chapter 7-8-9 Flashcards
Which of the following are prenatal 01 perinatal causes of developmental delay'7 A. Hypoxic encephalopathy B. Cytomegalovirus C. Lissencephaly D. Toxoplasmosis E. All of the above
E
Which of the following are significant risk factors for perinatal neurologic injury?
A. Cesarean section after a trial of labor
B. Maternal diabetes
C. Low socioeconomic status
D. Umbilical prolapse
E. All of the above
E
All of the following statements about ocular findings in developmental disorders are
correct EXCEPT which?
A. Nystagmus is seen in Leigh’s disease
B. Ophthalmoplegia is typical with Refsum’s disease
C. Wilson’s disease increases the risk of cataracts.
D. Homocystinuria is associated with lens dislocation
B
Which of the following statements about identification of eausu of developmental delay
is true?
A. About 60-80% of developmental delay can be given an etiology
B. Fewer than 30% of patients with developmental delay can be given an etiologic diagnosis
C. Determination of an etiology usually provides a specific intervention which can be applied
D. Developmental delay identified in one child does not alter the frequency of developmental delay in subsequent children
A
The following questions pertain to developmental milestones. For each question, indicate at which time the milestone is reached. Select from the following list. A. Birth, to 6 months B. 6 months to 1 year C. 1 year to 2 years D. 2 years to 3 years E. After 3 years Counts 4 objects and can tell a story.
E
The following questions pertain to developmental milestones. For each question, indicate at which time the milestone is reached. Select from the following list. A. Birth, to 6 months B. 6 months to 1 year C. 1 year to 2 years D. 2 years to 3 years E. After 3 years Laughs.
A
The following questions pertain to developmental milestones. For each question, indicate
at which time the milestone is reached. Select from the following list.
A. Birth, to 6 months
B. 6 months to 1 year
C. 1 year to 2 years
D. 2 years to 3 years
E. After 3 years
Knows full name. Pretends as part of play.
D
The following questions pertain to developmental milestones. For each question, indicate
at which time the milestone is reached. Select from the following list.
A. Birth, to 6 months
B. 6 months to 1 year
C. 1 year to 2 years
D. 2 years to 3 years
E. After 3 years
Feeds self. Indicates desires by pointing.
C
Which of the following statements are true-regarding imaging in patients with
developmental delay?
1. Imaging shows a cause in about a third of patients with global developmental delay
2. MRI is more sensitive for cerebral dysgenesis than CT
3. Diagnostic yield of imaging is greater for patients with focal findings
4. Diagnostic yield of imaging is greater for patients with cerebrai palsy
Select: A = 1, 2, 3. B - 1. 3. C = 2,4. D - 4 only. E = All
E
Which of the following statements are true regarding clinical findings in disorders with
developmental delay?
1. Glycogen storage diseases are commonK associated with organomegaly
2. Sjogren’s syndrome is associated with increased skin thickness and stiffness
3. Isovaleric acidemia is associated with the odor of sweaty feet
4. Spinal muscular atrophy presents with neonatal spasticity
Select: A = 1.2.3.B= i.3.C = 2, 4. D = 4 only. E – AH
A
Which of the following are common behavioral disturbances in patients with Alzheimer's disease? A. psychosis B. Agitation C. Aggression D. Depression E. All of the above
E
Depression is common in patients with AD. Which of the following statements is NOT
true regarding depression in AD?
A. SSRls can help depression in AD
B. Tricyclics are the preferred antidepressants for patients with AD
C. Depression in AD is more common if there is a family history or pre-disease personal history of depression
D. Patients with depression are more likely to complain of memory loss than patients with AD
E. All are true
B
Psychotic symptoms are common in Dementia with Lewy Bodies. Which of the
following statements is NOT true for psychosis in DLB?
