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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. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the common causes of lack or orientation
SAD PERSONS
Where child neglect is reported
desire to live as the opposite sex - through surgery or hormone tx

2. Anticholinergic
tactile hallucinations common
repeated stimulation leads to decrease response
Drugs with what kind of affect can lead to a state of delirium
Huntingtons

3. Seasonal affective disorder
psychiatric disorder associated with tourrettes - and the treatment
associated with winter season - improves in response to full spectrum light exposure
the 4 W's of deprived babies?
gustatroy hallucinations common

4. Blacks=whites - males = females - 1.5% lifetime prev
the complications of alcoholism
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
gets schizophrenia and the prev
gender autism is more common in

5. Parotitis - enamel erosion - lytes disturbances - alkalosis - dorsal hand calluses from inducing vomit
the associations/complications of bulimia nervosa
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
inbability to recall important personal information - usually subsequent to severe trauma or stress
the treatment for EtOH intox and withdrawal

6. Nl
IQ<70
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the EEG findings in dementia
disorders in the form of through - the way ideas are tied together

7. Negative reinforcement
Parkinsons
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the complications/associations of anorexia nervosa
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

8. Peak incidence 9-12 years of age
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
repeated stimulation lead sot increase response
the stages of change in overcoming substance addiction
the epi of sexual abuse

9. Dysthymia followed by hypomania
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
mediator between primal urges and accepted behavior
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
cyclothymia disorder

10. Personality disorder
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
SAD PERSONS
In ADHD - typical intelligence and school performance
depressant intoxication - nonspecific

11. Boys
the tx for panic disorder
intox = restlessness. Withdrawal = irritability - anxiety - craving
the stages of change in overcoming substance addiction
gender autism is more common in

12. While going to sleep
the tx for GAD
the types of cluster B personality disorder
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
whenhypnagogic hallucinations take place

13. Confusion - opthalmoplegia - and ataxia

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14. Id - subconcious - I want it
primal urges - freud
tactile hallucinations common
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

15. Cluster C personality disorder
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
development of delusions in a person in a close relationship with delusional disorder
anxious - fearful
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

16. Schizophrenia
whering clothes of the opposite sex
Huntingtons
auditory hallucinations common
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

17. Projection - a man who wants another women thinks his wife is cheating on him
Anxiety
the 3 types of cluster C personality disorder
an unacceptable internal impulse is attributed to an external source
the epi of sexual abuse

18. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
define bipolar disorder and distinguish I from II
the non specific signs of stimulant intox and withdrawal
pieces of evidence for sexual child abuse
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

19. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the types of cluster B personality disorder
partially remaining at more childish level of development
Is body weight maintained within nl range in bulimia nervosa
the treatment for EtOH intox and withdrawal

20. Personality trait
voluntary withholding of an idea or feeling fromk concious awareness
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the evidence for child neglect
guilty feelings alleviated by unsolicitied generosity towards others

21. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
What ego dystonic means in relation to OCD
SAD PERSONS
inbability to recall important personal information - usually subsequent to severe trauma or stress

22. Occurs while waking up
the non specific signs of stimulant intox and withdrawal
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
When to hypnopompic hallucinations take place
anxious - fearful

23. Atypical depression
learning in which a particular ation is elicited because it produces a reward
disorders in the form of through - the way ideas are tied together
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
belief that people are either all good or all bad at different times due to intolerance or ambiguity

24. Delusional disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the two types of schizoaffective disorder

25. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
patient projects feelings about formative or other important persons onto physician
child neglect
Causes of dementia
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

26. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
This gross neurological finding is associated with ADHD
the 3 types of cluster C personality disorder
persistent re - experiencing of a previous traumatic event
pieces of evidence of physical child abuse

27. Naloxone - naltrexone - and symptomatic for withdrawal sx
Separation of feelings from ideas and events
desired reward produces action - mouse presses button for food
PANICS
the tx for opiod intox and withdrawal

28. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
the treatment for maternal blues - depression - psychosis
the stages of change in overcoming substance addiction
intox = ataxia - minor respiratory depression
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

29. Cluster B personality disorder
gustatroy hallucinations common
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
visual hallucinations common
dramatic - emotional or erratic

30. Paranoid - disorganized - catatonic - undifferentiated - residual
Drugs with what kind of affect can lead to a state of delirium
the 5 types of schizophrenia
patient projects feelings about formative or other important persons onto physician
Is body weight maintained within nl range in bulimia nervosa

31. Marijuana
How long marijuana is detectable in the urine after last use
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
persistent re - experiencing of a previous traumatic event

32. OCD - haloperidol
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
psychiatric disorder associated with tourrettes - and the treatment
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
the complications of alcoholism

33. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
pieces of evidence for sexual child abuse
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
odd or eccentric; inability to develop meaningful social relationships
the common sx of PTSD

34. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
partially remaining at more childish level of development
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
inability to remember things that occurred before CNS insult

35. 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
Diagnosis requres 2 of 5 of which sx
heroin users at increased risk of...
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

36. Transvestism
whering clothes of the opposite sex
Anxiety
Causes of dementia
the serum markers of alcohol use

37. Sensitization
repeated stimulation lead sot increase response
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Korsakoff's psychosis
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

38. Dipoloar or depressive
associated with winter season - improves in response to full spectrum light exposure
the two types of schizoaffective disorder
discontinuation of reinforcement eliminates behavior
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

39. Severe and profound MR?
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
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
<40 and <20
the 5 types of schizophrenia

40. Humor - nervous med student jokes about boards
Anxiety
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
appreciating the amusing nature of an anxiety provoking or adverse situation
Separation of feelings from ideas and events

41. Calculates IQ as mental age/chronological age x 100
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the treatments for ADHD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Stanford - binet

42. 85 percent
the triad of Wernicke's encephalopathy
less than what percentage of ideal body weight is common in anorexia nervosa
the epi of physical child abuse
Schizophrenia

43. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the order of loss of orientation
suboxone and the rational of adding an antagonist
Anxiety

44. Shared delusional disorder
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
in elderly patients who present with dementia - the concern
How long infant deprivation can last before it leads to irreversible changes
development of delusions in a person in a close relationship with delusional disorder

45. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the tx for BDZ intox - MOA
primal urges - freud
SAD PERSONS

46. Isolation of affect - describing murder in graphic detail with no emotional response
discontinuation of reinforcement eliminates behavior
define bipolar disorder and distinguish I from II
Separation of feelings from ideas and events
the evidence for child neglect

47. Altruism - mafia boss makes a large donation to charity
guilty feelings alleviated by unsolicitied generosity towards others
the complications of alcoholism
Anxiety
Separation of feelings from ideas and events

48. Factitious disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the 3 types of cluster C personality disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

49. >1month
How long does the disturbance last in PTSD
the central goa of freudian psychoanalysis
associated with winter season - improves in response to full spectrum light exposure
the tx of W- K syndrome

50. Displacement - mom places blame on kid because she's mad at husband
How long infant deprivation can last before it leads to irreversible changes
process whereby avoided ideas and feelings are transferred to some neutral person or object
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
doctor projects feelings about formative or other important persons onto patient