chronic neuro and psychiatric disorders Flashcards
what are the Affective psychiatric disorders
-bipolar disorder
-suicidal ideation
depression
affective disorder characterized by episodes of mania or hypomania with depression - dramatic shifts in emotion
bipolar disorder
When assessing a patient with suicidal ideation, what are 4 things to ensure you ask?
-is there a concrete plan
-any previous attempts
- comorbid psychiatric disorders
-recent life triggers
what are the monoamines thoughts to be LOW in a patient with depression?
serotonin
NE
dopamine
Pharmacology for PTD treatment includes 3 major categories of medications:
SSRI’S
SNRIs
antipsychotics
true or false: alzheimers disease is the LEAST common form of dementia
false. it is the MOST common
In alzheimers, there is ____ of neurons, leading to decrease in what neurotransmitter ?
atrophy; acetylcholine
what does ALS stand for?
Amyotrophic Lateral Sclerosis
what is the life expectancy of ALS?
2-5years from onset
which cranial nerve is effected by Bell’s Palsy?
cranial nerve VII = unilateral paralysis of face
true or false: Bells Palsy is rapid onset, often self limiting with 70% recovery
true
what are the differences between stroke and bells palsy:
stroke may show: slurred speech, eye gaze, abnormal gait, vision changes
Bells Palsy may show: changes with sound sensitivity, tinnitus, ALWAYS upper and lower face.
**if pt can not wrinkle whole forehead, then peripheral facial nerve lesion, and likely a stroke
Definition of cerebral palsy
group of non-rogressice neuro disorders
affect motor function, damage occurs at while infant and last for life
causes of cerebral palsy:
- syphillis
- rubella
- herpes
- intrauterine CVA
-prematurity
-hypoxia - meningitis
-trauma
what is the cause of multiple sclerosis?
caused my inflammation of myelin sheath in CNS
*VERY COMMON
patho of multiple sclerosis
-type 4 hypersensitivity, cell mediated
- macrophage engulfs antigen; t cell releases cytokines; protein mimics myelin; t cell attacks myelin =
inflammation, macrophages engulf myelin
which chronic neuro condition is characterized my muscle weakness and fatigue?
a) amyotrophic lateral sclerosis
b) myasthenia gratis
c) muscular dystrophy
d) cerebral palsy
b) myasthenia gravis
which part of the nervous system does multiple sclerosis usually affect?
a) enteric nervous system
b) peripheral nervous system
c) central nervous system
d) autonomous nervous system
c) central nervous system.
what are the 4 core symptoms of Parkinson disease?
tremor
rigidity
bradykinesia
postural instability
