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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. Dissociative identity disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
Moral values - conscience can lead to self blame and attacks of ego

2. Healed fractures on xray - cigarrette burns - sudbural hematomasm multiples bruises - retinal hemorrhage or detachment
reward received after random number of responses - slowly extinguished - slot machine
discontinuation of reinforcement eliminates behavior
pieces of evidence of physical child abuse
What ego dystonic means in relation to OCD

3. Classical conditioning - pavlov's dogs
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the goal of the ego defenses
inability to remember things that occurred before CNS insult

4. Gamma glutamyltransferase - GGT - AST 2x ALT
the serum markers of alcohol use
What korsakoff's amnesia can lead to - who do you see it in and it also associated with
the evidence for child neglect
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

5. Conversion disorder
maladaptive pattern of substance use with 3 or more of these 7 criteria
primal urges - freud
sudden loss of sensory or motor fxn often following an acute stressor - pt is aware but indifferent
tantrums

6. Disulfiram and supportive care
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
the tx for alcoholism
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
PANICS

7. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
Stanford - binet
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
exaggerated fear of embarrasment in social situations - disorder and tx

8. Rett's disorder
How long infant deprivation can last before it leads to irreversible changes
neurologic outcome associated with W- K syndrome
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

9. Hepatitis - abscesses - OD - hemorrhoids - AIDS - right sided endocarditits
the non specific signs of stimulant intox and withdrawal
voluntary withholding of an idea or feeling fromk concious awareness
heroin users at increased risk of...
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

10. Boys
gender autism is more common in
neurologic outcome associated with W- K syndrome
the tx for alcoholism
intox is marked respiratory depression - intox = delerium - life threatening CV collapse

11. Malingering
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
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
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
the EEG findings in dementia

12. Thiamine deficiency
PANICS
causes wernicke - korsakoff syndrome
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis
Schizophrenia

13. Depression
the tx of W- K syndrome
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
the age of onset of ADHD
in elderly patients who present with dementia - the concern

14. Loose associations
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
define bipolar disorder and distinguish I from II
Alzheimers
disorders in the form of through - the way ideas are tied together

15. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
the age of onset of ADHD
depressant intoxication - nonspecific
the evidence for child neglect
define bipolar disorder and distinguish I from II

16. Reaction formation - a patient with libidinous thoughts enters a monastery
the various types of cluster A personality disorder
reward received after random number of responses - slowly extinguished - slot machine
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection

17. Dipoloar or depressive
the EEG findings in dementia
the two types of schizoaffective disorder
cyclothymia disorder
repeated stimulation lead sot increase response

18. Dissociation - can lead to multiple personality disorder
disorders in the form of through - the way ideas are tied together
Long acting oral opiate for heroine detox or long term maintenance
temporary - drastic changes in personality - memory or conciousness or motor behavior to avoid emotional stress
Stanford - binet

19. Adjustment disorder
Moral values - conscience can lead to self blame and attacks of ego
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
gender autism is more common in
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

20. Autism
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
Under these conditions do children regress to younger patterns of behavior
How long does the disturbance last in PTSD
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

21. Orientation
Is body weight maintained within nl range in bulimia nervosa
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...
Huntingtons

22. Paranoid - disorganized - catatonic - undifferentiated - residual
the 5 types of schizophrenia
Longitudinal lacerations of the gastroesophogeal junction caused by excessive vomiting
illness in a child is caused by a caregiver - motivation is to assume sick role by proxy
gender autism is more common in

23. Atypical depression
exaggerated fear of embarrasment in social situations - disorder and tx
whenmen vs women present with schizophrenia
hypersomnia - overeating - mood reactivity - weight gain and sensitivity to rejection
pieces of evidence for sexual child abuse

24. 85 percent
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
removal of aversive stimulus elicits behavior - mouse presses button to avoid shock
less than what percentage of ideal body weight is common in anorexia nervosa
Causes of dementia

25. ECT - disorientation amnesia - usually resolves in 6 months
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
the typical abuser in physical child abuse
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame

26. Modeling (social learning)

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27. Periventricular hemorrhage/necrosis of mamillary bodies
Long acting oral opiate for heroine detox or long term maintenance
the common sx of PTSD
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
neurologic outcome associated with W- K syndrome

