2 Flashcards
Carl Jung known for?
Development of personality occurs through their experiences
Harry Stack Sullivan known for?
human development effect of social interaction
can hemiparesis present with broca’s and wernicke’s aphasias?
yes!
Is repeating intact in broca’s and wernicke’s?
no
what aphasia is repeating intact called?
transcorticial aphasia - areas around and adjacent to broca and wernicke
what timeframe should tpa be used?
3 hrs ideally (4.5 for select pop.)
What is this:
ipsilateral Horner’s syndome
ipsilateral loss of pain and temp in face
cerebellar ataxia
weakness of vocal cords, pharnyx, palate
Left lateral medullary syndrome (wallenberg)- from occlusion of vertebral artery
Neurotransmitters associated with aggression
Increased dopamine
Decreased Serotonin, NE
Metachromatic leukodystrophy genetic inheritance and what enzyme
aut rec
arylsulfatase A
can light therapy precipitate hypomania in bipolar patient?
yes!
which baby reflex never disappears?
parachute - comes at 8 mo
how to categorize pseudocyesis in DSM?
other specified somatic symptom and related disorders
can you get amenorrhea and breast engorgement and enlarged abdomen with pseudocyesis?
yes
most common infectious agent causing retinitis in AIDS patient?
CMV
Logorrhea
uncontrollable, excessive talking
how can TCAs affect EKG?
prolong PR and QRS intervals
L5 innervates…
foot flexion (foot drop if lesioned)
mnemonic of deep tendon reflexes
S1-2 buckle my shoe (foot extension)
L3 L4 - kick the door (knee flexion)
C5-6 pick up sticks (biceps flex)
C7-8 lay them straight (triceps extend)
what antidepressant can be used to treat gastric ulcers?
amitriptyline (histamine blockage)
hemisection of spinal cord leads to
ipsilateral loss of motor and posterior column
contralateral loss of pain and temp
where is Acetylcholine made
nucleus basalis of meynert
pure motor hemiparesis is most likely stroke to which area
internal capsule
hemiballismus
dramatic, flinging movement of proximal extremities , most often unilateral, from stroke to subthamalmic nucleus
What amines does tryptophan make?
serotonin –> melatonin
what amines does tyrosine make?
dopamine —> NE –> Epi
Reserpine MOA
interferes with uptake of amines –> deplete dopamine, NE, serotonin presynaptically
where is the site where CSF drains into the blood?
arachnoid granulations
melatonin made in the
pineal gland
subacute sclerosing panencephalitis caused by which virus
measles
Carbidopa MOA
inhibits DOPA decraboxylase –> prevent conversion of levodopa to dopamine –> more levodopa can cross BBB
what is this: facial cutaneous angioma, retardation, hemiparesis, hemonoymous hemianopsia
Sturge Weber syndrome
which antipsychotic is not affected by cigarette metabolism?
risperidone
cigarettes induce which metabolism pathway?
CYP 1A2
migraines linked to which chromosome?
19
CNS cysticerosis involves invasion of CNS from what?
Tapeworm taenia solium
most common neurological manifestation of chronic alcoholism
alcoholic neuropathy
Miller Fisher syndrome
variant of GBS
triad: gait ataxia, areflexia, opthlamlplegia
Konrad Lorenz known for work in
imprinting
buspar MOA
serotonin 1A partial agonist
amoxapine
TCA with strong D2 antagonism
who was the first to give a comprehensive study of the defense mechanisms?
Anna Freud
can botox be used for Tourette’s tics?
yes
preoperational stage concepts
egocentrism
phenomalistic causality
animistic thinking - objects given feelings
imminent justice - bad deeds go punished
which TCA has most anti histaminic activity
doxepin
abreaction
emotional release after recalling a painful event
is there increased risk with ECT for patients with uncontrolled epilepsy?
no
average IQ
100
def of IQ
mental age/chronological age x100
which TCA is used to treat childhood enuresis
imipramine
