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Psychiatry

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Answer 50 questions in 15 minutes.
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1. 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
doctor projects feelings about formative or other important persons onto patient
Number of major depressive episodes constitute major depressive disorder
SIG E CAPS and the criteria for dx
behavior acquired by watching others and assimilating actions into one's own repetoire

2. Female primary caregiver
the tx for panic disorder
a hypomanic episode
the typical abuser in physical child abuse
Moral values - conscience can lead to self blame and attacks of ego

3. In what disease does NE increase - GABA decrease - and 5HT decrease?
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
Anxiety
the tx for alcoholism
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence

4. Amphetamines
inability to remember things that occurred after CNS insult
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
appreciating the amusing nature of an anxiety provoking or adverse situation
the 4 W's of deprived babies?

5. Hypochondriasis
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
IQ<70
delerium tremens symptoms
repeated stimulation lead sot increase response

6. Behavior inconsistent with ones own beliefs and attitudes - as opposed to OC personality disorder
When separation anxiety disorder usually presents
the time frame for brief pyschotic disorder
disorders in the form of through - the way ideas are tied together
What ego dystonic means in relation to OCD

7. ADHD
In ADHD - typical intelligence and school performance
an unacceptable internal impulse is attributed to an external source
repeated stimulation leads to decrease response
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

8. Genital/anal trauma - STDs and UTIs
pieces of evidence for sexual child abuse
the typical abuser in sexual abuse
Schizophrenia
the concern with use of antidepressants in pts with bipoloar disorder

9. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
potential tx for nicotine withdrawal
the evidence for child neglect
whenhypnagogic hallucinations take place
maladaptive pattern leading to clinically significant impairment or distress

10. Munchausen's syndrome by proxy
the goal of the ego defenses
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
behavior achieved following reward of closer and closer approximations of desired behavior

11. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
anxious - fearful
anterograde amnesia caused by thiamine deficiency
autism with unusual abilities
pieces of evidence of physical child abuse

12. Dissociative fatigue
the common sx of PTSD
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Diagnosis requres 2 of 5 of which sx
the treatment for maternal blues - depression - psychosis

13. Classical conditioning - pavlov's dogs
pieces of evidence of physical child abuse
the concern with use of antidepressants in pts with bipoloar disorder
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

14. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
desired reward produces action - mouse presses button for food
the tx for opiod intox and withdrawal
gets schizophrenia and the prev

15. Cocaine
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the common causes of lack or orientation
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
potential tx for nicotine withdrawal

16. CPS
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
Where child neglect is reported
both illness and motivation are subconcious - sx not intentionally produced or feigned
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years

17. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
whering clothes of the opposite sex
PANICS
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 = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

18. Adjustment disorder
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
olfactory hallucinations common
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

19. Malingering
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
the goal of the ego defenses
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
the EEG findings in dementia

20. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
the central goa of freudian psychoanalysis
Diagnosis requres 2 of 5 of which sx
the typical abuser in sexual abuse
the complications/associations of anorexia nervosa

21. Continuous reinforcement schedule
SAD PERSONS
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
depressant intoxication - nonspecific
reward received after every response - rapidly extinguished - vending machine

22. 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
inability to remember things that occurred before CNS insult
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
process whereby avoided ideas and feelings are transferred to some neutral person or object

23. Childhood disintegrative disorder
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
the serum markers of alcohol use
exaggerated fear of embarrasment in social situations - disorder and tx
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

24. Postpartum psyschosis - .1 to .2%
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
SIG E CAPS and the criteria for dx
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms

25. Specific phobia
the tx of W- K syndrome
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
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself

26. Schizoaffective disorder
the various types of cluster A personality disorder
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
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
odd or eccentric; inability to develop meaningful social relationships

27. Punishment
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
intense fear and discomfort peaking in 10 minutes
application of aversive stimulus extinguishes unwanted behavior

28. Transsexualism
cyclothymia disorder
desire to live as the opposite sex - through surgery or hormone tx
primal urges - freud
gender autism is more common in

29. Factitious disorder
gustatroy hallucinations common
tactile hallucinations common
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
pieces of evidence of physical child abuse

30. PCP
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
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 complications of alcoholism

31. Countertransference
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
mediator between primal urges and accepted behavior
auditory hallucinations common

32. Substance withdrawal - signs are often opposite of intoxication
repeated stimulation lead sot increase response
gender autism is more common in
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
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

33. Atypical depression
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
the epi of physical child abuse
the EEG findings in dementia

34. Yes
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
Is body weight maintained within nl range in bulimia nervosa
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of

35. Cluster C personality disorder
autism with unusual abilities
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment
anxious - fearful
Schizophrenia

36. Dementia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
Schizophrenia
Drugs with what kind of affect can lead to a state of delirium
Number of major depressive episodes constitute major depressive disorder

37. Substance dependence - tolerance - withdrawal - substance taken in larger amounts over longer time than desired - persistant desire or unsuccesful attempts to cut down - lots of energy spet obtaining - using or recovering from substance - important s
the various types of cluster A personality disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
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
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea

38. Manic episdoe
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the treatment for maternal blues - depression - psychosis
intox = ataxia - minor respiratory depression

39. Inc mania - high suicide risk
DIG FAST
the concern with use of antidepressants in pts with bipoloar disorder
define bipolar disorder and distinguish I from II
<40 and <20

40. Men early 20s - women late 20s early 30s
causes wernicke - korsakoff syndrome
the treatment for maternal blues - depression - psychosis
whenmen vs women present with schizophrenia
the evidence for child neglect

41. MAOi - SSRIs
Depression
guilty feelings alleviated by unsolicitied generosity towards others
the tx for atypical depression
psychiatric disorder associated with tourrettes - and the treatment

42. Gamma glutamyltransferase - GGT - AST 2x ALT
the serum markers of alcohol use
modeling behavior after another person is more powerful - though not necessarily admired
Parkinsons
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics

43. Reaction formation - a patient with libidinous thoughts enters a monastery
gets schizophrenia and the prev
inability to remember things that occurred before CNS insult
child neglect
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite

44. Caffeine
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
heroin users at increased risk of...
intox = restlessness - increase diureis - muscle twitching
depressant withdrawal - nonspecific

45. Aura of psychomotor epilepsy and in brain tumors
the two types of schizoaffective disorder
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
gets schizophrenia and the prev
olfactory hallucinations common

46. Flumazenil - competitive GABA antagonist
the tx for BDZ intox - MOA
less than what percentage of ideal body weight is common in anorexia nervosa
intox = ataxia - minor respiratory depression
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

47. Autonomic system hyperactivity - psychotic symptoms - confusion
delerium tremens symptoms
gustatroy hallucinations common
discontinuation of reinforcement eliminates behavior
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

48. Stress of physical illness - punishment - birth of a new sibling - fatigue (bedwetting in a previously toilet trained child when hospitalized
the EEG findings in dementia
behavior acquired by watching others and assimilating actions into one's own repetoire
Under these conditions do children regress to younger patterns of behavior
psychiatric disorder associated with tourrettes - and the treatment

49. Transference
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
patient projects feelings about formative or other important persons onto physician
Stanford - binet
Causes of dementia

50. Humor - nervous med student jokes about boards
gender autism is more common in
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
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
appreciating the amusing nature of an anxiety provoking or adverse situation

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Psychiatry

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