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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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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. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
Long acting oral opiate for heroine detox or long term maintenance
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
What ego dystonic means in relation to OCD

2. Dissociation - can lead to multiple personality disorder
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

3. Transsexualism
depressant intoxication - nonspecific
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
Korsakoff's psychosis
desire to live as the opposite sex - through surgery or hormone tx

4. Delirium
Causes of dementia
visual hallucinations common
the tx for OCD
autism with unusual abilities

5. Personality disorder
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
In ADHD - typical intelligence and school performance
gustatroy hallucinations common
misinterpretations of actual external stimulus

6. CPS
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
desired reward produces action - mouse presses button for food
the time frame for brief pyschotic disorder
Where child neglect is reported

7. Retrograde amnesia
dramatic - emotional or erratic
factors are most important in the etiology of schizophrenia
inability to remember things that occurred before CNS insult
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

8. Before 7
both illness and motivation are subconcious - sx not intentionally produced or feigned
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
the treatment for EtOH intox and withdrawal
the age of onset of ADHD

9. Loose associations
whenmen vs women present with schizophrenia
the complications/associations of anorexia nervosa
PANICS
disorders in the form of through - the way ideas are tied together

10. EtOH - drugs - fluid/lytes imbalance - head trauma - hypoglycemia - nutritional def
the common causes of lack or orientation
cyclothymia disorder
the definition of alcoholism
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

11. Specific phobia
anxious - fearful
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
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
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

12. Somatization disorder
repeated stimulation lead sot increase response
development of delusions in a person in a close relationship with delusional disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

13. Sensitization
repeated stimulation lead sot increase response
IQ<70
the age of onset of ADHD
milder form of depression lasting at least 2 years

14. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
Parkinsons
delerium tremens symptoms
DIG FAST
Moral values - conscience can lead to self blame and attacks of ego

15. Variable ratio reinforcement schedule
repeated stimulation lead sot increase response
reward received after random number of responses - slowly extinguished - slot machine
Alzheimers
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving

16. Hypochondriasis
inability to remember things that occurred before CNS insult
intense fear and discomfort peaking in 10 minutes
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
odd or eccentric; inability to develop meaningful social relationships

17. Rationalization - after getting fired saying the job wasn't that important anyway
the 5 types of schizophrenia
gets schizophrenia and the prev
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
persistent re - experiencing of a previous traumatic event

18. Isolation of affect - describing murder in graphic detail with no emotional response
When to hypnopompic hallucinations take place
odd or eccentric; inability to develop meaningful social relationships
Separation of feelings from ideas and events
Under these conditions do children regress to younger patterns of behavior

19. Childhood disintegrative disorder
anxious - fearful
the tx of W- K syndrome
Huntingtons
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

20. Postpartum psyschosis - .1 to .2%
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
desired reward produces action - mouse presses button for food
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the tx for OCD

21. Dysthymia followed by hypomania
cyclothymia disorder
strong persistant cross gender identification
inability to remember things that occurred before CNS insult
the complications of alcoholism

22. Dysthymia
causes wernicke - korsakoff syndrome
How long does the disturbance last in PTSD
Number of major depressive episodes constitute major depressive disorder
milder form of depression lasting at least 2 years

23. Weed
this drug is a risk factor for schizophrenia in teens
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
intox = ataxia - minor respiratory depression
the associations/complications of bulimia nervosa

24. Like manic but without marked impairement in fxning - no pyschotic features
a hypomanic episode
the goal of the ego defenses
primal urges - freud
the evidence for child neglect

25. Fixation - men fixating on sports games
partially remaining at more childish level of development
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
development of delusions in a person in a close relationship with delusional disorder
Alzheimers

26. Autism
Drugs with what kind of affect can lead to a state of delirium
the common causes of lack or orientation
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

27. Cluster C personality disorder
anxious - fearful
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
milder form of depression lasting at least 2 years
the tx for opiod intox and withdrawal

28. Delusional disorder
neurologic outcome associated with W- K syndrome
partially remaining at more childish level of development
disorders in the form of through - the way ideas are tied together
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

29. Confusion - opthalmoplegia - and ataxia

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30. Shared delusional disorder
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
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
development of delusions in a person in a close relationship with delusional disorder

31. Delirium/secondary to other illness
intense fear and discomfort peaking in 10 minutes
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the tx for OCD

32. Modeling (social learning)

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33. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the types of cluster B personality disorder
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

34. Anticholinergic
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
depressant intoxication - nonspecific
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
Drugs with what kind of affect can lead to a state of delirium

35. Korsakoff's amnesia
anterograde amnesia caused by thiamine deficiency
maladaptive pattern of substance use with 3 or more of these 7 criteria
false beliefs not shared with other members of culture/subcutlure that are firmly maintained in spite of obvoius proof to the contrary
intense fear and discomfort peaking in 10 minutes

36. Alcoholic cirrhosis - hepatitis - pancreatitis - peripheral neuropathy - testicular atrophy
In ADHD - typical intelligence and school performance
the complications of alcoholism
auditory hallucinations common
the tx for BDZ intox - MOA

37. Supprt then antidepressants + psychotherapy then all those + antipsychotics and possible inpatient hospitalization
When separation anxiety disorder usually presents
the treatment for maternal blues - depression - psychosis
Separation of feelings from ideas and events
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

38. Illusion
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
misinterpretations of actual external stimulus
development of delusions in a person in a close relationship with delusional disorder
the common sx of PTSD

39. Calculates IQ as mental age/chronological age x 100
the complications/associations of anorexia nervosa
Causes of dementia
Stanford - binet
the tx for BDZ intox - MOA

40. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
the 3 types of cluster C personality disorder
the two types of schizoaffective disorder
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
How long does the disturbance last in PTSD

41. Dementia
the epi of sexual abuse
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
patient projects feelings about formative or other important persons onto physician
delerium tremens symptoms

42. Orientation
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
process whereby avoided ideas and feelings are transferred to some neutral person or object
the 4 W's of deprived babies?
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock

43. To make the patient aware of hidden in their unconcious
the central goa of freudian psychoanalysis
chronic factitious disorder with physical signs and symptoms - mutliple hospital admissions and invasive procedures
olfactory hallucinations common
intox = ataxia - minor respiratory depression

44. Adjustment disorder
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
autism with unusual abilities
How long episodes of major depressive episode usually last
the goal of the ego defenses

45. Cluster A personality disorder
the various types of cluster A personality disorder
odd or eccentric; inability to develop meaningful social relationships
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
the time frame for brief pyschotic disorder

46. Occurs while waking up
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
When to hypnopompic hallucinations take place
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

47. Somatization disorders
doctor projects feelings about formative or other important persons onto patient
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
both illness and motivation are subconcious - sx not intentionally produced or feigned
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

48. Yes
the treatment for maternal blues - depression - psychosis
Stanford - binet
inability to remember things that occurred before CNS insult
Is body weight maintained within nl range in bulimia nervosa

49. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
the time frame for schizophreniform disorder
the epi of sexual abuse
suboxone and the rational of adding an antagonist
less than what percentage of ideal body weight is common in anorexia nervosa

50. Intox = mood elevation - psychomotor agitation - insomnia - cardiac arrhythmias - tachycardia - anxiety. Withdrawal = post use crash - depression - weight gain - lethargy - HA
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
the goal of the ego defenses
the non specific signs of stimulant intox and withdrawal