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Psychiatry > diagnose me > Flashcards

diagnose me Flashcards

1
Q

26 yo F with v-tach, metabolic acidosis, muscle rigidity, 102˚F; this type o reaction to the medication runs in her family

A

malignant hyperthermia

  • occurs as a result of administration of NMJ blockers (succinylcholine, halathone)
  • results in hyperthermia, muscle rigidity, arrhythmias, hypotension, rhabdomyolysis, and DIC
  • hypersensitivity to these kinds of Rx runs in families
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2
Q

22 yo M presents with extreme rigidity, ∆ mental status, 104˚F, and highly elevated CPK

A

NMS

  • due to neuroleptic use
  • ∆ in mental status, autonomic instability (hyperthermia, tachycardia, labile HTN, tachypnea), and lead pipe muscle rigidity
  • elevated CPK and leukocytosis are common
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3
Q

45 yo M presents with 105˚F, tachycardia, arrhythmia, vomiting, diarrhea, dehydration; recently ill with pneumonia

A

thyrotoxicosis (thyroid storm)

  • may occur when a patient with hyperthyroidism becomes very sick or physically stressed
  • T > 104, tachycardia, arrhythmia, vomiting, diarrhea, dehydration, coma, death
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4
Q

65 yo F is delirious; had blurry vision, nausea, diarrhea, and hyperreflexia

A

anticholinergic syndrome

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5
Q

Type of EEG tonic clonic seizure produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

epileptiform discharge

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6
Q

Type of EEG hepatic encephalopathy produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

triphasic waves (generalized synchronous waves occurring in brief runs)

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7
Q

Type of EEG a severe electrolyte imbalance produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

diffuse slowing of background rhythms

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8
Q

Type of EEG heroin produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

decreased alpha activity, increased voltage of theta + delta waves

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9
Q

Type of EEG THC/weed produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

increased alpha activity in frontal area of the brain, but overall slowed alpha activity

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10
Q

Type of EEG nicotine withdrawal produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

marked decerase in alpha activity

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11
Q

Type of EEG barbiturate withdrawal produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

generalized paroxysmal activity and spike discharges

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12
Q

Type of EEG a stroke produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

periodic lateralizing epileptiform discharges

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13
Q

Type of EEG Creutzfeld-Jakob disease produces

  • triphasic waves (generalized synchronous waves occurring in brief runs)
  • increased alpha activity in frontal area of the brain, but overall slowed alpha activity
  • generalized paroxysmal activity and spike discharges
  • diffuse slowing of background rhythms
  • epileptiform discharge
  • marked decerase in alpha activity
  • periodic lateralizing epileptiform discharges
  • decreased alpha activity, increased voltage of theta + delta waves
  • generalized periodic sharp waves
A

generalized periodic sharp waves

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14
Q

sumatriptan target receptoer

A

5HT-1D

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15
Q

risperidone target receptor

A

5HT-6

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16
Q

receptor that affects the circadian rhythm

A

5HT-7

17
Q

anti-HTN target receptors

A

alpha-1ABD

18
Q

buspirone target receptor

A

5HT-1A

19
Q

asthma medication target receptor

A

ß2

20
Q

benztropine target receptor

A

M4

21
Q

haloperidol target receptor

A

dopamine D2

22
Q

diphenhydramine

A

H1

23
Q 
inability to perceive color
vs.
color anomia 
vs.
color agnosia
A

central achromatopisa

inability to name a color

inability to recognize a color

24
Q

prosopagnosia

A

inability to recognize faces (due to disconnect of L inferior temporal lobe and L parietal lobe)

25
Q

simultanagnosia

A

inability to integrate a visual scene and perceive it as a whole

26
Q

apperceptive visual agnosia
vs.
associative visual agnosia

A

inability to identify and draw items using visual cues

inability to name/use objects despite being able to draw them

27
Q

name this syndrome:

acalculia, agraphia, L/R disorientation, finger agnosia

A

Gertsmann syndrome - due to lesions in the parietal lobe of the dominant hemisphere

28
Q

inability to direct optically guided movements, oculomotor apraxia, and simultaneous gnosia

A

Balint syndrome

29
Q

failure to acknowledge that one is blind

A

Anton Syndrome - due to bilateral occipital lobe lesions

Psychiatry (12 decks)

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