A. The majority of patients with DLB have psychotic symptoms
B. Psychosis in DLB is treated by most typical neuroleptics
C. Cholinesterase inhibitors are helpful for treatment of psychosis in DLB
D. Patients with DLB have clinical features of parkinsonism
A
A 76-year-oid female presents with progressive dementia associated with disinhibition.
poor impulse control, and poor judgment. She seems unable to express normal social
emotions. Which of the following conditions is the most likely diagnosis?
A. Frontotemporal dementia
B. Alzheimer’s disease
C. Huntington’s disease
D. Pseudodementia
no answer (highlight)
For each of the clinical presentations in the following questions, select the most likely diagnosis from the following list. A. Alzheimer's disease B. Frontotemporal dementia C. Dementia with Lewy bodies D. Vascular dementia E. All of these
80-year-old man presents with progressive dementia plus signs of parkinsonism with
rigidity, bradykinesia, and tremor. He has hallucinations of children playing in the corn er
of the room.
A
For each of the clinical presentations in the following questions, select the most likely diagnosis from the following list. A. Alzheimer's disease B. Frontotemporal dementia C. Dementia with Lewy bodies D. Vascular dementia E. All of these
54-year-old female with progressive dementia and depression. Examination is normal
except for the mental status testing.
C
For each of the clinical presentations in the following questions, select the most likely diagnosis from the following list. A. Alzheimer's disease B. Frontotemporal dementia C. Dementia with Lewy bodies D. Vascular dementia E. All of these
66-year-old man with dementia which has been progressive in a step-wise fashion. Has a
history of diabetes and hypertension. Examination shows incoordination of the right hand
and a left upgoing plantar response. He has obvious signs of depression.
D
For each of the clinical presentations in the following questions, select the most likely
diagnosis from the following list.
A. Alzheimer’s disease
B. Frontotemporal dementia
C. Dementia with Lewy bodies
D. Vascular dementia
E. All of these
A 68-year-oid man presents with progressive dementia and some disinhibition. Early in
the course, he was described as having a propensity for sweets, which was a departure
from his earlier behavior. Later, at the :ime of presentadon, he exhibits hypersexuality.
B
Which of the following statements regarding depression in Parkinson’s disease are true?
1. Depression is a common accompaniment
2. Psychosis is common
3. Patients with major depression progress faster in PD than patients without
depression
4. Depression in PD is more likely with older age of onset of disease
Select: A - L 2, V B - i, 3. C = 2, 4. D - 4 only. E = All
A
Which of the following statements are true regarding behavior disturbance in
Huntington’s disease?
1. Depression occurs in the majority7 of patients
2. Depression is worst in later stages of the disease
3. Suicide is more common in HD with depression than in other neurologic
diseases with depression
4. Aggression is uncommon
Select: A = 1,2, 3. B = L 3.C = 2,4. D~4 only. E = All
B
Which of the following psychiatric disorders are more common in patients with
Tourette’s svndrome?
1. ADHD
2. Personality disorder
3. Anxiety
4. Oppositional defiant disorder
Select . A = 1, 2, 3 . B = 1, 3. C = 2, 4. D = 4 only. E = All
E
Which of the following statements are true regarding behavior disturbances in Multiple
Sclerosis?
1. Depression is rare, with fewer than 20% of patients exhibiting depression
2. Depression in MS is correlated with disease duration
3. Depression in MS is more common in females
4. Depression in MS is more likely in patients experiencing an exacerbation of MS symptoms
Select: A= i, 2,3. B = 1,3. C = 2,4. D = 4 only. E = All
D
Behavioral alterations are common in epilepsy. For each behavioral state, select whether
the condition is more likely to be ictai, postictal, or interictal.
A. Ictal
B. Postictal
C. Interictal
D. Any of the above
Confusion.
B
Behavioral alterations are common in epilepsy. For each behavioral state, select whether
the condition is more likely to be ictai, postictal, or interictal.
A. Ictal
B. Postictal
C. Interictal
D. Any of the above
Depression.
D