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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. In what disease is DA increase?
Schizophrenia
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
pieces of evidence of physical child abuse
What korsakoff's amnesia can lead to - who do you see it in and it also associated with

2. Tourrette's
Anxiety
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
the treatments for ADHD
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain

3. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
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

4. Depression
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
in elderly patients who present with dementia - the concern
pieces of evidence of physical child abuse
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

5. 3000 deaths/yr in the US
the typical abuser in physical child abuse
potential tx for nicotine withdrawal
development of delusions in a person in a close relationship with delusional disorder
the epi of physical child abuse

6. >1month
guilty feelings alleviated by unsolicitied generosity towards others
appreciating the amusing nature of an anxiety provoking or adverse situation
How long does the disturbance last in PTSD
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

7. Illusion
misinterpretations of actual external stimulus
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the tx for opiod intox and withdrawal
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week

8. LSD
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
learning in which a particular ation is elicited because it produces a reward
What ego dystonic means in relation to OCD

9. Somatization disorder
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
pieces of evidence of physical child abuse
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

10. Cluster C personality disorder
the 4 W's of deprived babies?
Stanford - binet
anxious - fearful
whenhypnagogic hallucinations take place

11. Punishment
persistent re - experiencing of a previous traumatic event
the various types of cluster A personality disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
application of aversive stimulus extinguishes unwanted behavior

12. 6 months
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
Long acting oral opiate for heroine detox or long term maintenance
How long infant deprivation can last before it leads to irreversible changes
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

13. Naloxone - naltrexone - and symptomatic for withdrawal sx
PANICS
the tx for opiod intox and withdrawal
gender autism is more common in
In ADHD - typical intelligence and school performance

14. Dissociation - can lead to multiple personality disorder
the central goa of freudian psychoanalysis
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
associated with winter season - improves in response to full spectrum light exposure
visual hallucinations common

15. There are rare
gustatroy hallucinations common
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
SIG E CAPS and the criteria for dx
the concern with use of antidepressants in pts with bipoloar disorder

16. Methadone
Alzheimers
gustatroy hallucinations common
Moral values - conscience can lead to self blame and attacks of ego
Long acting oral opiate for heroine detox or long term maintenance

17. Sensitization
cyclothymia disorder
repeated stimulation lead sot increase response
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
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

18. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
strong persistant cross gender identification
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

19. Dysthymia
the order of loss of orientation
inbability to recall important personal information - usually subsequent to severe trauma or stress
milder form of depression lasting at least 2 years
In ADHD - typical intelligence and school performance

20. Savant
autism with unusual abilities
development of delusions in a person in a close relationship with delusional disorder
the triad of Wernicke's encephalopathy
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

21. Nl
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the 3 types of cluster C personality disorder
the EEG findings in dementia
depressant intoxication - nonspecific

22. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
This gross neurological finding is associated with ADHD
the tx for BDZ intox - MOA
Under these conditions do children regress to younger patterns of behavior

23. Projection - a man who wants another women thinks his wife is cheating on him
intense fear and discomfort peaking in 10 minutes
an unacceptable internal impulse is attributed to an external source
Moral values - conscience can lead to self blame and attacks of ego
belief that people are either all good or all bad at different times due to intolerance or ambiguity

24. Childhood disintegrative 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
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

25. Thiamine deficiency
depressant intoxication - nonspecific
whenmen vs women present with schizophrenia
causes wernicke - korsakoff syndrome
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

26. Superego - you know you can't have it - taking it is wrong
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the epi of sexual abuse
intox = restlessness - increase diureis - muscle twitching
Moral values - conscience can lead to self blame and attacks of ego

27. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
guilty feelings alleviated by unsolicitied generosity towards others
the treatment for maternal blues - depression - psychosis
whenhypnagogic hallucinations take place
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting

28. Postpartum depression - 10 to 15%
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the tx for OCD
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
Is body weight maintained within nl range in bulimia nervosa

29. Vit B1 - thiamine
the tx of W- K syndrome
the epi of sexual abuse
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

30. Delirium/secondary to other illness
whenhypnagogic hallucinations take place
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the order of loss of orientation
depressant intoxication - nonspecific

31. PCP
the treatments for ADHD
How long episodes of major depressive episode usually last
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
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

32. <1mo - usually stress related
milder form of depression lasting at least 2 years
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
repeated stimulation lead sot increase response
the time frame for brief pyschotic disorder

33. 6-12 months
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
<40 and <20
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
How long episodes of major depressive episode usually last

34. Aura of psychomotor epilepsy and in brain tumors
tantrums
the time frame for schizophreniform disorder
olfactory hallucinations common
inability to remember things that occurred after CNS insult

35. .1-1% of gen pop - 20% of obscene speech

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36. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
autism with unusual abilities
intense fear and discomfort peaking in 10 minutes
Huntingtons
the non specific signs of stimulant intox and withdrawal

37. 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
an unacceptable internal impulse is attributed to an external source
turning back the maturational clock and going back to earlier modes of dealing with the world
This gross neurological finding is associated with ADHD

38. Dissociative amnesia
autism with unusual abilities
inbability to recall important personal information - usually subsequent to severe trauma or stress
the typical abuser in physical child abuse
Drugs with what kind of affect can lead to a state of delirium

39. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
the tx for bipolar disorder
pieces of evidence of physical child abuse
strong persistant cross gender identification
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

40. Id - subconcious - I want it
IQ<70
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
primal urges - freud

41. CBT - SSRI - TCI - BDZ
maladaptive pattern leading to clinically significant impairment or distress
the tx for panic disorder
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
How long infant deprivation can last before it leads to irreversible changes

42. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
the complications/associations of anorexia nervosa
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens
psychiatric disorder associated with tourrettes - and the treatment
depressant intoxication - nonspecific

43. SSRIs - clomipramine
partially remaining at more childish level of development
the tx for OCD
Causes of dementia
repeated stimulation lead sot increase response

44. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
turning back the maturational clock and going back to earlier modes of dealing with the world
How long marijuana is detectable in the urine after last use

45. Flashbacks - nightmares - intense fear - helplessness - or horror - avoidance of stimuli associated with trauma and persistent arousal
the common sx of PTSD
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
maladaptive pattern of substance use with 3 or more of these 7 criteria
visual hallucinations common

46. 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
SAD PERSONS
turning back the maturational clock and going back to earlier modes of dealing with the world
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
the typical abuser in sexual abuse

47. Time then place then person
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the concern with use of antidepressants in pts with bipoloar disorder
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the order of loss of orientation

48. Schizophrenia
Drugs with what kind of affect can lead to a state of delirium
visual hallucinations common
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
pieces of evidence for sexual child abuse

49. Amphetamines
the EEG findings in dementia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing
partially remaining at more childish level of development
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

50. ADHD
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
gustatroy hallucinations common
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment