Day 6

Question 1

Eye Movement Disorder in Schizophrenia

Answer 1

Abnormal smooth pursuit and saccades

Question 2

Highest Psychiatric Disorder Category Prevalence (3)

Answer 2

1. Anxiety
2. Depression
3. Substance Use

Question 3

Pathological Gambling Psychiatric Comorbidity

Answer 3

Mood disorders, particularly MDD

Question 4

Misinterpretation of Bodily Symptoms Dx

Answer 4

Illness anxiety d/o

Question 5

Prolactin w/r/t Seizures

Answer 5

Often elevated in epileptic seizure

Question 6

Internuclear Opthalmoplegia (disease, lesion, physical exam)

Answer 6

MS (but can also be other brainstem lesions)
MLF of brainstem
Impaired adduction of ipsilateral eye, coarse nystagmus of contralateral eye

Question 7

Disinhibited Social Engagement Disorder

Answer 7

Child actively approaches and interacts w/ unfamiliar adults

Often history of unstable/insufficient care, preventing form of stable attachments

Question 8

Reactive Attachment Disorder

Answer 8

Inhibited, emotionally withdrawn behavior and minimal social/emotional responsiveness
Also often history of insufficient upbringing

Question 9

Inhalants Long-Term Risk

Answer 9

Very early onset dementia

Question 10

Optic Neuritis (what it is and ds suggestion)

Answer 10

Eye pain that increases w/ movement, followed by scotoma in affected eye
Often initial presenting sx of MS

Question 11

Marcus Gunn Pupil

Answer 11

Swinging flashlight test for ON: afferent pupillary defect

Pupil paradoxically dilates when light moved away from normal eye to affected eye

Question 12

Uhthoff’s Phenomenon

Answer 12

Heat sensitivity in MS: incr core body temperature worsens sx

Question 13

Lhermitte’s Sign (what it is and associations)

Answer 13

Transient electric shock down spine or extremities upon neck flexion
Most commonly associated w/ MS, can also be other injuries of cervical spinal cord