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Psych Boards 2023 > 3 > Flashcards

3 Flashcards

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1
Q

best treatment for manic pregnant person

A

ECT

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2
Q

most common symptom for narcoleptics

A

sleep attacks

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3
Q

which neurotransmitter works as an adjunct for glutamate and as an independent inhibitory neurotransmitter

A

glycine

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4
Q

trauma to which vessel causes epidural hematoma

A

middle meningeal artery

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5
Q

what is the characteristic EEG pattern in CJD?

A

periodic sharp wave complexes

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6
Q

stages of Mahler’s separation-individuation

A

1) autism
2) symbiosis
3) differentiation
4) practicing
5) rapprochement
6) object constancy

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7
Q

Mahler stage of autism - time and characteristic

A

birth to 2 months

more time asleep

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8
Q

Mahler stage of symbiosis - time and characteristic

A

2-5 months

distinguish from inner and outer world while perceiving itself as part of single entity with mother

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9
Q

Mahler stage of differentiation - time and characteristic

A

5-10 months

begin to distinguish self from mother

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10
Q

Mahler stage of practicing - time and characteristic

A

10-18 months

move independently and explore outside world

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11
Q

Mahler stage of rapprochement - time and characteristic

A

18-24 months

independence vacillate with need for its mother

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12
Q

Mahler stage of object constancy - time and characteristic

A

2-5 years

understand permanence of other people even when not present

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13
Q

skin manifestations of arsenic poisoning

A

keratosis, melanosis, malignancies, Mees lines of fingernails (white striations)

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14
Q

symptoms of arsenic poisoning

A

central - N/V/D, hypotension, tachy, encephalopathy

peripheral- neuropathy, skin manifestations

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15
Q

lead poisoning in children vs adult manifestation

A

children - encephalopathy

adults - neuropathy

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16
Q

mercury poisoning

A

psych/neuro - irritability, personality changes, confusion, stupor

tremors, weakness, visual dist. ataxia

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17
Q

organophosphate poisoning mechanism

A

inhibits acetylcholinesterases –> cholinergic toxicity

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18
Q

person who coined the name schizophrenia

A

Eugen Bleuler

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19
Q

which toxin causes blue line at the gingival margin

A

lead

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20
Q

manganese poisoning manifestation

A

Parkinsonian features, behavioral/cognitive changes, cock walk

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21
Q

which NT is derived from serine

A

glycine

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22
Q

where is glycine most concentrated in

A

spinal cord

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23
Q

what are people studying glycine as treatment for

A

neg symptoms of schizophrenia

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24
Q

which child abuse most lethal

A

shaking baby –> subdural hematomas

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25
Q

can there be preserved eye tracking and swallowing in persistent vegetative state?

A

yes

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26
Q

can there be preserved response to noxious stimulation in persistent vegetative state?

A

no

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27
Q

what is the most common typical effect of depression on nocturnal sleep

A

early morning awakening

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28
Q

antidote to benzo overdose

A

flumazenil

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29
Q

antidote to organophosphate OD

A

atropine

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30
Q

antidote to lead poisoning

A

dimercaprol

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31
Q

Papez circuit involves which parts

A

hippocampus, thalamus, cortex, mammillary bodies

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32
Q

PKU manifestation

A

microcephaly, mousy odors, infantile spasms, light hair/skin

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33
Q

internal carotid stenosis should be treated surgically if stenosis is symptomatic and above what percent

A

70%

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34
Q

which solid tumor metastasizes most frequently to the brain

A

lung

35
Q

most useful treatment for post-LP HA

A

repeat LP with blood patch - inject some blood to increase the pressure from the CSF leak

36
Q

compression of which peripheral nerve causes meralgia paresthtica

A

lateral femoral cutaneous - pain in anterior thigh

wear looser pants

37
Q

week after having a baby, she gets headache, behavioral changes, irritability, seizures, dipolopia. what is it?

