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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. Naloxone - naltrexone - and symptomatic for withdrawal sx
belief that people are either all good or all bad at different times due to intolerance or ambiguity
cyclothymia disorder
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 tx for opiod intox and withdrawal

2. 6 months
the age of onset of ADHD
the 5 types of schizophrenia
How long infant deprivation can last before it leads to irreversible changes
the central goa of freudian psychoanalysis

3. Naloxone + buprenorphine - naloxone not active when taken orally only when injected - withdrawal sx only occur if injected cuts down abuse
suboxone and the rational of adding an antagonist
process whereby a warded off idea or feeling is replaced by an unconsiously derived emphasis on its opposite
PANICS
this drug is a risk factor for schizophrenia in teens

4. Schizophrenia
inability to remember things that occurred before CNS insult
the associations/complications of bulimia nervosa
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks

5. Methylphenidate - amphetamines - atomoxetine
the treatments for ADHD
reward received after random number of responses - slowly extinguished - slot machine
inbability to recall important personal information - usually subsequent to severe trauma or stress
the common sx of PTSD

6. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
tactile hallucinations common
primal urges - freud
delerium tremens symptoms
child neglect

7. Aura of psychomotor epilepsy and in brain tumors
olfactory hallucinations common
neurologic outcome associated with W- K syndrome
application of aversive stimulus extinguishes unwanted behavior
the EEG findings in dementia

8. Operant conditioning
Under these conditions do children regress to younger patterns of behavior
the tx for alcoholism
DIG FAST
learning in which a particular ation is elicited because it produces a reward

9. Depersonalization disorder

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10. EtOH withdrawal - cocaine abusers
intox = restlessness - increase diureis - muscle twitching
maladaptive pattern of substance use with 3 or more of these 7 criteria
tactile hallucinations common
visual hallucinations common

11. 7 to 9
voluntary withholding of an idea or feeling fromk concious awareness
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
When separation anxiety disorder usually presents
desire to live as the opposite sex - through surgery or hormone tx

12. Cluster A personality disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
odd or eccentric; inability to develop meaningful social relationships
SIG E CAPS and the criteria for dx
Causes of dementia

13. Punishment
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
repetitive and pervasive behavior violating social norms - disorder - and name change after 18
avoidance of awareness of a some painful reality
application of aversive stimulus extinguishes unwanted behavior

14. Normal intel - trouble in school
the treatment for EtOH intox and withdrawal
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
In ADHD - typical intelligence and school performance
the tx for GAD

15. Sublimation - actress using an experience of abuse to enhance her acting
Under these conditions do children regress to younger patterns of 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
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
voluntary withholding of an idea or feeling fromk concious awareness

16. Vit B1 - thiamine
reward received after random number of responses - slowly extinguished - slot machine
the 4 W's of deprived babies?
the tx of W- K syndrome
doctor projects feelings about formative or other important persons onto patient

17. Poor hygeine - malnutrition - withdrawal - impaired social/emotional development - FTT
heroin users at increased risk of...
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
associated with winter season - improves in response to full spectrum light exposure
the evidence for child neglect

18. Delirium
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the two types of schizoaffective disorder
DIG FAST
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

19. Positive reinforcement
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the goal of the ego defenses
gender autism is more common in
desired reward produces action - mouse presses button for food

20. The mean IQ and SD?
100 - 15
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
partially remaining at more childish level of development
the treatments for ADHD

21. Identification - abused models abuser
modeling behavior after another person is more powerful - though not necessarily admired
Moral values - conscience can lead to self blame and attacks of ego
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
appreciating the amusing nature of an anxiety provoking or adverse situation

22. Postpartum depression - 10 to 15%
whering clothes of the opposite sex
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence
How long does the disturbance last in PTSD
define bipolar disorder and distinguish I from II

23. ADHD
dramatic - emotional or erratic
strong persistant cross gender identification
avoidance of awareness of a some painful reality
limited attention span and poor impulse control - hyperactivity - motor impairment - emotional lability

24. Countertransference
Under these conditions do children regress to younger patterns of behavior
potential tx for nicotine withdrawal
doctor projects feelings about formative or other important persons onto patient
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought

25. Marijuana
whenhypnagogic hallucinations take place
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
inability to remember things that occurred after CNS insult
gustatroy hallucinations common

