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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. Bilateral destruction of mammilary bodies - some retrograde amnesia - alcholics - and assoc with confabulations

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2. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
inability to remember things that occurred after CNS insult
the 3 types of cluster C personality disorder
Moral values - conscience can lead to self blame and attacks of ego
the types of cluster B personality disorder

3. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
desired reward produces action - mouse presses button for food
the serum markers of alcohol use
anterograde amnesia caused by thiamine deficiency
child neglect

4. Male - known to the victim
application of aversive stimulus extinguishes unwanted behavior
the typical abuser in sexual abuse
a hypomanic episode
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

5. In what disease is DA increase?
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Schizophrenia
pieces of evidence for sexual child abuse

6. Nicotine
the associations/complications of bulimia nervosa
intox = restlessness. Withdrawal = irritability - anxiety - craving
the treatments for ADHD
the tx for opiod intox and withdrawal

7. Confusion - opthalmoplegia - and ataxia

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8. Acting out
Parkinsons
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the types of cluster B personality disorder
tantrums

9. Superego - you know you can't have it - taking it is wrong
Moral values - conscience can lead to self blame and attacks of ego
behavior acquired by watching others and assimilating actions into one's own repetoire
the triad of Wernicke's encephalopathy
the 4 W's of deprived babies?

10. Rationalization - after getting fired saying the job wasn't that important anyway
the typical abuser in physical child abuse
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the tx for OCD
gets schizophrenia and the prev

11. Boys
the epi of sexual abuse
gender autism is more common in
the treatment for maternal blues - depression - psychosis
intense fear and discomfort peaking in 10 minutes

12. Repression - not remebering a conflictual or traumatic experience
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
milder form of depression lasting at least 2 years
involunatary withholding of an idea or feeling from conscious awareness
the epi of sexual abuse

13. Rett's disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the complications/associations of anorexia nervosa
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
DIG FAST

14. Anorexia nervosa
autism with unusual abilities
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
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Moral values - conscience can lead to self blame and attacks of ego

15. Delusional disorder
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the tx for OCD
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
intox = ataxia - minor respiratory depression

16. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
doctor projects feelings about formative or other important persons onto patient
the tx for alcoholism
the tx for BDZ intox - MOA

17. 1-6 months
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the time frame for schizophreniform disorder
the tx for bipolar disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

18. Methadone
a hypomanic episode
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
Long acting oral opiate for heroine detox or long term maintenance
neurologic outcome associated with W- K syndrome

19. Time then place then person
the order of loss of orientation
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
behavior achieved following reward of closer and closer approximations of desired behavior
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

20. Genes > environment
anterograde amnesia caused by thiamine deficiency
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
tantrums
factors are most important in the etiology of schizophrenia

21. While going to sleep
dramatic - emotional or erratic
strong persistant cross gender identification
Number of major depressive episodes constitute major depressive disorder
whenhypnagogic hallucinations take place

22. In what disease is GABA decrease and ACH decrease?
Huntingtons
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the types of cluster B personality disorder
the common sx of PTSD

23. Anticholinergic
Drugs with what kind of affect can lead to a state of delirium
How long marijuana is detectable in the urine after last use
the time frame for brief pyschotic disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

24. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
avoidance of awareness of a some painful reality
desire to live as the opposite sex - through surgery or hormone tx
Diagnosis requres 2 of 5 of which sx
the common sx of PTSD

25. 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
application of aversive stimulus extinguishes unwanted behavior
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
partially remaining at more childish level of development

26. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
process whereby avoided ideas and feelings are transferred to some neutral person or object
causes wernicke - korsakoff syndrome

27. Positive reinforcement
In ADHD - typical intelligence and school performance
desired reward produces action - mouse presses button for food
the typical abuser in sexual abuse
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

28. Schizophrenia
auditory hallucinations common
the tx for BDZ intox - MOA
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

29. Men early 20s - women late 20s early 30s
whenmen vs women present with schizophrenia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
partially remaining at more childish level of development
100 - 15

30. Opiods
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
Diagnosis requres 2 of 5 of which sx

31. Paranoid - disorganized - catatonic - undifferentiated - residual
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the 5 types of schizophrenia
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

32. Caffeine
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
intox = restlessness - increase diureis - muscle twitching

33. Panic disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
intense fear and discomfort peaking in 10 minutes
turning back the maturational clock and going back to earlier modes of dealing with the world
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

34. Identification - abused models abuser
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
modeling behavior after another person is more powerful - though not necessarily admired

35. In what disease is ACH decrease?
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the non specific signs of stimulant intox and withdrawal
Alzheimers
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

36. Calculates IQ as mental age/chronological age x 100
Parkinsons
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
Stanford - binet

37. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the age of onset of ADHD
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the common causes of lack or orientation

38. BDZ
the tx for alcoholism
Under these conditions do children regress to younger patterns of behavior
intox = ataxia - minor respiratory depression
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

39. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
Alzheimers
intox = restlessness. Withdrawal = irritability - anxiety - craving
Schizophrenia

40. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the evidence for child neglect
perceptions in the absence of external stimulus
development of delusions in a person in a close relationship with delusional disorder
Is body weight maintained within nl range in bulimia nervosa

41. Severe and profound MR?
<40 and <20
the tx for opiod intox and withdrawal
the 3 types of cluster C personality disorder
anterograde amnesia caused by thiamine deficiency

42. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the order of loss of orientation
the epi of physical child abuse
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
the goal of the ego defenses

43. Dipoloar or depressive
the two types of schizoaffective disorder
inbability to recall important personal information - usually subsequent to severe trauma or stress
reward received after random number of responses - slowly extinguished - slot machine
the non specific signs of stimulant intox and withdrawal

44. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
anterograde amnesia caused by thiamine deficiency

45. Punishment
neurologic outcome associated with W- K syndrome
application of aversive stimulus extinguishes unwanted behavior
Parkinsons
an unacceptable internal impulse is attributed to an external source

46. Body dysmorphic disorder
visual hallucinations common
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
strong persistant cross gender identification

47. Savant
autism with unusual abilities
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
heroin users at increased risk of...
Stanford - binet

48. Social phobias - tx SSRIs
exaggerated fear of embarrasment in social situations - disorder and tx
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
potential tx for nicotine withdrawal
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

49. Dissociative identity disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
disorders in the form of through - the way ideas are tied together
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the typical abuser in sexual abuse

50. PTSD
persistent re - experiencing of a previous traumatic event
the tx for OCD
the triad of Wernicke's encephalopathy
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation