Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Dr Z Royal B > CL > Flashcards

CL Flashcards

You may prefer our related Brainscape-certified flashcards:
Royal College: Emergency Medicine flashcards
1
Q

Ganser syndrome

A

In factitious disorder NOS

Transitory symptoms of mental illness, first studied in men in prisons

4 features

  • approximative answers
  • disorientation/altered consciousness
  • psychogenic physical symptoms (analgesia)
  • pseudohallucinations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Geschwind syndrome

A

Temporal lobe epilepsy

-hyperreligiosity
-viscosity of personality
-hypersexuality
Hyperphagia
-intense emotions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Types of vascular infarcts which are particularly impairing

A

Anterior cerebral artery
Parietal lobe
Thalamic
Cingular gyrus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Nephrogenic Diabetes insipidus

A

Decreased distal renal tubules sensitivity to ADH causing dilute urine

Causes HYPERNATREMIA in serum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Nephrotic syndrome (rare due to lithium)

A

Proteinuria, glycosuria, edema, hypoalbumenuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

SIADH

A

Too much ADH production, retain water

Causes HYPONATREMIA in serum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Central diabetes insipidus

A

Lack of ADH production in brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Things to rule out in panic disorder

AS IT IS NUMBER 1 presentation for ANX 2 to GMC

A 
HyperT
Hyper para
Pheo
Vestibular dysfunction 
Seizures
Arrythmias 
As per nul:
Hypopara
Hypoglycaemia 
B12 def
Sleep apnea 
Hypercortisol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Drugs that cause panic

Substances that cause panic

A

Decongestants and b adrenergic agonists, yohimbine, flumazenil, CHolycystokinine

Co2
Sodium lactate
Bicarbonate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Things to rule out for GAD
Medications
Medical conditions
Substances

A

Bronchodilators, anticholinergics, insulin, thyroid, OCPs, lithium

Rule out pheo, hyperthyroidism

Rule out insecticides, nerve gas, carbon monoxide, carbon dioxide, gasoline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Presentation of Niemann pick type c

A

Learning difficulties, hepato-splenomegaly
(Cataplexy- falls on ground when laughs)
Can look psychiatric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Presentation of metachromatic leukodystrophy

A

Looks like schizophrenia
Get neuropathy, dementia

Diffuse white matter lesions on MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Mitochondrial disorder presentations

A

Fatigue/muscle weakness, hearing loss, stroke like episodes, migraines, type 2 DM, cognitive decline

Increased serum lactate

Need muscle biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Syphillis stages

A

Late:
Depressive symptoms (in ppt he put man presents with sudden onset depression with Catatonia )
Cognitive decline
Tabes dorsales (rare but loss of sensation below a certain point in spinal cord )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Paraneoplastic vs. Autoimmune encephalitis

A

CNs inflammation due to a cancer (anti hu, ma2)

Ex. Limbic encephalitis due to SCLC, seminoma, thymoma, breast CA, hodgkins——>mood changes, seizures, hyperthermia and other endocrine abnormalities

Vs

CNs inflammation due to antibodies against neuronal cell surfaces +- cancer

Anti nmda, Ampa, gaba

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Anti nmda

A

Viral like prodrome

Cognitive deficits, seizures, altered LOC, neuropsychiatric disturbances

17
Q

Hashimotos

A

Rapidly progressing dementia with psychotic symptoms

Very elevated anti thyroglobulin and anti thyroid peroxidase (TPoAb)

18
Q

when to treat subclinical hypothyroidism (High TSH, normal t4)

A

if TSH over 10, treat everyone
7-9.99 and under 65 treat
above normal - 6.9 , age under 65 and symptoms, treat

normal to have increase TSH over 65

19
Q

Most common psychiatric presentation of lupus

A

Depression

Also can get anxiety and psychosis

20
Q

Most common psychiatric presentation of hypothyroid

A

Cognitive problems (45%)

Then depression and anxiety (30%)

Other normal symptoms: weight gain, cold intolerance, constipation

21
Q

Most common psychiatric presentation of hyperT4

A

Depression (25%)

Other normal symptoms :weight loss sweating shaking palpitations

22
Q

Hyperparathyroidsm commonly looks like what

A

Depression

Also paranoia confusion

Related to level of hyper calcemia

23
Q

EEG findings for hepatic encephalopathy

A

Triphasic waves

24
Q

Circuit of paper

A

Hippocampus, fornix, mammillary bodies, anterior thalamic nucleus, Cingular’s gurus

25
Q

Atopognosia

A

Denial of a part of the body

26
Q

Anosoagnosia

A

Poor insight

Non dominant parietal lobe

27
Q

Binswanger

A

Type of vascular dementia
Widespread microscopic white matter disease
Psychomotor slowing and executive functioning problems

28
Q

Corticobasal degen

PSP

Multiple system atrophy

A

Ideomotor apraxia (assymetric), strange limb syndrome

PSP: impaired upward gaze, symmetric PD

MSA: incontinence, autonomic problems, cerebellum problems

29
Q

5 Ds of pellagra

A

B3 deficiency

Dermatitis, diarrhea, delirium, dementia, death

30
Q

CO poisoning what does it affect in brain
Same for wernickes korsakoff
Same for Wilson’s

A

Globus pallidus
Mammillary bodies
Globus pallidus>putamen

Dr Z Royal B (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions