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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. Humor - nervous med student jokes about boards
appreciating the amusing nature of an anxiety provoking or adverse situation
the time frame for brief pyschotic disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the definition of alcoholism

2. Occurs while waking up
appreciating the amusing nature of an anxiety provoking or adverse situation
When to hypnopompic hallucinations take place
tactile hallucinations common
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

3. Splitting - a pt that says all nurses are nice and all doctors are bad
intox = ataxia - minor respiratory depression
define bipolar disorder and distinguish I from II
belief that people are either all good or all bad at different times due to intolerance or ambiguity
involunatary withholding of an idea or feeling from conscious awareness

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

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5. Delirium
anterograde amnesia caused by thiamine deficiency
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
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
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

6. In what disease is DA increase?
anterograde amnesia caused by thiamine deficiency
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
How long infant deprivation can last before it leads to irreversible changes
Schizophrenia

7. Cluster A personality disorder
Drugs with what kind of affect can lead to a state of delirium
the definition of alcoholism
modeling behavior after another person is more powerful - though not necessarily admired
odd or eccentric; inability to develop meaningful social relationships

8. Vit B1 - thiamine
the tx of W- K syndrome
the associations/complications of bulimia nervosa
define bipolar disorder and distinguish I from II
intense fear and discomfort peaking in 10 minutes

9. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
child neglect
inbability to recall important personal information - usually subsequent to severe trauma or stress
the tx for BDZ intox - MOA
involunatary withholding of an idea or feeling from conscious awareness

10. Rationalization - after getting fired saying the job wasn't that important anyway
delerium tremens symptoms
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

11. Delusions
the various types of cluster A personality disorder
application of aversive stimulus extinguishes unwanted behavior
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

12. The criteria for mental retardation?
the tx for OCD
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
dramatic - emotional or erratic
IQ<70

13. Severe and profound MR?
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Anxiety
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
<40 and <20

14. Schizophrenia
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

15. 2 or more within a symptom free interval of 2 months
the common sx of PTSD
Number of major depressive episodes constitute major depressive disorder
the 4 W's of deprived babies?
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

16. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
desired reward produces action - mouse presses button for food
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
the evidence for child neglect
the definition of alcoholism

17. Confusion - opthalmoplegia - and ataxia

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18. Continuous reinforcement schedule
inability to remember things that occurred after CNS insult
anterograde amnesia caused by thiamine deficiency
mediator between primal urges and accepted behavior
reward received after every response - rapidly extinguished - vending machine

19. Displacement - mom places blame on kid because she's mad at husband
Stanford - binet
cyclothymia disorder
process whereby avoided ideas and feelings are transferred to some neutral person or object
the central goa of freudian psychoanalysis

20. Nl
the EEG findings in dementia
process whereby avoided ideas and feelings are transferred to some neutral person or object
turning back the maturational clock and going back to earlier modes of dealing with the world
the common sx of PTSD

21. Like manic but without marked impairement in fxning - no pyschotic features
perceptions in the absence of external stimulus
an unacceptable internal impulse is attributed to an external source
a hypomanic episode
gustatroy hallucinations common

22. BDZ - busiprone - SSRIs
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the tx for GAD
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

23. Anxiety - tremor - seizures - insomnia
intox = restlessness - increase diureis - muscle twitching
<40 and <20
depressant withdrawal - nonspecific
the 5 types of schizophrenia

24. Inc mania - high suicide risk
primal urges - freud
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
the associations/complications of bulimia nervosa
the concern with use of antidepressants in pts with bipoloar disorder

25. Habituation - simple learning
repeated stimulation leads to decrease response
psychiatric disorder associated with tourrettes - and the treatment
Drugs with what kind of affect can lead to a state of delirium
gender autism is more common in

26. Dissociation - can lead to multiple personality disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
suboxone and the rational of adding an antagonist
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
reward received after every response - rapidly extinguished - vending machine

27. Anorexia nervosa
partially remaining at more childish level of development
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
development of delusions in a person in a close relationship with delusional disorder

28. Postpartum depression - 10 to 15%
psychiatric disorder associated with tourrettes - and the treatment
misinterpretations of actual external stimulus
intox = ataxia - minor respiratory depression
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

29. Superego - you know you can't have it - taking it is wrong
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
Parkinsons
Moral values - conscience can lead to self blame and attacks of ego

30. Dysthymia
the time frame for schizophreniform disorder
inability to remember things that occurred before CNS insult
less than what percentage of ideal body weight is common in anorexia nervosa
milder form of depression lasting at least 2 years

31. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
the common sx of PTSD
the stages of change in overcoming substance addiction
the concern with use of antidepressants in pts with bipoloar disorder
What ego dystonic means in relation to OCD

32. Weed
suboxone and the rational of adding an antagonist
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
milder form of depression lasting at least 2 years
this drug is a risk factor for schizophrenia in teens

33. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
Number of major depressive episodes constitute major depressive disorder
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
suboxone and the rational of adding an antagonist

34. Ego - take it and you will get in trouble
intox = restlessness - increase diureis - muscle twitching
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
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

35. Punishment
Number of major depressive episodes constitute major depressive disorder
reward received after every response - rapidly extinguished - vending machine
guilty feelings alleviated by unsolicitied generosity towards others
application of aversive stimulus extinguishes unwanted behavior

36. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
pieces of evidence of physical child abuse
In ADHD - typical intelligence and school performance
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

37. SSRIs - clomipramine
the tx for OCD
<40 and <20
turning back the maturational clock and going back to earlier modes of dealing with the world
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

38. Rett's disorder
the tx of W- K syndrome
Is body weight maintained within nl range in bulimia nervosa
the typical abuser in physical child abuse
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

39. PCP
auditory hallucinations common
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
behavior achieved following reward of closer and closer approximations of desired behavior
cyclothymia disorder

40. Regression - seen in children under stress and in patients on dialysis (crying)
auditory hallucinations common
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
turning back the maturational clock and going back to earlier modes of dealing with the world

41. Transvestism
tactile hallucinations common
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
What ego dystonic means in relation to OCD
whering clothes of the opposite sex

42. 1 month
How long marijuana is detectable in the urine after last use
the tx for atypical depression
neurologic outcome associated with W- K syndrome
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment

43. OCD - haloperidol
Diagnosis requres 2 of 5 of which sx
psychiatric disorder associated with tourrettes - and the treatment
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
whenmen vs women present with schizophrenia

44. Orientation
the common causes of lack or orientation
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
suboxone and the rational of adding an antagonist

45. Shaping (social learning)
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
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
behavior achieved following reward of closer and closer approximations of desired behavior

46. Id - subconcious - I want it
factors are most important in the etiology of schizophrenia
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
primal urges - freud
Where child neglect is reported

47. Hallucination
perceptions in the absence of external stimulus
Huntingtons
the types of cluster B personality disorder
depressant withdrawal - nonspecific

48. Aura of psychomotor epilepsy and in brain tumors
Drugs with what kind of affect can lead to a state of delirium
Alzheimers
olfactory hallucinations common
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

49. Boys
gender autism is more common in
PANICS
Drugs with what kind of affect can lead to a state of delirium
modeling behavior after another person is more powerful - though not necessarily admired

50. 3000 deaths/yr in the US
the epi of physical child abuse
odd or eccentric; inability to develop meaningful social relationships
the treatment for EtOH intox and withdrawal
SIG E CAPS and the criteria for dx