Behavioral BRS type Qs

Question 1

35 year old female has difficulty sleeping after a concussion in a car accident. the part of the brain affected is the (parietal lobe/ hippocampus/ amygdala/ reticular system/ basal ganglia/ left frontal lobe)

Answer 1

reticular system

Question 2

35 y. o. male sustained a head injury. He used to be combative but is now placid and masturbates frequently the part of the brain damaged is the (parietal lobe/ hippocampus/ amygdala/ reticular system/ basal ganglia/ left frontal lobe)

Answer 2

amygdala

Question 3

an 80 y. o. female has tremor and difficulty walking and initiating movement. the part of her brain that is affected is(parietal lobe/ hippocampus/ amygdala/ reticular system/ basal ganglia/ left frontal lobe)

Answer 3

basal ganglia

Question 4

45 y. o. male becomes depressd following a TBI. the area of the brain affected is the (parietal lobe/ hippocampus/ amygdala/ reticular system/ basal ganglia/ left frontal lobe)

Answer 4

left frontal lobe

Question 5

A 69 y. o. former banker cannot tell you the name of the current president and has trouble identifying his family. the part of the brain affected is the (parietal lobe/ hippocampus/ amygdala/ reticular system/ basal ganglia/ left frontal lobe)

Answer 5

hippocampus

Question 6

The major neurotransmitter involved in action of fluoxetine [Prozac] is (NE/ 5-HT/ DA/ GABA/ ACh)

Answer 6

5-HT

Question 7

A very anxious patient is examined in the emergency room. If it could be measured, the y-aminobutyric acid (GABA) activity in the brain would be (increased/ decreased/ unchanged)

Answer 7

decreased

Question 8

Autopsy of a 65 y.o. man shows degeneration of cholinergic neurons in the hippocampus. This man is most likely had (mania/ depression/ Alzheimer’s/ anxiety/ schizophrenia)

Answer 8

Alzheimer’s

Question 9

90% of patients at PCP offices are over 65. these pts are more likely to have (less anxiety/ lower intelegence/ poorer sleep/ lower suicide rate/ less depression)

Answer 9

poorer sleep quality

Question 10

an 80 y. o. male has been brought to clinic by his wife who complains that he has been forgetful since he gave up his diver’s license. what is he likely to have (alzheimer’s/ suicide risk/ depression/ low IQ)

Answer 10

depression, common in elderly

Question 11

a 70 y .o. male whose wife dies 8 mo ago appears unshaven and disheveled. he has lost 11 lbs and has trouble sleeping and has no interest in interacting w friends. what should you prescribe? (sleep meds/ psychotherapy/ antidepressants/ cancer screening)

Answer 11

antidepressants, has grief reaction

Question 12

a 75 y.o. depressed woman says she cannot enjoy anything in her life and that wining the lotto wouldn’t make her feel better. her mood is (dysphoric/ euthymic/ anhedonic/ labile/ euphoric)

Answer 12

anhedonic