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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. Dipoloar or depressive
patient projects feelings about formative or other important persons onto physician
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
causes wernicke - korsakoff syndrome
the two types of schizoaffective disorder

2. Munchausen's syndrome
turning back the maturational clock and going back to earlier modes of dealing with the world
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

3. In what disease does NE decrease - 5HT decrease and DA decrease?
development of delusions in a person in a close relationship with delusional disorder
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Depression
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

4. Fixation - men fixating on sports games
partially remaining at more childish level of development
whenmen vs women present with schizophrenia
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
In ADHD - typical intelligence and school performance

5. PCP
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
desired reward produces action - mouse presses button for food
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

6. Postpartum depression - 10 to 15%
IQ<70
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
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the central goa of freudian psychoanalysis

7. Genes > environment
the complications of alcoholism
disorders in the form of through - the way ideas are tied together
factors are most important in the etiology of schizophrenia
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress

8. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
Alzheimers
Under these conditions do children regress to younger patterns of behavior
Korsakoff's psychosis
SAD PERSONS

9. Shared delusional disorder
the epi of sexual abuse
100 - 15
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
development of delusions in a person in a close relationship with delusional disorder

10. Rationalization - after getting fired saying the job wasn't that important anyway
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
intense fear and discomfort peaking in 10 minutes
voluntary withholding of an idea or feeling fromk concious awareness
psychiatric disorder associated with tourrettes - and the treatment

11. Orientation
the serum markers of alcohol use
the common causes of lack or orientation
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

12. 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
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the concern with use of antidepressants in pts with bipoloar disorder
How long episodes of major depressive episode usually last

13. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
the tx for alcoholism
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
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 types of cluster B personality disorder

14. Hypochondriasis
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the tx for atypical depression
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
preoccupation with a fear of having a serious illness despite medical evaluation and assurance

15. Altruism - mafia boss makes a large donation to charity
suboxone and the rational of adding an antagonist
guilty feelings alleviated by unsolicitied generosity towards others
cyclothymia disorder
odd or eccentric; inability to develop meaningful social relationships

16. Dissociative identity disorder
the 5 types of schizophrenia
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the tx for GAD
odd or eccentric; inability to develop meaningful social relationships

17. Anterograde amnesia
behavior acquired by watching others and assimilating actions into one's own repetoire
inability to remember things that occurred after CNS insult
Parkinsons
How long does the disturbance last in PTSD

18. Dissociation - can lead to multiple personality disorder
dramatic - emotional or erratic
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
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
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

19. Adjustment disorder
define bipolar disorder and distinguish I from II
the treatments for ADHD
the various types of cluster A personality disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

20. Dissociative fatigue
partially remaining at more childish level of development
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
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

21. MAOi - SSRIs
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
the tx for atypical depression
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
associated with winter season - improves in response to full spectrum light exposure

22. Sensitization
the treatment for maternal blues - depression - psychosis
gets schizophrenia and the prev
the common causes of lack or orientation
repeated stimulation lead sot increase response

23. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
This gross neurological finding is associated with ADHD
What ego dystonic means in relation to OCD
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
the typical abuser in sexual abuse

24. Acting out
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
tantrums
the central goa of freudian psychoanalysis

25. Before 7
the central goa of freudian psychoanalysis
delerium tremens symptoms
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
the age of onset of ADHD

26. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
inability to remember things that occurred before CNS insult
DIG FAST
suboxone and the rational of adding an antagonist
associated with winter season - improves in response to full spectrum light exposure

27. Alcohol
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
SIG E CAPS and the criteria for dx
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

28. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the complications/associations of anorexia nervosa
the evidence for child neglect
heroin users at increased risk of...
the non specific signs of stimulant intox and withdrawal

29. Humor - nervous med student jokes about boards
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
appreciating the amusing nature of an anxiety provoking or adverse situation
disorders in the form of through - the way ideas are tied together
the time frame for brief pyschotic disorder

30. Mallory weiss syndrome
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
When separation anxiety disorder usually presents
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
anterograde amnesia caused by thiamine deficiency

31. Severe and profound MR?
the complications/associations of anorexia nervosa
<40 and <20
Separation of feelings from ideas and events
mediator between primal urges and accepted behavior

32. Superego - you know you can't have it - taking it is wrong
process whereby avoided ideas and feelings are transferred to some neutral person or object
Moral values - conscience can lead to self blame and attacks of ego
discontinuation of reinforcement eliminates behavior
dramatic - emotional or erratic

33. Amphetamines
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
Anxiety
primal urges - freud
the non specific signs of stimulant intox and withdrawal

34. Generalized anxiety disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
involunatary withholding of an idea or feeling from conscious awareness
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
the serum markers of alcohol use

35. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
the various types of cluster A personality disorder
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
define bipolar disorder and distinguish I from II

36. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the tx for OCD
patient projects feelings about formative or other important persons onto physician
the goal of the ego defenses

37. 6-12 months
How long episodes of major depressive episode usually last
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the tx for atypical depression
misinterpretations of actual external stimulus

38. Denial - can occur in new AIDS or cancer diagnosis
desired reward produces action - mouse presses button for food
the various types of cluster A personality disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
avoidance of awareness of a some painful reality

39. Peak incidence 9-12 years of age
Parkinsons
heroin users at increased risk of...
the epi of sexual abuse
the evidence for child neglect

40. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
PANICS
Is body weight maintained within nl range in bulimia nervosa
Diagnosis requres 2 of 5 of which sx
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

41. Tourrette's
How long does the disturbance last in PTSD
the time frame for schizophreniform disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
autism with unusual abilities

42. Munchausen's syndrome by proxy
the common causes of lack or orientation
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
involunatary withholding of an idea or feeling from conscious awareness
Anxiety

43. Personality disorder
auditory 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
Anxiety
turning back the maturational clock and going back to earlier modes of dealing with the world

44. Shaping (social learning)
avoidance of awareness of a some painful reality
behavior achieved following reward of closer and closer approximations of desired behavior
pieces of evidence for sexual child abuse
psychiatric disorder associated with tourrettes - and the treatment

45. <1mo - usually stress related
the time frame for brief pyschotic disorder
pieces of evidence of physical child abuse
learning in which a particular ation is elicited because it produces a reward
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

46. Postpartum psyschosis - .1 to .2%
whering clothes of the opposite sex
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
IQ<70

47. Caffeine
tantrums
intox = restlessness - increase diureis - muscle twitching
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the common sx of PTSD

48. Reaction formation - a patient with libidinous thoughts enters a monastery
learning in which a particular ation is elicited because it produces a reward
the concern with use of antidepressants in pts with bipoloar disorder
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
the associations/complications of bulimia nervosa

49. Blacks=whites - males = females - 1.5% lifetime prev
the various types of cluster A personality disorder
the treatment for maternal blues - depression - psychosis
gets schizophrenia and the prev
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions

50. Sleep disturbances - loss of interest - guilt or feelings of worthlessness - loss of Energy - loss of Concentration - Appetite/weight changes - psychomotor retardation or agitation - suicidal ideations - depressed mood - 5 of 9 with anhedonia/depress
the definition of alcoholism
odd or eccentric; inability to develop meaningful social relationships
SIG E CAPS and the criteria for dx
the tx for opiod intox and withdrawal