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Psychiatry Boards > General 4 > Flashcards

General 4 Flashcards

1
Q

severe dysarthria and bilateral voluntary paralysis of lower cranial nerves

A

anterior operculum (bilateral)

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2
Q

lamotrigine causes this birth defect

A

cleft lip/palate

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3
Q

prevalence of illness anxiety disorder

A

1-5%

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4
Q

rate of suicide in PTSD

A

20%

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5
Q

hemiplegic migraine caused by mutations in

A

Ca channel

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6
Q

post modern therapy

A

how to get out of problem, rather than how they got into it

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7
Q

experiential Humanist approach to therapy

A

helps the pt get out of a persistent narrow role by encouraging connective emotional experiences in the here and now

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8
Q

common ADHD scales

A

SNAP-IV, Vanderbilt, Conners

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9
Q

how does pregabalin work?

A

Ca channel antagonist

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10
Q

clonidine MOA

A

presynaptic alpha-2 receptors

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11
Q

dopamine receptor hypothesis (SCZ)

A

increased receptor density and occupancy

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12
Q

mirtazapine MOA

A

alpha-2 and 5-HT antagonist

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13
Q

buspirone MOA

A

5HT-1A partial agonist at postsynaptic receptors; D2,D3,D4 presynaptic antagonist; alpha 1 partial agonist

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14
Q

drawing conclusions without enough evidence

A

arbitrary inference

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15
Q

taking one bad event and letting it color your whole experience

A

selective abstraction

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16
Q

depression and REM sleep

A

increased REM latency, INCREASED REM total, reversal of REM to early in night

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17
Q

conditioning that stimulus paired with reward or punishment

A

operant

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18
Q

conditioning that involves pairing conditioned stimulus (bell–neutral) with unconditioned stimulus (food)

A

classical; unconditioned response is salivation

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19
Q

how many sx for panic attacks?

A

4

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20
Q

gender most affected in lithium induced hypothyroidism

A

women

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21
Q

sumatriptan MOA

A

5-HT1D and 5-HT1B agonist

22
Q

common with ASD

A

anxiety disorders

23
Q

pain fibers involved in acupuncture and TMS

A

A-delta fibers

24
Q

conduct first pain

A

A-delta fibers

25
Q

conduct second pain (dull)

A

C fibers

26
Q

large fibers that transmit touch

A

A-beta fibers

27
Q

who described triangulation?

A

Murray Bowen

28
Q

age assoc with somatic sx disorder

A

older

29
Q

treatment for kleptomania

A

SSRIs and lithium

30
Q

when to intervene for carotid stenosis

A

symptomatic: 70%; asymptomatic 80%

31
Q

EMG: “dive bomber” battern

A

myoclonic dystrophy

32
Q

EMG: small short unit potentials

A

myositis or myopathy

33
Q

EMG: decreased recruitment in a segmental pattern

A

radiculopathy

34
Q

polymyositis vs inclusion body myositis

A

poly has PROXIMAL weakness

35
Q

rate limiting step in dopamine synthesis

A

tyrosine hydroxylase

36
Q

converts tyrosin to L dopa

A

tyrosine hydroxylase

37
Q

converts L dopa to dopamine

A

dopamin decarboxylase

38
Q

converts dopamine to NE

A

dopamine beta hydroxylase

39
Q

converts NE to epinephrine

A

PNMT

40
Q

Ganser’s syndrome

A

form of malingering by “talking past the point”

41
Q

learned helplessness developed by

A

Martin Seligman

42
Q

tropical spastic paresis

A

progressive myelopathy associated with HTLV-1

43
Q

amphetamines in urine

A

48 hrs

44
Q

alcohol in urine

A

12 hours

45
Q

therapy for trichotillomania and tics

A

habit reversal therapy

46
Q

sleep changes in elderly

A

less REM total (shorter, more frequent episodes); decreased amplitude of NREM

47
Q

criteria for late onset SCZ

A

45 yrs

48
Q

RLS sx must last how long

A

3 months

49
Q

longest half-life of non BZD hypnotic

A

Lunesta (eszopiclone) 6 hrs

50
Q

shortest half life of non BZD hypnotic

A

Sonata (zaleplon) 1 hr

Psychiatry Boards (13 decks)

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