28. EtOH withdrawal - cocaine abusers
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
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the treatment for maternal blues - depression - psychosis
tactile hallucinations common

29. Gender identity disorder
the evidence for child neglect
intox = impaired judgement - pup dilation - prolonged wakefulness and attention - delusions - hallucinations - fever. Withdrawal = stomach cramps - hunger - hypersomnolence
strong persistant cross gender identification
anxious - fearful

30. In what disease does NE decrease - 5HT decrease and DA decrease?
maladaptive pattern leading to clinically significant impairment or distress
suboxone and the rational of adding an antagonist
Depression
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

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

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32. Supression - not thinking about the USMLE until the week of the exam
voluntary withholding of an idea or feeling fromk concious awareness
primal urges - freud
suboxone and the rational of adding an antagonist
desired reward produces action - mouse presses button for food

33. Manic episdoe
Drugs with what kind of affect can lead to a state of delirium
psychiatric disorder associated with tourrettes - and the treatment
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
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

34. Cluster C personality 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
patient projects feelings about formative or other important persons onto physician
anxious - fearful
the associations/complications of bulimia nervosa

35. Calculates IQ as mental age/chronological age x 100
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
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
treatment option for MDD refractory to opther treatment - produces painelss seizure in anesthetized patient - tx and major adverse affects
Stanford - binet

36. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
the treatments for ADHD
DIG FAST
Moral values - conscience can lead to self blame and attacks of ego
the tx for GAD

37. Anterograde amnesia
misinterpretations of actual external stimulus
inability to remember things that occurred after CNS insult
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
learning in which a particular ation is elicited because it produces a reward

38. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
anxious - fearful
the types of cluster B personality disorder
heroin users at increased risk of...

39. Palp - parasthesias - abdominal distress - nausea - intense fear of dying or losing control - lIght headedness - chest pain - chills - choking - disConnectedness - sweating - shaking - SOB
PANICS
intox = belligerence - impulsiveness - fever - psychomotor agitation - vertical and horizontal nystagmus - tachycardia - homicidality - psychosis - delirium. Withdrawal = depression - anxiety - irritability - restlessness - anergia - disturbances of
the complications/associations of anorexia nervosa
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode

40. Acting out
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
Where child neglect is reported
tantrums
both illness and motivation are subconcious - sx not intentionally produced or feigned

41. Dissociative fatigue
Stanford - binet
the 4 W's of deprived babies?
child neglect
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances

42. CPS
partially remaining at more childish level of development
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
Where child neglect is reported
persistant feelings of detachment or estrangement from one's own body - a social situation - or the environment

43. Occurs while waking up
the tx for atypical depression
the two types of schizoaffective disorder
When to hypnopompic hallucinations take place
Drugs with what kind of affect can lead to a state of delirium

44. Before 7
How long episodes of major depressive episode usually last
repeated stimulation lead sot increase response
the age of onset of ADHD
this drug is a risk factor for schizophrenia in teens

45. Aspergers
associated with winter season - improves in response to full spectrum light exposure
anterograde amnesia caused by thiamine deficiency
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months

46. Methylphenidate - amphetamines - atomoxetine
When to hypnopompic hallucinations take place
milder form of depression lasting at least 2 years
the treatments for ADHD
Moral values - conscience can lead to self blame and attacks of ego

47. Tourrette's
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
dramatic - emotional or erratic
doctor projects feelings about formative or other important persons onto patient

48. Opiods
avoidance of awareness of a some painful reality
intox = ataxia - minor respiratory depression
intox = CNS depression - N/V - constipation - pup cxn - seizures withdrawal = sweating - pup diltaed - piloerection - rever - rhinorrhea - N - stomach cramps - diarrhea
an unacceptable internal impulse is attributed to an external source

49. Mood elevation - decrease anxiety - sedation - behavior disinhibition - respiratory depression
When separation anxiety disorder usually presents
depressant intoxication - nonspecific
repeated stimulation leads to decrease response
potential tx for nicotine withdrawal

50. Avoidant - hypersensitive to rejection - timid - obsessive/compulsive - preoccupation with order - ego syntonic - dependent - submissive and clinging
process whereby avoided ideas and feelings are transferred to some neutral person or object
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
the 3 types of cluster C personality disorder
gets schizophrenia and the prev