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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. Irreversible memory loss - confabulation - personality change

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2. Calculates IQ as mental age/chronological age x 100
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
pieces of evidence of physical child abuse
Stanford - binet
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

3. Maternal blues 50 to 85%
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
guilty feelings alleviated by unsolicitied generosity towards others
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

4. Substance withdrawal - signs are often opposite of intoxication
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the tx for alcoholism
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
misinterpretations of actual external stimulus

5. Tourrette's
persistent re - experiencing of a previous traumatic event
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

6. 1-6 months
belief that people are either all good or all bad at different times due to intolerance or ambiguity
the treatments for ADHD
gender autism is more common in
the time frame for schizophreniform disorder

7. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
the treatment for EtOH intox and withdrawal
How long episodes of major depressive episode usually last
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

8. Naloxone - naltrexone - and symptomatic for withdrawal sx
gender autism is more common in
in elderly patients who present with dementia - the concern
the tx for opiod intox and withdrawal
anterograde amnesia caused by thiamine deficiency

9. Severe and profound MR?
<40 and <20
Schizophrenia
Diagnosis requres 2 of 5 of which sx
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

10. Dissociation - can lead to multiple personality disorder
Number of major depressive episodes constitute major depressive disorder
Causes of dementia
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
maladaptive pattern leading to clinically significant impairment or distress

11. Weak - wordless - wanting - and wary - decrease muscle tone - poor language skills - poor socialization skills - lack of basic trust - anaclitic depression - weight loss - physical illness

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12. Yes
Huntingtons
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Is body weight maintained within nl range in bulimia nervosa
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

13. Nicotine
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
How long episodes of major depressive episode usually last
intox = restlessness. Withdrawal = irritability - anxiety - craving
How long does the disturbance last in PTSD

14. Alcohol
partially remaining at more childish level of development
the associations/complications of bulimia nervosa
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
the age of onset of ADHD

15. Manic episdoe
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
the common causes of lack or orientation
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
pieces of evidence for sexual child abuse

16. OCD
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
mediator between primal urges and accepted behavior
neurologic outcome associated with W- K syndrome
depressant intoxication - nonspecific

17. Autism
whenmen vs women present with schizophrenia
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
odd or eccentric; inability to develop meaningful social relationships

18. Barbituates
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
depressant withdrawal - nonspecific
the epi of physical child abuse

19. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
This gross neurological finding is associated with ADHD
modeling behavior after another person is more powerful - though not necessarily admired
the common causes of lack or orientation
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs

20. Rett's disorder
heroin users at increased risk of...
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
mediator between primal urges and accepted behavior
causes wernicke - korsakoff syndrome

21. Munchausen's syndrome by proxy
in elderly patients who present with dementia - the concern
turning back the maturational clock and going back to earlier modes of dealing with the world
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy

22. Acting out
less than what percentage of ideal body weight is common in anorexia nervosa
tantrums
the time frame for schizophreniform disorder
gustatroy hallucinations common

23. BDZ - busiprone - SSRIs
pieces of evidence of physical child abuse
the various types of cluster A personality disorder
the tx for GAD
inability to remember things that occurred after CNS insult

24. Retrograde amnesia
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
inability to remember things that occurred before CNS insult
the EEG findings in dementia

25. 6-12 months
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
How long episodes of major depressive episode usually last
auditory hallucinations common
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

26. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
belief that people are either all good or all bad at different times due to intolerance or ambiguity
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
the types of cluster B personality disorder
How long episodes of major depressive episode usually last

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

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28. Personality trait
<40 and <20
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects

29. Anterograde amnesia
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
inability to remember things that occurred after CNS insult
the typical abuser in sexual abuse

30. 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
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the tx for BDZ intox - MOA
tactile hallucinations common

31. 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
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
How long marijuana is detectable in the urine after last use
Diagnosis requres 2 of 5 of which sx
SIG E CAPS and the criteria for dx

32. Isolation of affect - describing murder in graphic detail with no emotional response
primal urges - freud
depressant withdrawal - nonspecific
Separation of feelings from ideas and events
intox = restlessness - increase diureis - muscle twitching

33. Substance abuse
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
potential tx for nicotine withdrawal
associated with winter season - improves in response to full spectrum light exposure
maladaptive pattern leading to clinically significant impairment or distress

34. Dysthymia
milder form of depression lasting at least 2 years
the concern with use of antidepressants in pts with bipoloar disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
the time frame for brief pyschotic disorder

35. Positive reinforcement
mediator between primal urges and accepted behavior
Stanford - binet
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
desired reward produces action - mouse presses button for food

36. PCP
the treatment for EtOH intox and withdrawal
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
the tx for opiod intox and withdrawal

37. Cluster B personality disorder
avoidance of awareness of a some painful reality
This gross neurological finding is associated with ADHD
dramatic - emotional or erratic
belief that people are either all good or all bad at different times due to intolerance or ambiguity

38. Dysthymia followed by hypomania
inbability to recall important personal information - usually subsequent to severe trauma or stress
desired reward produces action - mouse presses button for food
cyclothymia disorder
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

39. Cluster C personality disorder
the definition of alcoholism
anxious - fearful
gustatroy hallucinations common
Moral values - conscience can lead to self blame and attacks of ego

40. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
less than what percentage of ideal body weight is common in anorexia nervosa
the goal of the ego defenses
Depression

41. Marijuana
tactile hallucinations common
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

42. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
gets schizophrenia and the prev
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

43. Transference
the tx for opiod intox and withdrawal
a hypomanic episode
the various types of cluster A personality disorder
patient projects feelings about formative or other important persons onto physician

44. Delirium
behavior acquired by watching others and assimilating actions into one's own repetoire
define bipolar disorder and distinguish I from II
involunatary withholding of an idea or feeling from conscious awareness
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

45. Blacks=whites - males = females - 1.5% lifetime prev
anterograde amnesia caused by thiamine deficiency
the goal of the ego defenses
gets schizophrenia and the prev
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

46. Schizoaffective disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
How long marijuana is detectable in the urine after last use
Parkinsons
the 5 types of schizophrenia

47. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
the various types of cluster A personality disorder
the complications of alcoholism

48. Projection - a man who wants another women thinks his wife is cheating on him
an unacceptable internal impulse is attributed to an external source
avoidance of awareness of a some painful reality
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
How long marijuana is detectable in the urine after last use

49. 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
What ego dystonic means in relation to OCD
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Where child neglect is reported

50. In what disease does NE increase - GABA decrease - and 5HT decrease?
this drug is a risk factor for schizophrenia in teens
postpartum depressed affect - tearfullness fatigue - usually resolves within 10 days - disorder + incidence
partially remaining at more childish level of development
Anxiety

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Psychiatry

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