26. Alcohol
Drugs with what kind of affect can lead to a state of delirium
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
disorders in the form of through - the way ideas are tied together
intox - emotional liability - slurred speech - ataxia - coma - blackouts. Withdrawal - severe is delerium tremens

27. Unconcious mental processes to resolve conflict and prevent feelings of anxiety and depression
the goal of the ego defenses
the tx for bipolar disorder
Depression
the 3 types of cluster C personality disorder

28. Body dysmorphic disorder
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
the types of cluster B personality disorder
preoccupation with minor or imagined defect in appearance leading to significant emotional distress or impaired functioning
intox = restlessness - increase diureis - muscle twitching

29. Continuous reinforcement schedule
neurologic outcome associated with W- K syndrome
reward received after every response - rapidly extinguished - vending machine
the associations/complications of bulimia nervosa
the common causes of lack or orientation

30. Dysthymia
intox = restlessness. Withdrawal = irritability - anxiety - craving
milder form of depression lasting at least 2 years
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the epi of sexual abuse

31. MAOi - SSRIs
this drug is a risk factor for schizophrenia in teens
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 atypical depression
Separation of feelings from ideas and events

32. Female primary caregiver
the typical abuser in physical child abuse
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
the order of loss of orientation
Drugs with what kind of affect can lead to a state of delirium

33. Ego - take it and you will get in trouble
mediator between primal urges and accepted behavior
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
the tx for GAD

34. Seasonal affective disorder
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr
modeling behavior after another person is more powerful - though not necessarily admired
associated with winter season - improves in response to full spectrum light exposure
intox = restlessness. Withdrawal = irritability - anxiety - craving

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

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36. Antisocial - disregard for others - borderline - unstable - histrionic - excessive emotionality - narcissistic - grandiosity - sense of entiltlement - lacks empathy
emotional symptoms causing impairment following an identifiable stressor (divorce - illness) and lasting <6 months
the types of cluster B personality disorder
auditory hallucinations common
perceptions in the absence of external stimulus

37. Methadone
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
abrupt change in geographic location with inability to recall past - confusion about personal identity - or assumption of a new identity - associated with traumatic circumstances
Long acting oral opiate for heroine detox or long term maintenance
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

38. Precontemplation - contemplation - preparation - action - maintenance - relapse
the stages of change in overcoming substance addiction
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
inability to remember things that occurred after CNS insult
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation

39. 6-12 months
Under these conditions do children regress to younger patterns of behavior
How long episodes of major depressive episode usually last
Chronic mental disorder with periods of pyschosis - disturbed behavior and though and decline in fxn that lasts > 6 months
Stanford - binet

40. Orientation
gustatroy hallucinations common
the serum markers of alcohol use
How long does the disturbance last in PTSD
patients ability to know who he or she is - what date and time is and wht his or her present circumstances are...

41. Anxiety - tremor - seizures - insomnia
the common sx of PTSD
What ego dystonic means in relation to OCD
depressant withdrawal - 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

42. Thiamine deficiency
causes wernicke - korsakoff syndrome
dramatic - emotional or erratic
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
maladaptive pattern of substance use with 3 or more of these 7 criteria

43. Autism
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence
the 3 types of cluster C personality disorder
the tx for atypical depression

44. CPS
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
Where child neglect is reported
Moral values - conscience can lead to self blame and attacks of ego
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

45. Acting out
tantrums
the triad of Wernicke's encephalopathy
the stages of change in overcoming substance addiction
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

46. 85 percent
less than what percentage of ideal body weight is common in anorexia nervosa
the complications of alcoholism
reward received after every response - rapidly extinguished - vending machine
voluntary withholding of an idea or feeling fromk concious awareness

47. Confusion - opthalmoplegia - and ataxia

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48. CBT - SSRI - TCI - BDZ
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Moral values - conscience can lead to self blame and attacks of ego
the tx for panic disorder
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

49. Calculates IQ as mental age/chronological age x 100
the epi of physical child abuse
How long does the disturbance last in PTSD
Separation of feelings from ideas and events
Stanford - binet

50. Oppositional defiant disorder
the treatment for EtOH intox and withdrawal
enduring pattern of hostile - defiant behavior towards authority figures in the absence of serious violations of social norms
cyclothymia disorder
delerium tremens symptoms

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Psychiatry

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