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Psychiatry

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Answer 50 questions in 15 minutes.
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1. Illusion
SIG E CAPS and the criteria for dx
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the various types of cluster A personality disorder
misinterpretations of actual external stimulus

2. Cocaine
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
in elderly patients who present with dementia - the concern
SIG E CAPS and the criteria for dx

3. Hallucination
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
perceptions in the absence of external stimulus
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

4. Anorexia nervosa
the epi of physical child abuse
persistent re - experiencing of a previous traumatic event
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
PANICS

5. Gamma glutamyltransferase - GGT - AST 2x ALT
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the serum markers of alcohol use
depressant intoxication - nonspecific
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

6. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
desired reward produces action - mouse presses button for food
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
When to hypnopompic hallucinations take place
depressant intoxication - nonspecific

7. Time then place then person
the order of loss of orientation
inability to remember things that occurred before CNS insult
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
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary

8. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
PANICS
associated with winter season - improves in response to full spectrum light exposure
olfactory hallucinations common
the treatment for maternal blues - depression - psychosis

9. The criteria for mental retardation?
the serum markers of alcohol use
perceptions in the absence of external stimulus
the treatment for EtOH intox and withdrawal
IQ<70

10. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
maladaptive pattern of substance use with 3 or more of these 7 criteria
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
pieces of evidence of physical child abuse

11. Genes > environment
pieces of evidence of physical child abuse
the tx for BDZ intox - MOA
factors are most important in the etiology of schizophrenia
the tx for OCD

12. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
disorders in the form of through - the way ideas are tied together
Alzheimers
depressant withdrawal - nonspecific
heroin users at increased risk of...

13. 7 to 9
When separation anxiety disorder usually presents
Is body weight maintained within nl range in bulimia nervosa
the evidence for child neglect
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

14. Generalized anxiety disorder
SIG E CAPS and the criteria for dx
intox = restlessness - increase diureis - muscle twitching
persistent re - experiencing of a previous traumatic event
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

15. Dementia
disorders in the form of through - the way ideas are tied together
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
intox = ataxia - minor respiratory depression
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

16. Habituation - simple learning
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
anterograde amnesia caused by thiamine deficiency
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
repeated stimulation leads to decrease response

17. Id - subconcious - I want it
primal urges - freud
Diagnosis requres 2 of 5 of which sx
tantrums
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

18. Delirium
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
anterograde amnesia caused by thiamine deficiency
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
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

19. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
pieces of evidence for sexual child abuse
depressant withdrawal - nonspecific
pieces of evidence of physical child abuse
Under these conditions do children regress to younger patterns of behavior

20. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
gender autism is more common in
What ego dystonic means in relation to OCD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the tx for BDZ intox - MOA

21. CPS
gender autism is more common in
Where child neglect is reported
SIG E CAPS and the criteria for dx
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia

22. Oppositional defiant disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Anxiety
PANICS
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

23. Naloxone - naltrexone - and symptomatic for withdrawal sx
the tx for opiod intox and withdrawal
Depression
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
heroin users at increased risk of...

24. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
disorders in the form of through - the way ideas are tied together
the serum markers of alcohol use
the tx for panic disorder
DIG FAST

25. Shared delusional disorder
When to hypnopompic hallucinations take place
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
development of delusions in a person in a close relationship with delusional disorder
Schizophrenia

26. 3000 deaths/yr in the US
belief that people are either all good or all bad at different times due to intolerance or ambiguity
tactile hallucinations common
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
the epi of physical child abuse

27. Retrograde amnesia
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
inability to remember things that occurred before CNS insult
Is body weight maintained within nl range in bulimia nervosa
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

28. Anticholinergic
anxious - fearful
Drugs with what kind of affect can lead to a state of delirium
olfactory hallucinations common
the 5 types of schizophrenia

29. Denial - can occur in new AIDS or cancer diagnosis
Parkinsons
desired reward produces action - mouse presses button for food
avoidance of awareness of a some painful reality
the treatment for maternal blues - depression - psychosis

30. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the evidence for child neglect
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
inability to remember things that occurred after CNS insult
depressant intoxication - nonspecific

31. In what disease does NE increase - GABA decrease - and 5HT decrease?
disorders in the form of through - the way ideas are tied together
Anxiety
the treatment for EtOH intox and withdrawal
the treatment for maternal blues - depression - psychosis

32. EtOH withdrawal - cocaine abusers
intox = ataxia - minor respiratory depression
tactile hallucinations common
guilty feelings alleviated by unsolicitied generosity towards others
mediator between primal urges and accepted behavior

33. Dissociative fatigue
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
What ego dystonic means in relation to OCD
the age of onset of ADHD
strong persistant cross gender identification

34. Male - known to the victim
the typical abuser in sexual abuse
How long episodes of major depressive episode usually last
the common sx of PTSD
maladaptive pattern leading to clinically significant impairment or distress

35. Separation anxiety disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
IQ<70
dramatic - emotional or erratic
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

36. ADHD
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
whenhypnagogic hallucinations take place

37. Men early 20s - women late 20s early 30s
Under these conditions do children regress to younger patterns of behavior
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
This gross neurological finding is associated with ADHD
whenmen vs women present with schizophrenia

38. Peak incidence 9-12 years of age
the epi of physical child abuse
primal urges - freud
the epi of sexual abuse
mediator between primal urges and accepted behavior

39. PTSD
discontinuation of reinforcement eliminates behavior
both illness and motivation are subconcious - sx not intentionally produced or feigned
persistent re - experiencing of a previous traumatic event
dramatic - emotional or erratic

40. Transsexualism
olfactory hallucinations common
Causes of dementia
modeling behavior after another person is more powerful - though not necessarily admired
desire to live as the opposite sex - through surgery or hormone tx

41. Displacement - mom places blame on kid because she's mad at husband
process whereby avoided ideas and feelings are transferred to some neutral person or object
in elderly patients who present with dementia - the concern
IQ<70
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise

42. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
What ego dystonic means in relation to OCD
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the tx for panic disorder
the goal of the ego defenses

43. 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
child neglect
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
tantrums
SAD PERSONS

44. 1 month
reward received after every response - rapidly extinguished - vending machine
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
How long marijuana is detectable in the urine after last use
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

45. BDZ - busiprone - SSRIs
modeling behavior after another person is more powerful - though not necessarily admired
maladaptive pattern of substance use with 3 or more of these 7 criteria
the goal of the ego defenses
the tx for GAD

46. Substance abuse
How long does the disturbance last in PTSD
learning in which a particular ation is elicited because it produces a reward
strong persistant cross gender identification
maladaptive pattern leading to clinically significant impairment or distress

47. Conduct disorder <18 - antisocial personality disorder > 18
the definition of alcoholism
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months

48. Panic disorder
intense fear and discomfort peaking in 10 minutes
potential tx for nicotine withdrawal
modeling behavior after another person is more powerful - though not necessarily admired
the tx for BDZ intox - MOA

49. Gender identity disorder
pieces of evidence of physical child abuse
strong persistant cross gender identification
Drugs with what kind of affect can lead to a state of delirium
doctor projects feelings about formative or other important persons onto patient

50. Splitting - a pt that says all nurses are nice and all doctors are bad
less than what percentage of ideal body weight is common in anorexia nervosa
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
belief that people are either all good or all bad at different times due to intolerance or ambiguity

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Psychiatry

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