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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. Methylphenidate - amphetamines - atomoxetine
odd or eccentric; inability to develop meaningful social relationships
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
overwhelming fear of separation from home or loss of attachment figure that can lead to factitious physical complaints to avoid going to school
the treatments for ADHD

2. Rett's disorder
Separation of feelings from ideas and events
repeated stimulation lead sot increase response
lifetime prevalance of tourrette's in the gen pop - and the chance of coprolalia
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

3. Substance abuse
maladaptive pattern leading to clinically significant impairment or distress
dramatic - emotional or erratic
the time frame for schizophreniform disorder
How long does the disturbance last in PTSD

4. Dissociative identity disorder
the tx for GAD
the common causes of lack or orientation
this drug is a risk factor for schizophrenia in teens
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse

5. Barbituates
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
intox is marked respiratory depression - intox = delerium - life threatening CV collapse
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
discontinuation of reinforcement eliminates behavior

6. Altruism - mafia boss makes a large donation to charity
In ADHD - typical intelligence and school performance
pieces of evidence of physical child abuse
guilty feelings alleviated by unsolicitied generosity towards others
SIG E CAPS and the criteria for dx

7. Dissociative amnesia
inbability to recall important personal information - usually subsequent to severe trauma or stress
milder form of depression lasting at least 2 years
the tx for OCD
visual hallucinations common

8. Substance withdrawal - signs are often opposite of intoxication
behavioral - physiologic - cognitive state caused by cessation or reduction of heavy and prolonged substance use - clinical signs
distinct period of abnormally and persistently elevated - expansive - irritable mood lasting at least 1 week
the non specific signs of stimulant intox and withdrawal
less than what percentage of ideal body weight is common in anorexia nervosa

9. Inc mania - high suicide risk
preoccupation with a fear of having a serious illness despite medical evaluation and assurance
bing eating +/- purging self induced vomiting - use of laxatives - diuretics or emetics
the concern with use of antidepressants in pts with bipoloar disorder
pattern of uncontrollable anxiety for at least 6 months - associated with sleep disturbances - fatigue - GI distirbance - difficulty concentrating

10. Physiologic tolerance and dependence with symptoms of withdrawal when intake is interrupted
the complications of alcoholism
the definition of alcoholism
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the goal of the ego defenses

11. Delusions - hallucinations - disorganizaed speech - disorganized or catatonic behavior and negative sx
Schizophrenia
Diagnosis requres 2 of 5 of which sx
the evidence for child neglect
severe language impairment and poor social interactions - greater focus on objects than people - repetitive behavior - below normal intelligence

12. 2 or more within a symptom free interval of 2 months
Number of major depressive episodes constitute major depressive disorder
depressant intoxication - nonspecific
the treatments for ADHD
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus

13. Naltrexone and BDZ
involunatary withholding of an idea or feeling from conscious awareness
the treatment for EtOH intox and withdrawal
anterograde amnesia caused by thiamine deficiency
How long does the disturbance last in PTSD

14. The criteria for mental retardation?
define bipolar disorder and distinguish I from II
reward received after every response - rapidly extinguished - vending machine
IQ<70
application of aversive stimulus extinguishes unwanted behavior

15. Splitting - a pt that says all nurses are nice and all doctors are bad
disorders in the form of through - the way ideas are tied together
this drug is a risk factor for schizophrenia in teens
Schizophrenia
belief that people are either all good or all bad at different times due to intolerance or ambiguity

16. Paranoid - pervasive distrust - schizoid - voluntary social withdrawal - schitzotypal - eccentric appearance and magical thinking - interpersonal awkwardness
Postpartum delusions - confusion - unusual behavior - homicidal/suicidal ideations or attempts - lasts 4 to 6 weeks
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
the various types of cluster A personality disorder

17. 7 to 9
the non specific signs of stimulant intox and withdrawal
When separation anxiety disorder usually presents
the epi of sexual abuse
pieces of evidence for sexual child abuse

18. Precontemplation - contemplation - preparation - action - maintenance - relapse
<40 and <20
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
perceptions in the absence of external stimulus
the stages of change in overcoming substance addiction

19. Displacement - mom places blame on kid because she's mad at husband
Is body weight maintained within nl range in bulimia nervosa
the 5 types of schizophrenia
Gradual change in cognition with no change in level of conciousness - memory deficits - aphasia - apraxia - loss of abstract thought
process whereby avoided ideas and feelings are transferred to some neutral person or object

20. 1 month
How long does the disturbance last in PTSD
intox = restlessness. Withdrawal = irritability - anxiety - craving
at least 2 weeks of stable mood with psychotic sx plus a major depressive - manic or mixed episode
How long marijuana is detectable in the urine after last use

21. Disulfiram and supportive care
the tx for alcoholism
the definition of alcoholism
a hypomanic episode
milder form of depression lasting at least 2 years

22. Confusion - opthalmoplegia - and ataxia

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23. Inc incidence with age - then alzheimers - vasc thrombosis - hemorrhage - HIV - pick's disease - CJD
Causes of dementia
Where child neglect is reported
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
100 - 15

24. Superego - you know you can't have it - taking it is wrong
the serum markers of alcohol use
doctor projects feelings about formative or other important persons onto patient
<40 and <20
Moral values - conscience can lead to self blame and attacks of ego

25. Factitious disorder
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
IQ<70
patient conciously creates physical and or psychological symptoms in order to assume the sick role and get medical attention - primary gain
the serum markers of alcohol use

26. Extinction
inability to remember things that occurred before CNS insult
intox = marked anxiety or depression - delusions - visual hallucinations - flashbacks and pup dilation
pieces of evidence for sexual child abuse
discontinuation of reinforcement eliminates behavior

