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Psych Boards 2023 > 4 > Flashcards

4 Flashcards

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1
Q

Freud stages of development

A

1) oral - birth to 1 year - dependency
2) anal - 1-3 years - independence, control (neuroses)
3) phallic - 3-5 years - gender and sexual identity, Oedipal complex
4) Latency - 5y/o-puberty - decrease in sexual energy
5) Genital stage - Puberty to adulthood - libido intensifies, develop object relations

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2
Q

what is this - get a flu vaccine and develop back pain, leg weakness, urinary incontinence

A

transverse myelitis - segmental inflammatory syndrome of bilateral spinal cord (immunologic)

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3
Q

vacuolar myelopathy

A

AIDS dz –> spinal cord compression picture - spasticity, gait instability, LE weakness, loss of propioception/vibration, sphincter dysfunction , Babinski signs

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4
Q

Acute disseminated encephalomyelitis (ADEM)

A

demyelinating syndrome after systemic infection/vaccination that involves whole CNS

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5
Q

ptosis

A

upper eyelid droops

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6
Q

miosis vs mydriasis

A

miosis - constrict
mydriasis - dilate

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7
Q

does Bell’s palsy affect whole face or partial?

A

entire face (unilaterally) whereas stroke only affects upper face

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8
Q

one of the most common causes of opsoclonus-myoclonus of the infant is

A

neuroblastoma (lesion to the pons)

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9
Q

most common primary brain tumor in patients over 60

A

glioblastoma multiforme (GBM)

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10
Q

Patients with OCD have anomalies in

A

Caudate, thalamus, orbitofrontal cortex

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11
Q

Anton’s syndrome

A

stroke to bilteral occipital lobe - cortical blindness

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12
Q

most common CNS cancer for AIDS patients

A

lymphoma

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13
Q

highest rate of synapse formation in the brain takes place when

A

as a toddler

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14
Q

most frequent opportunisitic CNS infection in AIDS patient

A

CNS toxoplasmosis

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15
Q

most common spinal cord pathology in AIDS patient

A

vacuolar myelopathy

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16
Q

Devic’s disease

A

variant of MS, neuromyeltiis optica

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17
Q

CJD, Kuru, Gerstmann-Straussler-Scheniker, fatal familial insomnia are also diseases of

A

prions

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18
Q

what is this - headache, ipsilateral Horner’s syndrome, contralateral hemiparesis

A

Carotid artery occlusion

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19
Q

Bell’s palsy most often due to what infection

A

Herpes simplex virus

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20
Q

what is this - paresthesias, fever, HA –> pharnygeal spasms –> seizures, coma, death

A

rabies

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21
Q

Hirano bodies seen in which diseases

A

CJD and Alzheimer’s

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22
Q

pancreatic cancer most associated with which mental health h/o

A

Depression

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23
Q

test of choice when youre worried about spinal cord compressions

A

Spine MRI

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24
Q

can you subpoena the medical chart and/or psychotherapy notes?

A

just the medical chart, not psychotherapy notes

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25
Q

Balint syndrome

A

ischemic strokes to bilateral parietal-occipital lobes

delirium, peduncular hallucinosis, gaze palsy, ocular apraxia, otpic ataxia, simultanagnosia

26
Q

What is a feature of Anton’s syndrome?

A

confabulation, lack of insight

27
Q

one of the first manifestations of inhalant abuse

A

polyneuropathy

28
Q

what organs damaged with inhalant abuse

A

renal failure, hepatic failure, bone marrow suppression, brain damage

29
Q

Meige’s syndrome

A

blepharospasm (involuntary eye blinking) and oromandibular dystonia

30
Q

Ford v Wainwright

A

patients need to be competent to be executed

31
Q

issue of scanning speech is lesion to

A

the cerebellum (form of ataxic dysphasia that causes choppy speech)

32
Q

aphemia

A

motor speech disorder of near muteness

nl reading/writing/comprehension

33
Q

how to differentiate between lethargy, stupor, coma, and persistent vegetative state

A

lethargy- sleepy, but arousable with stimulation
stupor- unresponsive but arousable with repeated stimulation
coma - unarousable unresponsiveness
PVS - lose cognitive functioning

34
Q

how is the prognosis in conversion disorder

A

excellent - 90-10% in remission w/in a month

35
Q

what is the least anticholinergic TCA

A

desipramine

36
Q

what age can baby climb stairs

A

18 months

37
Q

treatment for exhibitionism

A

medroxyprogesterone acetate (Depo Provera)

38
Q

name of sign when you test a patient suspected of psychogenic hemiparesis

A

Hoovers sign

39
Q

only true nero emergency that requires MRI

A

epidural spinal cord compression

40
Q

vagal nerve stimulation treatment for refractory

A

Seizures and MDD

41
Q

can carbamazapine be used for alcohol withdrawal

A

yes

42
Q

You hear a bruit in the head when auscultating. what does this signify?

A

AVM

43
Q

Hallervorden-Spatz syndrome

A

childhood onset dementia and parkinsonism - free iron build up in basal ganglia

44
Q

what type of amnesia in alcoholic blackouts

A

anterograde- cant form new memories

45
Q

subacute combined degeneration is lesion to what due to what

A

lateral and posterior columns of spinal cord –> upper motor neuro signs, loss of propioception/vibration

b12 deficiency

46
Q

what happens if you give carbamazepine and fluconazole

A

increased carbamazepine level
decreased fluoconazole level

47
Q

INH can cause deficiency in what

A

vitamin B6

48
Q

Mirtazapine MOA

A

blocks presynaptic alpha 2 receptors –>
stop feedback inhibition on release of NE and serotonin into cleft –>
more NE and serotonin in synapse

49
Q

side effects of fluoxetine that set it apart from other SSRIs

A

headache
anxiety
respiratory complaints

50
Q

identity diffusion

A

failure to develop cohesive self or self-awareness

51
Q

who has bipolar d/o more- men or women

A

equal

52
Q

first test if child is not speaking yet

A

check hearing

53
Q

niacin deficiency triad

A

diarrhea, dementia, dermatitis

54
Q

vitamin E deficiency triad

A

neuropathy, retinopathy, areflexia

55
Q

Pimozide

A

dopamine antagonist used in treatment of Tourette’s

56
Q

on which chromosome is the gene for amyloid precursor protein found

A

21

57
Q

what happens when patient put on carbamazapine and ertyhroymcin

A

carbamazepine levels go up

58
Q

best treatment for atypical depression

A

MAOIs

59
Q

can people recall dreams in sleep terrors?

A

no

60
Q

genital related side effect of thioridazine

A

retrograde ejaculation

61
Q

most common neurological manifestation of neurosarcoidosis

A

cranial neuropathies (ie. facial nerve palsy)

62
Q

Kleine-Levin syndrome

A

hypersomnia, apathy/depression, irritability, voracious eating, sexual disinhibition, psychosis, disorientation, memory impaired, incoherent speech

starts in teens, ends in 40s

Psych Boards 2023 (8 decks)

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