Day 2

Question 1

Lambert-Eaton Mechanism

Answer 1

Autoimmune attack of presynaptic voltage-gated calcium channels, decreasing ACh release

Question 2

Lambert-Eaton Presentation

Answer 2

Generalized weakness (esp. proximal) w/ initial improvement after minimal exercise

Question 3

Lambert Eaton Associated Ds

Answer 3

SCLC

Question 4

GBS other name

Answer 4

Acute Inflammatory Demyelinating Polyneuropathy (AIDP)

Question 5

Associated Sx w/ GBS/AIDP

Answer 5

Associated pain, paralysis, sensory loss, any combination

Question 6

GBS/AIDP Clinical Hallmark

Answer 6

Loss of DTRs in extremities

Question 7

GBS/AIDP Test (+ interpretation) (2+2)

Answer 7

EMG (loss of H reflex) and nerve conduction studies (decreased conduction velocity)

Question 8

Draw a Person Test (2 parts)

Answer 8

1. Draw a person: assess intelligence/developmental level

2. Draw person of opposite sex & asked: represents expression of self in environment

Question 9

Thematic Apperception Test

Answer 9

Series of pictures, patient generates story for them.
Patient’s most accepted traits attributed to character closest in age/sex/appearance
More unconscious/unacceptable traits attributed to characters most unlike the patients

Question 10

Rorschach Test General Domain

Answer 10

Free association

Question 11

LMN Pathology Finding in ALS

Answer 11

Anterior horn cell degeneration

Question 12

MS Pathology Finding

Answer 12

Corpus callosum thinning/atrophy

Question 13

Vitamin B12 Deficiency Pathology Finding

Answer 13

Dorsal column degeneration

Question 14

Vitamin B12 Deficiency Neurological Sx (2)

Answer 14

Loss of vibration + proprioception