27. Nl
inability to remember things that occurred before CNS insult
milder form of autism with normal intel - repetitive behavior and problems with social relationships - no language impairment
the EEG findings in dementia
sudden rapid - recurrent - nonrhythmic stereotyped motor movements or vocalizations that persist for >1 yr

28. Social phobias - tx SSRIs
both illness and motivation are subconcious - sx not intentionally produced or feigned
exaggerated fear of embarrasment in social situations - disorder and tx
voluntary withholding of an idea or feeling fromk concious awareness
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited

29. Presence of at least one manic (I) or hypomanic (II) episode - depressive sx occur eventually
define bipolar disorder and distinguish I from II
Diagnosis requres 2 of 5 of which sx
recurring - intrussive thoughts - feelings or sensations that cause severe distress - relieved in part by performance of repeititive actions
Depression

30. Depersonalization disorder

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31. Savant
the treatment for EtOH intox and withdrawal
dramatic - emotional or erratic
intense fear and discomfort peaking in 10 minutes
autism with unusual abilities

32. There are rare
Number of major depressive episodes constitute major depressive disorder
maladaptive pattern leading to clinically significant impairment or distress
gustatroy hallucinations common
application of aversive stimulus extinguishes unwanted behavior

33. Dec frontal lobe volumes
This gross neurological finding is associated with ADHD
Anxiety
When to hypnopompic hallucinations take place
x- linked disorder in girls - sx apparent 1-4 - regression - MR - loss of verbal abilities - ataxia - and hand wringing

34. Anaclitic depression - can be reversible or lead to FTT - or developmental disturbances
persistent re - experiencing of a previous traumatic event
in elderly patients who present with dementia - the concern
Schizophrenia
depression in an infant attributable to continued separation from caregiver - infant beceomes withdrawn and unresponsive - disorder and prognosis

35. Postpartum depression - 10 to 15%
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
strong persistant cross gender identification
Drugs with what kind of affect can lead to a state of delirium
postpartum depressed affect - anxiety - poor concentration - lasts 2 weeks to 2 months - disorder + incidence

36. Cluster C personality disorder
anxious - fearful
development of delusions in a person in a close relationship with delusional disorder
learning in which a natural response is elicited by a conditioned - or learned stimulus that previously was presented in conjuction with an unconditioned stimulus
the typical abuser in sexual abuse

37. While going to sleep
gustatroy hallucinations common
whenhypnagogic hallucinations take place
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
How long does the disturbance last in PTSD

38. In what disease is GABA decrease and ACH decrease?
repeated stimulation leads to decrease response
the treatments for ADHD
the types of cluster B personality disorder
Huntingtons

39. Pain disorder
prolonged pain with no physical findings - psychosocial factors play an important role in severity exacerbation or maintenance
perceptions in the absence of external stimulus
Drugs with what kind of affect can lead to a state of delirium
the complications of alcoholism

40. Failure to provide adequate food - shelter - supervision - education and/or affection - most common form of child maltreatment
How long does the disturbance last in PTSD
Long acting oral opiate for heroine detox or long term maintenance
causes wernicke - korsakoff syndrome
child neglect

41. Delusional disorder
the non specific signs of stimulant intox and withdrawal
Causes of dementia
fixed persistent - nonbizarre belief system lasting >1 month not impaired - self limited
this drug is a risk factor for schizophrenia in teens

42. Somatization disorder
What ego dystonic means in relation to OCD
variety of complaints in multiple organ symptoms - pain - GI - sexual - pseudo neurologic over years
the tx for alcoholism
the associations/complications of bulimia nervosa

43. Id - subconcious - I want it
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
primal urges - freud
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia
repeated stimulation leads to decrease response

44. Distractability - irresponsibility - grandiosity - flight of ideas - increase in Activity/Agitation - decrease need for sleep - talkativeness or pressured speech (at least 3)
DIG FAST
presence of 2 or more distinct identities or personality states - most common in women - associated with a history of sexual abuse
proclaiming logical reasons for actions actually performed for other reasons - to avoid self blame
intox = euphoria - anxiety - paranoid delusions - perception of slowed time - impaired judgment - social withdrawal - increase appetite - dry mouth hallucinations. Withdrawal = irritability - depression - insomnia - N - anorexia

45. Men early 20s - women late 20s early 30s
whenmen vs women present with schizophrenia
the concern with use of antidepressants in pts with bipoloar disorder
intox = impaired judgement - pup dilation - hallucinations (tactile) - paranoid ideations - angina - sudden cardiac death. Withdrawal = suicidality - hypersomnolence - malaise - severe psychological craving
the two types of schizoaffective disorder

46. Anorexia nervosa
avoidance of awareness of a some painful reality
the common causes of lack or orientation
excessive dieting +/- purging - intense fear of gaining weight - body image distortion - increase exercise
the 5 types of schizophrenia

47. 85 percent
Schizophrenia
less than what percentage of ideal body weight is common in anorexia nervosa
the 4 W's of deprived babies?
inbability to recall important personal information - usually subsequent to severe trauma or stress

48. Schizophrenia
auditory hallucinations common
the common sx of PTSD
the tx for opiod intox and withdrawal
child neglect

49. Peak incidence 9-12 years of age
an enduring repetitive pattern of perceiving - relating to - and thinking about about the environment and oneself
patient projects feelings about formative or other important persons onto physician
the most common psychiatric illness on medical and surgical floors and the most common cause of this pyschiatric disorder
the epi of sexual abuse

50. Modeling (social learning)

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