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Psychiatry

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Answer 50 questions in 15 minutes.
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1. .1-1% of gen pop - 20% of obscene speech

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2. SSRIs - clomipramine
strong persistant cross gender identification
the tx for OCD
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
desired reward produces action - mouse presses button for food

3. Normal intel - trouble in school
Stanford - binet
the complications of alcoholism
maladaptive pattern of substance use with 3 or more of these 7 criteria
In ADHD - typical intelligence and school performance

4. Dissociative identity disorder
psychiatric disorder associated with tourrettes - and the treatment
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
whenhypnagogic hallucinations take place
the stages of change in overcoming substance addiction

5. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the evidence for child neglect
involunatary withholding of an idea or feeling from conscious awareness

6. Savant
desire to live as the opposite sex - through surgery or hormone tx
Korsakoff's psychosis
potential tx for nicotine withdrawal
autism with unusual abilities

7. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Parkinsons
the goal of the ego defenses
intox = ataxia - minor respiratory depression
avoidance of awareness of a some painful reality

8. Modeling (social learning)

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9. Seasonal affective disorder
associated with winter season - improves in response to full spectrum light exposure
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
When to hypnopompic hallucinations take place
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

10. Factitious disorder
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Stanford - binet
the 5 types of schizophrenia
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

11. Conversion disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
pieces of evidence of physical child abuse
behavior acquired by watching others and assimilating actions into one's own repetoire
desire to live as the opposite sex - through surgery or hormone tx

12. 1 month
both illness and motivation are subconcious - sx not intentionally produced or feigned
the epi of sexual abuse
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
How long marijuana is detectable in the urine after last use

13. Autonomic system hyperactivity - psychotic symptoms - confusion
the types of cluster B personality disorder
What ego dystonic means in relation to OCD
delerium tremens symptoms
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

14. Identification - abused models abuser
belief that people are either all good or all bad at different times due to intolerance or ambiguity
modeling behavior after another person is more powerful - though not necessarily admired
the 5 types of schizophrenia
heroin users at increased risk of...

15. Cluster A personality disorder
SIG E CAPS and the criteria for dx
odd or eccentric; inability to develop meaningful social relationships
partially remaining at more childish level of development
the complications of alcoholism

16. Male - known to the victim
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
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
the EEG findings in dementia
the typical abuser in sexual abuse

17. Reaction formation - a patient with libidinous thoughts enters a monastery
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
repeated stimulation lead sot increase response
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
IQ<70

18. Repression - not remebering a conflictual or traumatic experience
involunatary withholding of an idea or feeling from conscious awareness
PANICS
exaggerated fear of embarrasment in social situations - disorder and tx
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

19. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
pieces of evidence of physical child abuse
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

20. While going to sleep
whenhypnagogic hallucinations take place
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

21. Dec bone density - severe weight loss - metatarsal stress fractures - amenorrhea - anemia - lytes disturbances - depression
Number of major depressive episodes constitute major depressive disorder
persistent re - experiencing of a previous traumatic event
Long acting oral opiate for heroine detox or long term maintenance
the complications/associations of anorexia nervosa

22. Tourrette's
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
involunatary withholding of an idea or feeling from conscious awareness
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

23. Superego - you know you can't have it - taking it is wrong
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Moral values - conscience can lead to self blame and attacks of ego
SIG E CAPS and the criteria for dx
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

24. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the time frame for schizophreniform disorder
behavior acquired by watching others and assimilating actions into one's own repetoire
SAD PERSONS
the types of cluster B personality disorder

25. Marijuana
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
milder form of depression lasting at least 2 years
potential tx for nicotine withdrawal
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

26. Delirium
How long infant deprivation can last before it leads to irreversible changes
visual hallucinations common
the age of onset of ADHD
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

27. Precontemplation - contemplation - preparation - action - maintenance - relapse
Stanford - binet
the stages of change in overcoming substance addiction
visual hallucinations common
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

28. Mood stabilizers - Li - valproic acid - carbamazepine - atypical antipsychotics
inability to remember things that occurred before CNS insult
the tx for bipolar disorder
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
neurologic outcome associated with W- K syndrome

29. Personality disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the age of onset of ADHD
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

30. Dissociative fatigue
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the tx for alcoholism
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
inability to remember things that occurred before CNS insult

31. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
learning in which a particular ation is elicited because it produces a reward
PANICS
the two types of schizoaffective disorder
psychiatric disorder associated with tourrettes - and the treatment

32. Anterograde amnesia
inability to remember things that occurred after CNS insult
whenhypnagogic hallucinations take place
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
whenmen vs women present with schizophrenia

33. 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
cyclothymia disorder
learning in which a particular ation is elicited because it produces a reward
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

34. The criteria for mental retardation?
the tx for bipolar disorder
IQ<70
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

35. Generalized anxiety disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the tx for panic disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

36. Oppositional defiant disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
avoidance of awareness of a some painful reality

37. Genes > environment
the tx for BDZ intox - MOA
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
factors are most important in the etiology of schizophrenia
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

38. Risk factors for suicide complettion - sex (male) - age (teen/elderly) - depression - previous attempt - ethanol/drug use - loss of rational thinking - sickness (medical illness 3 or more prescription medications) - orgnized plan - no spouse - social
Number of major depressive episodes constitute major depressive disorder
the evidence for child neglect
SAD PERSONS
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

39. Social phobias - tx SSRIs
the serum markers of alcohol use
exaggerated fear of embarrasment in social situations - disorder and tx
repeated stimulation lead sot increase response
the epi of physical child abuse

40. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
pieces of evidence of physical child abuse
the time frame for brief pyschotic disorder
the evidence for child neglect
Diagnosis requres 2 of 5 of which sx

41. Before 7
the age of onset of ADHD
Separation of feelings from ideas and events
inbability to recall important personal information - usually subsequent to severe trauma or stress
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

42. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
strong persistant cross gender identification
exaggerated fear of embarrasment in social situations - disorder and tx

43. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
whenmen vs women present with schizophrenia
depressant intoxication - nonspecific
cyclothymia disorder
misinterpretations of actual external stimulus

44. 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
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
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
Drugs with what kind of affect can lead to a state of delirium

45. Personality trait
How long infant deprivation can last before it leads to irreversible changes
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
repeated stimulation leads to decrease response
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

46. Munchausen's syndrome
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
persistent re - experiencing of a previous traumatic event
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
desire to live as the opposite sex - through surgery or hormone tx

47. Korsakoff's amnesia
the 5 types of schizophrenia
Number of major depressive episodes constitute major depressive disorder
100 - 15
anterograde amnesia caused by thiamine deficiency

48. 6 months
gender autism is more common in
belief that people are either all good or all bad at different times due to intolerance or ambiguity
How long infant deprivation can last before it leads to irreversible changes
tactile hallucinations common

49. Occurs while waking up
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
modeling behavior after another person is more powerful - though not necessarily admired
When to hypnopompic hallucinations take place

50. Dissociation - can lead to multiple personality disorder
the tx for GAD
the time frame for schizophreniform disorder
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

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Psychiatry

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