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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. While going to sleep
a hypomanic episode
When separation anxiety disorder usually presents
repeated stimulation leads to decrease response
whenhypnagogic hallucinations take place

2. Bulimia nervosa
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Diagnosis requres 2 of 5 of which sx

3. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
child neglect
olfactory hallucinations common

4. 1-6 months
the time frame for schizophreniform disorder
repeated stimulation leads to decrease response
primal urges - freud
the common sx of PTSD

5. Splitting - a pt that says all nurses are nice and all doctors are bad
anterograde amnesia caused by thiamine deficiency
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
the non specific signs of stimulant intox and withdrawal
belief that people are either all good or all bad at different times due to intolerance or ambiguity

6. Social phobias - tx SSRIs
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
exaggerated fear of embarrasment in social situations - disorder and tx
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
maladaptive pattern of substance use with 3 or more of these 7 criteria

7. OCD
the tx for bipolar disorder
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
In ADHD - typical intelligence and school performance
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

8. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
whenmen vs women present with schizophrenia
heroin users at increased risk of...
the common causes of lack or orientation
This gross neurological finding is associated with ADHD

9. OCD - haloperidol
psychiatric disorder associated with tourrettes - and the treatment
the 3 types of cluster C personality disorder
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

10. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
What ego dystonic means in relation to OCD
behavior achieved following reward of closer and closer approximations of desired behavior
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
Moral values - conscience can lead to self blame and attacks of ego

11. Identification - abused models abuser
SIG E CAPS and the criteria for dx
modeling behavior after another person is more powerful - though not necessarily admired
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

12. Patch - gum - losenge - buproprion - varenicline
whenhypnagogic hallucinations take place
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
potential tx for nicotine withdrawal
delerium tremens symptoms

13. Transvestism
whering clothes of the opposite sex
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
Alzheimers
the age of onset of ADHD

14. Superego - you know you can't have it - taking it is wrong
the typical abuser in physical child abuse
the typical abuser in sexual abuse
Moral values - conscience can lead to self blame and attacks of ego
misinterpretations of actual external stimulus

15. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the various types of cluster A personality disorder
100 - 15
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
How long marijuana is detectable in the urine after last use

16. Continuous reinforcement schedule
learning in which a particular ation is elicited because it produces a reward
Schizophrenia
inability to remember things that occurred after CNS insult
reward received after every response - rapidly extinguished - vending machine

17. 7 to 9
Schizophrenia
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the associations/complications of bulimia nervosa
When separation anxiety disorder usually presents

18. Maternal blues 50 to 85%
child neglect
whenmen vs women present with schizophrenia
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
behavior achieved following reward of closer and closer approximations of desired behavior

19. Disulfiram and supportive care
guilty feelings alleviated by unsolicitied generosity towards others
the common causes of lack or orientation
the tx for alcoholism
define bipolar disorder and distinguish I from II

20. Normal intel - trouble in school
the age of onset of ADHD
maladaptive pattern of substance use with 3 or more of these 7 criteria
perceptions in the absence of external stimulus
In ADHD - typical intelligence and school performance

21. In what disease does NE increase - GABA decrease - and 5HT decrease?
patient projects feelings about formative or other important persons onto physician
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Anxiety
the associations/complications of bulimia nervosa

22. Anticholinergic
Drugs with what kind of affect can lead to a state of delirium
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
anxious - fearful
whering clothes of the opposite sex

23. Nicotine
the typical abuser in physical child abuse
intox = restlessness. Withdrawal = irritability - anxiety - craving
appreciating the amusing nature of an anxiety provoking or adverse situation
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

24. Barbituates
Depression
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
<40 and <20

25. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
Anxiety
depressant intoxication - nonspecific
whenmen vs women present with schizophrenia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

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
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
odd or eccentric; inability to develop meaningful social relationships

27. Isolation of affect - describing murder in graphic detail with no emotional response
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Separation of feelings from ideas and events
define bipolar disorder and distinguish I from II
behavior achieved following reward of closer and closer approximations of desired behavior

28. Countertransference
heroin users at increased risk of...
doctor projects feelings about formative or other important persons onto patient
psychiatric disorder associated with tourrettes - and the treatment
perceptions in the absence of external stimulus

29. .1-1% of gen pop - 20% of obscene speech

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30. Yes
the EEG findings in dementia
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Diagnosis requres 2 of 5 of which sx
Is body weight maintained within nl range in bulimia nervosa

31. Hypochondriasis
Korsakoff's psychosis
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Depression
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

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

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33. Adjustment disorder
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
whenmen vs women present with schizophrenia
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

34. In what diseaese is DA decrease - 5HT increase - and increase ACH?
Separation of feelings from ideas and events
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
Parkinsons
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

35. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
factors are most important in the etiology of schizophrenia
involunatary withholding of an idea or feeling from conscious awareness
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

36. Transsexualism
desire to live as the opposite sex - through surgery or hormone tx
100 - 15
What ego dystonic means in relation to OCD
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

37. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Parkinsons
maladaptive pattern of substance use with 3 or more of these 7 criteria
repetitive and pervasive behavior violating social norms - disorder - and name change after 18

38. Dementia
the tx for atypical depression
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
Drugs with what kind of affect can lead to a state of delirium
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

39. Savant
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
potential tx for nicotine withdrawal
autism with unusual abilities

40. 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
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
the tx for alcoholism
pieces of evidence for sexual child abuse

41. Tourrette's
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
intox = restlessness. Withdrawal = irritability - anxiety - craving

42. Delusional disorder
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
repeated stimulation leads to decrease response
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
depressant withdrawal - nonspecific

43. SSRIs - clomipramine
the tx for atypical depression
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the tx for OCD

44. Repression - not remebering a conflictual or traumatic experience
involunatary withholding of an idea or feeling from conscious awareness
In ADHD - typical intelligence and school performance
the tx for atypical depression
learning in which a particular ation is elicited because it produces a reward

45. Gamma glutamyltransferase - GGT - AST 2x ALT
reward received after every response - rapidly extinguished - vending machine
SIG E CAPS and the criteria for dx
whering clothes of the opposite sex
the serum markers of alcohol use

46. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
gender autism is more common in
How long does the disturbance last in PTSD
the complications of alcoholism
suboxone and the rational of adding an antagonist

47. 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
neurologic outcome associated with W- K syndrome
DIG FAST
SAD PERSONS
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence

48. Retrograde amnesia
inability to remember things that occurred before CNS insult
the tx for OCD
patient projects feelings about formative or other important persons onto physician
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

49. Shared delusional disorder
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
development of delusions in a person in a close relationship with delusional disorder
IQ<70
guilty feelings alleviated by unsolicitied generosity towards others

50. Boys
patient projects feelings about formative or other important persons onto physician
gender autism is more common in
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures

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Psychiatry

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