chronic neuro and psychiatric disorders

Question 1

what are the Affective psychiatric disorders

Answer 1

-bipolar disorder
-suicidal ideation
depression

Question 2

affective disorder characterized by episodes of mania or hypomania with depression - dramatic shifts in emotion

Answer 2

bipolar disorder

Question 3

When assessing a patient with suicidal ideation, what are 4 things to ensure you ask?

Answer 3

-is there a concrete plan
-any previous attempts
- comorbid psychiatric disorders
-recent life triggers

Question 4

what are the monoamines thoughts to be LOW in a patient with depression?

Answer 4

serotonin
NE
dopamine

Question 5

Pharmacology for PTD treatment includes 3 major categories of medications:

Answer 5

SSRI’S
SNRIs
antipsychotics

Question 6

true or false: alzheimers disease is the LEAST common form of dementia

Answer 6

false. it is the MOST common

Question 7

In alzheimers, there is ____ of neurons, leading to decrease in what neurotransmitter ?

Answer 7

atrophy; acetylcholine

Question 8

what does ALS stand for?

Answer 8

Amyotrophic Lateral Sclerosis

Question 9

what is the life expectancy of ALS?

Answer 9

2-5years from onset

Question 10

which cranial nerve is effected by Bell’s Palsy?

Answer 10

cranial nerve VII = unilateral paralysis of face

Question 11

true or false: Bells Palsy is rapid onset, often self limiting with 70% recovery

Answer 11

true

Question 12

what are the differences between stroke and bells palsy:

Answer 12

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

Question 13

Definition of cerebral palsy

Answer 13

group of non-rogressice neuro disorders
affect motor function, damage occurs at while infant and last for life

Question 14

causes of cerebral palsy:

Answer 14

• syphillis
• rubella
• herpes
• intrauterine CVA
  -prematurity
  -hypoxia
• meningitis
  -trauma

Question 15

what is the cause of multiple sclerosis?

Answer 15

caused my inflammation of myelin sheath in CNS
*VERY COMMON

Question 16

patho of multiple sclerosis

Answer 16

-type 4 hypersensitivity, cell mediated
- macrophage engulfs antigen; t cell releases cytokines; protein mimics myelin; t cell attacks myelin =
inflammation, macrophages engulf myelin

Question 17

which chronic neuro condition is characterized my muscle weakness and fatigue?
a) amyotrophic lateral sclerosis
b) myasthenia gratis
c) muscular dystrophy
d) cerebral palsy

Answer 17

b) myasthenia gravis

Question 18

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

Answer 18

c) central nervous system.

Question 19

what are the 4 core symptoms of Parkinson disease?

Answer 19

tremor
rigidity
bradykinesia
postural instability