4 Flashcards
Freud stages of development
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
what is this - get a flu vaccine and develop back pain, leg weakness, urinary incontinence
transverse myelitis - segmental inflammatory syndrome of bilateral spinal cord (immunologic)
vacuolar myelopathy
AIDS dz –> spinal cord compression picture - spasticity, gait instability, LE weakness, loss of propioception/vibration, sphincter dysfunction , Babinski signs
Acute disseminated encephalomyelitis (ADEM)
demyelinating syndrome after systemic infection/vaccination that involves whole CNS
ptosis
upper eyelid droops
miosis vs mydriasis
miosis - constrict
mydriasis - dilate
does Bell’s palsy affect whole face or partial?
entire face (unilaterally) whereas stroke only affects upper face
one of the most common causes of opsoclonus-myoclonus of the infant is
neuroblastoma (lesion to the pons)
most common primary brain tumor in patients over 60
glioblastoma multiforme (GBM)
Patients with OCD have anomalies in
Caudate, thalamus, orbitofrontal cortex
Anton’s syndrome
stroke to bilteral occipital lobe - cortical blindness
most common CNS cancer for AIDS patients
lymphoma
highest rate of synapse formation in the brain takes place when
as a toddler
most frequent opportunisitic CNS infection in AIDS patient
CNS toxoplasmosis
most common spinal cord pathology in AIDS patient
vacuolar myelopathy
Devic’s disease
variant of MS, neuromyeltiis optica
CJD, Kuru, Gerstmann-Straussler-Scheniker, fatal familial insomnia are also diseases of
prions
what is this - headache, ipsilateral Horner’s syndrome, contralateral hemiparesis
Carotid artery occlusion
Bell’s palsy most often due to what infection
Herpes simplex virus
what is this - paresthesias, fever, HA –> pharnygeal spasms –> seizures, coma, death
rabies
Hirano bodies seen in which diseases
CJD and Alzheimer’s
pancreatic cancer most associated with which mental health h/o
Depression
test of choice when youre worried about spinal cord compressions
Spine MRI
can you subpoena the medical chart and/or psychotherapy notes?
just the medical chart, not psychotherapy notes
Balint syndrome
ischemic strokes to bilateral parietal-occipital lobes
delirium, peduncular hallucinosis, gaze palsy, ocular apraxia, otpic ataxia, simultanagnosia
What is a feature of Anton’s syndrome?
confabulation, lack of insight
one of the first manifestations of inhalant abuse
polyneuropathy
what organs damaged with inhalant abuse
renal failure, hepatic failure, bone marrow suppression, brain damage
Meige’s syndrome
blepharospasm (involuntary eye blinking) and oromandibular dystonia
Ford v Wainwright
patients need to be competent to be executed
issue of scanning speech is lesion to
the cerebellum (form of ataxic dysphasia that causes choppy speech)
aphemia
motor speech disorder of near muteness
nl reading/writing/comprehension
how to differentiate between lethargy, stupor, coma, and persistent vegetative state
lethargy- sleepy, but arousable with stimulation
stupor- unresponsive but arousable with repeated stimulation
coma - unarousable unresponsiveness
PVS - lose cognitive functioning
how is the prognosis in conversion disorder
excellent - 90-10% in remission w/in a month
what is the least anticholinergic TCA
desipramine
what age can baby climb stairs
18 months
treatment for exhibitionism
medroxyprogesterone acetate (Depo Provera)
name of sign when you test a patient suspected of psychogenic hemiparesis
Hoovers sign
only true nero emergency that requires MRI
epidural spinal cord compression
vagal nerve stimulation treatment for refractory
Seizures and MDD
can carbamazapine be used for alcohol withdrawal
yes
You hear a bruit in the head when auscultating. what does this signify?
AVM
Hallervorden-Spatz syndrome
childhood onset dementia and parkinsonism - free iron build up in basal ganglia
what type of amnesia in alcoholic blackouts
anterograde- cant form new memories
subacute combined degeneration is lesion to what due to what
lateral and posterior columns of spinal cord –> upper motor neuro signs, loss of propioception/vibration
b12 deficiency
what happens if you give carbamazepine and fluconazole
increased carbamazepine level
decreased fluoconazole level
INH can cause deficiency in what
vitamin B6
Mirtazapine MOA
blocks presynaptic alpha 2 receptors –>
stop feedback inhibition on release of NE and serotonin into cleft –>
more NE and serotonin in synapse
side effects of fluoxetine that set it apart from other SSRIs
headache
anxiety
respiratory complaints
identity diffusion
failure to develop cohesive self or self-awareness
who has bipolar d/o more- men or women
equal
first test if child is not speaking yet
check hearing
niacin deficiency triad
diarrhea, dementia, dermatitis
vitamin E deficiency triad
neuropathy, retinopathy, areflexia
Pimozide
dopamine antagonist used in treatment of Tourette’s
on which chromosome is the gene for amyloid precursor protein found
21
what happens when patient put on carbamazapine and ertyhroymcin
carbamazepine levels go up
best treatment for atypical depression
MAOIs
can people recall dreams in sleep terrors?
no
genital related side effect of thioridazine
retrograde ejaculation
most common neurological manifestation of neurosarcoidosis
cranial neuropathies (ie. facial nerve palsy)
Kleine-Levin syndrome
hypersomnia, apathy/depression, irritability, voracious eating, sexual disinhibition, psychosis, disorientation, memory impaired, incoherent speech
starts in teens, ends in 40s