A

cerebral venous thrombosis - hypercoagulable state from pregnancy

38
Q

most common congenital viral infection in newborns

A

CMV

39
Q

most common myopathy in patients over 50

A

inclusion body myositis

40
Q

when is sleep apnea pathological

A

more than 5 episodes (>10 sec each) per hr or >30 episodes in a night

41
Q

what is rate limiting step in dopamine synthesis

A

tyrosine hydroxylase turning L-tyrosine –> L-DOPA

42
Q

lethal level of lithium is above

A

4

43
Q

IQ associated with which lobe

A

parietal

44
Q

Ganser’s syndrome

A

dissociative disorder where you voluntarily talk past the point or give approximate answers (variant of malingering)

45
Q

how does ibuprofen affect lithium levels?

A

increases

46
Q

how does aspirin affect lithium levels?

A

no effect

47
Q

how do diuretics affect lithium levels?

A

increases

48
Q

Todd’s paralysis

A

brief period of transient hemiparesis after a seizure

49
Q

tropical spastic paraparesis is a

A

chronic progressive myelopathy caused by HTLV-1

50
Q

battle sign indicative of

A

basilar skull fracture

(mastoid hematoma)

51
Q

whats best treatment to treat ADHD in a patient with Tourettes

A

atomexetine

52
Q

side effects of depakote

A

common - weight gain, tremor, thinning of the hair, ankle swelling

GI distress, sedation, pancreatitis, pancytopenia, hepatotoxicity

teratogenic

53
Q

amphetamines can be detected on UDS for how long

A

48 hrs

54
Q

alcohol can be detected on UDS for how long

A

12 hours

55
Q

Kluver Bucy syndrome is destruction of the

A

amydgala bodies bilaterally and inferior temporal cortex

56
Q

can addicts use patient controlled analgesia

A

yes

57
Q

surgery option for OCD

A

cingulotomy

58
Q

most useful long term treatment setting for noncompliant schizophrenic patient with hx of vioence

A

outpatient commitment program

59
Q

can MAOIs be mixed with meperidine

A

NO

60
Q

can MAOIs be mixed with anesthetics?

A

NO

61
Q

can MAOIs be mixed with asthma medication?

A

NO

62
Q

can MAOIs be mixed with dextromethorphan?

A

NO

63
Q

can MAOIs be mixed with stimulants?

A

NO

64
Q

what is the term of a psychiatrist’s right to maintain a patient’s secrecy in the face of a subpoena

A

privilege

65
Q

dif between privilege and confidentiality

A

privilege - legal protection

confidentiality - ethical standard

66
Q

WBC frequency for clozapine

A

1) Baseline before treatment
2) 1st 6 months - weekly
3) 2nd 6 months - biweekly
4) after 12 mo - monthly
5) tx stopped - weekly for 4 weeks

67
Q

sleep changes in people >65 y/o

A
  • more REM episodes
  • REM shorter
  • less total REM sleep
  • NREM decreased delta wave amplitude
  • lower percentage of N3 sleep
  • higher % N1 and N2 sleep
68
Q

interaction between clozapine and SSRIs, TCAs

A

increase clozapine level

69
Q

interaction between clozapine and cimetidine

A

increase clozapine level

70
Q

interaction between clozapine and carbamazepine

A

decrease clozapine level

71
Q

interaction between clozapine and depakote

A

increase clozapine level

72
Q

risk of combined use of clozapine and alcohol, benzos

A

CNS depression

73
Q

risk of combined use of clozapine and lithium

A

increase risk of NMS, movement d/os, seizures, confusion

74
Q

most widely used substance among US high school students

A

cannabis (tho I’m not sure this is right based on other studies)

75
Q

Beck’s cognitive triad of distorted thoughts in depression

A
  • I am worthless
  • The world is self-defeating
  • Expectation of continued hardship/failure
76
Q

alogia is

A

poverty of speech and thought content

77
Q

how many mood episodes in 12 months to meet criteria for rapid cycling

A

4

78
Q

what type of reinforcement underlies gambling

A

random reinforcement

79
Q

dif between primary and secondary refinforcement

A

primary - unlearned (ie. hunger)

secondary - learned (ie. reward)

80
Q

schizophrenia late onset is considered after what age

A

45 yo

81
Q

three essential stages by Bowlby and Roberston when children separated from parents

A

1) protest
2) despair
3) detachment upon her return

82
Q

usual and accepted length of period of grief after death of loved one is

A

12 months (1-2 months can return to acute functioning)

83
Q

which sleep agent with long half life

A

lunesta eszopiclone

Psych Boards 2023 (8 decks)

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