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Psychiatry

Instructions:

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. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
misinterpretations of actual external stimulus
depressant intoxication - nonspecific
heroin users at increased risk of...

2. Repression - not remebering a conflictual or traumatic experience
the epi of physical child abuse
involunatary withholding of an idea or feeling from conscious awareness
the treatment for maternal blues - depression - psychosis
the tx for atypical depression

3. Operant conditioning
Korsakoff's psychosis
learning in which a particular ation is elicited because it produces a reward
modeling behavior after another person is more powerful - though not necessarily admired
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

4. Delusions
<40 and <20
the tx for GAD
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
whenhypnagogic hallucinations take place

5. SSRIs - clomipramine
olfactory hallucinations common
associated with winter season - improves in response to full spectrum light exposure
the tx for OCD
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

6. In what disease is ACH decrease?
the tx for bipolar disorder
the tx for BDZ intox - MOA
the complications of alcoholism
Alzheimers

7. Gamma glutamyltransferase - GGT - AST 2x ALT
pieces of evidence for sexual child abuse
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
neurologic outcome associated with W- K syndrome
the serum markers of alcohol use

8. Variable ratio reinforcement schedule
misinterpretations of actual external stimulus
gender autism is more common in
reward received after random number of responses - slowly extinguished - slot machine
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

9. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
Where child neglect is reported
the various types of cluster A personality disorder
How long infant deprivation can last before it leads to irreversible changes

10. Anorexia nervosa
avoidance of awareness of a some painful reality
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
whenhypnagogic hallucinations take place
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

11. Id - subconcious - I want it
<40 and <20
auditory hallucinations common
the epi of sexual abuse
primal urges - freud

12. Conduct disorder <18 - antisocial personality disorder > 18
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
discontinuation of reinforcement eliminates behavior

13. Loose associations
How long marijuana is detectable in the urine after last use
desire to live as the opposite sex - through surgery or hormone tx
disorders in the form of through - the way ideas are tied together
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

14. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the non specific signs of stimulant intox and withdrawal
development of delusions in a person in a close relationship with delusional disorder
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

15. Cluster C personality disorder
anxious - fearful
less than what percentage of ideal body weight is common in anorexia nervosa
the EEG findings in dementia
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

16. Splitting - a pt that says all nurses are nice and all doctors are bad
inability to remember things that occurred before CNS insult
repeated stimulation leads to decrease response
belief that people are either all good or all bad at different times due to intolerance or ambiguity
exaggerated fear of embarrasment in social situations - disorder and tx

17. Postpartum depression - 10 to 15%
anterograde amnesia caused by thiamine deficiency
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Schizophrenia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

18. Sublimation - actress using an experience of abuse to enhance her acting
the definition of alcoholism
the tx of W- K syndrome
SIG E CAPS and the criteria for dx
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

19. 6-12 months
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
development of delusions in a person in a close relationship with delusional disorder
SIG E CAPS and the criteria for dx
How long episodes of major depressive episode usually last

20. Dissociative amnesia
turning back the maturational clock and going back to earlier modes of dealing with the world
the associations/complications of bulimia nervosa
inbability to recall important personal information - usually subsequent to severe trauma or stress
the two types of schizoaffective disorder

21. Displacement - mom places blame on kid because she's mad at husband
the stages of change in overcoming substance addiction
inability to remember things that occurred before CNS insult
the treatments for ADHD
process whereby avoided ideas and feelings are transferred to some neutral person or object

22. 85 percent
the tx of W- K syndrome
less than what percentage of ideal body weight is common in anorexia nervosa
the concern with use of antidepressants in pts with bipoloar disorder
When to hypnopompic hallucinations take place

23. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
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
partially remaining at more childish level of development
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
the tx for bipolar disorder

24. Delusional disorder
gender autism is more common in
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
Parkinsons

25. Tourrette's
the serum markers of alcohol use
desired reward produces action - mouse presses button for food
the common causes of lack or orientation
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

26. Patch - gum - losenge - buproprion - varenicline
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
Diagnosis requres 2 of 5 of which sx
potential tx for nicotine withdrawal

27. Before 7
the age of onset of ADHD
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the tx for BDZ intox - MOA
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

28. Somatization disorders
both illness and motivation are subconcious - sx not intentionally produced or feigned
maladaptive pattern of substance use with 3 or more of these 7 criteria
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
cyclothymia disorder

29. Munchausen's syndrome
intox = restlessness - increase diureis - muscle twitching
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
behavior achieved following reward of closer and closer approximations of desired behavior
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder

30. Hallucination
repeated stimulation leads to decrease response
tantrums
gender autism is more common in
perceptions in the absence of external stimulus

31. Fixation - men fixating on sports games
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the concern with use of antidepressants in pts with bipoloar disorder
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
partially remaining at more childish level of development

32. OCD
the stages of change in overcoming substance addiction
the tx for opiod intox and withdrawal
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
SAD PERSONS

33. Barbituates
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
Diagnosis requres 2 of 5 of which sx
the goal of the ego defenses
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning

34. CPS
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
Where child neglect is reported
a hypomanic episode
the tx for OCD

35. Sensitization
the stages of change in overcoming substance addiction
repeated stimulation lead sot increase response
the two types of schizoaffective disorder
anxious - fearful

36. Normal intel - trouble in school
IQ<70
the typical abuser in physical child abuse
In ADHD - typical intelligence and school performance
desired reward produces action - mouse presses button for food

37. Malingering
autism with unusual abilities
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
Korsakoff's psychosis
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

38. Rett's disorder
the tx for BDZ intox - MOA
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
application of aversive stimulus extinguishes unwanted behavior
a hypomanic episode

39. Naltrexone and BDZ
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 treatment for EtOH intox and withdrawal
doctor projects feelings about formative or other important persons onto patient
the serum markers of alcohol use

40. Dementia
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
Is body weight maintained within nl range in bulimia nervosa
whenmen vs women present with schizophrenia

41. Postpartum psyschosis - .1 to .2%
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Under these conditions do children regress to younger patterns of behavior
Long acting oral opiate for heroine detox or long term maintenance
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

42. Mallory weiss syndrome
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
psychiatric disorder associated with tourrettes - and the treatment
auditory hallucinations common

43. Humor - nervous med student jokes about boards
dramatic - emotional or erratic
less than what percentage of ideal body weight is common in anorexia nervosa
appreciating the amusing nature of an anxiety provoking or adverse situation
pieces of evidence of physical child abuse

44. Countertransference
the tx for panic disorder
dramatic - emotional or erratic
cyclothymia disorder
doctor projects feelings about formative or other important persons onto patient

45. Generalized anxiety disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
intox = restlessness. Withdrawal = irritability - anxiety - craving
depressant withdrawal - nonspecific
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

46. Inc mania - high suicide risk
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the concern with use of antidepressants in pts with bipoloar disorder
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

47. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
suboxone and the rational of adding an antagonist
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

48. OCD - haloperidol
modeling behavior after another person is more powerful - though not necessarily admired
a hypomanic episode
psychiatric disorder associated with tourrettes - and the treatment
the triad of Wernicke's encephalopathy

49. Savant
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
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
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

50. Methylphenidate - amphetamines - atomoxetine
Anxiety
the treatment for maternal blues - depression - psychosis
the treatments for ADHD
turning back the maturational clock and going back to earlier modes of dealing with the world