
Is body weight maintained within nl range in bulimia nervosa
depressant withdrawal - nonspecific
learning in which a particular ation is elicited because it produces a reward

49. Operant conditioning
gustatroy hallucinations common
learning in which a particular ation is elicited because it produces a reward
the epi of sexual abuse
tantrums

50. 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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