Midterm Long Quiz Flashcards
Class of MG where the respiratory and oropharyngeal muscles are
moderately weak
Class Ill B
Which of the following best describes the mechanism of action of edrophonium?
Binds to acetylcholinesterase and inhibits its action
This test is used to measure the IOP
Tonometry
Having increased intraocular pressure alone is enough to provide a diagnosis for glaucoma.
False
This type of glaucoma can be considered as a medical emergency as urgent medical attention should be given
Closed angle
Drug of choice for absence seizure
Ethosuximide
If a drug induces repeated seizures, the patient is now considered an epileptic.
False
The nerve that is implicated in migraine headaches is what cranial nerve?
V
The following are triggers associated with migraines except
Chocolate
Coffee
Wine
NOTA
NOTA
Applying ice to the head of a patient experiencing migraine attacks can be effective.
True
Cold hypersensitivity is a type of neuropathic pain.
True
Females are more at risk in developing migraine headaches.
True
Triptans can also be used in treating tension type headaches.
False
On-off phenomenon is a unique way of monitoring treatment for
Parkinson’s disease
Stage of Parkinson’s disease where there is already postural instability
III
These are abnormal intraneuronal proteins that interfere with neuronal function found in patients with Parkinson’s disease.
Lewy bodies
This neurotransmitter is involved in Parkinson’s Disease.
Dopamine
Because of the deficiency in the neurotransmitter involved, nerve cells in the brain become less active in patients with Parkinson’s disease
False
The main problem in myasthenia gravis is the deficiency of ACh that is why cholinesterase inhibitors are used in the treatment.
False
The following have genetic risk factors except
Epilepsy
Migraine
Parkinson’s Disease
NOTA
NOTA
If a patient was prescribed mefenamic acid for somatic pain, which of the following would be the best professional advice you can give to your patient?
Always take the drug with meals
For pain management, the choice of NSAID to be used also depends on the medical history of the patient.
True
Status epilepticus can happen to patients with no history of seizures
True
Parkinson’s disease is more common in males
True
Status epilepticus is considered a medical emergency since it can lead to permanent muscle destruction and death.
False
For depression:
I. Level of norepinephrine is low
II. Level of norepinephrine is high
III. Level of serotonin is low
IV. Level of serotonin is high
I only
I, III
II, III
II, IV
I, III
EPS caused by antipsychotics includes:
I. Akathisia
II. Dystonia
III. Pseudoparkinsonism
IV. Anterograde amnesia
III
I, II, III
II,III,IV
IV
I, II, III
When a patient is using clozapine it requires WBC count monitoring every week for the first 6 months of therapy and every 3 weeks thereafter.
True
Non selective MADI+ tyramine rich food-hypotensive crisis
False
It is an abnormal electrical signals in brain resulting to firing of neurotransmitters.
Seizures
PRL contributes to the regulation of the stress responses through the inhibition of the hypothalamic-pituitary-adrenal (HPA) axis. Dopamine is a prolactin inhibiting hormone
Both statements are correct
Both statements are wrong.
First statement is correct and the second statement is wrong.
First statement is wrong and the second statement is correct
Both statements are correct
During REM sleep, repair of bodily tissues takes place. NREM sleep is associated with the restoration of memory function, along with repair of brain tissue and laying down of memories, during this phase the eyes may move with the eyelids closed.
Both statements are correct.
Both statements are wrong.
First statement is correct and the second statement is wrong.
First statement is wrong and the second statement is correct.
Both statements are wrong.
Inhibit norepinephrine reuptake:
I. SSRI
II. SNRI
III. NDRI
IV. NaRI
II,III
III,IV
II,III,IV
AOTA
II,III,IV
Increases concentration of Lithium.
I. NSAIDS
II. Na loss
II Osmotic diuretics
IV. Na supplementation
I,II
I,IV
III,IV
AOTA
I,II
Excitatory neurotransmitters:
I. Norepinephrine
II. GABA
III. 5-HT
IV. Glutamate
I,II
III, IV
I, III, IV
II, III, IV
I, III, IV
Schizophrenia:
I. Low levels of dopamine
II. Low level of norepinephrine
III. High level of serotonin
IV. High level of dopamine
V. High level of norepinephrine
I,III
I,II,III
I,III,V
II,III,IV
II,III,IV
A disorder involving the disruption of thought and disintegration of personality
Schizophrenia
MAO enzymes inactivates:
I. Adrenaline
II. Noradrenaline
III. Serotonin
III
I,II
II,III
I,II,III
I,II,III
A syndrome characterized by self-starvation, extreme weight loss, body Image disturbance and an intense fear of becoming obese
Anorexia nervosa
This is a condition characterized by binge eating usually followed by some form of purging
Bulimia nervosa
Complications of anorexia nervosa include, except:
I. Amenorrhea
II. Hypokalemia
Ill. Osteoporosis
IV. Anemia
I,II
II
IV
NOTA
II
SSRIs are more effective in bulimia nervosa and in binge eating disorder than in anorexia nervosa probably because in anorexia nervosa there is reduced dietary tryptophan.
True
Opioid withdrawal is characterized as a flu-like syndrome, involving nausea, vomiting, sweats, diarrhea, pain, and decrease in pulse and blood pressure.
False
Alcohol withdrawal is a neurobiological syndrome that results in a continuum of signs or symptoms including, except:
I. Paresthesias
II. Headache and nausea
III. anxiety
IV. Decreased heart rate and blood pressure
V. Seizures
I, III
I,V
IV
NOTA
IV
Alcohol dependence is a life-long relapsing disorder that consists of signs of alcohol abuse to the extent that the person also experiences the following symptoms:
I. neglect of other activities
II. excessive use of alcohol
III. impaired control of alcohol consumption
IV. persistence of alcohol use
I,II
III,IV
I,II,III
AOTA
AOTA
Alcohol toxicity is an acute, life-threatening condition that requires aggressive medical attention.
True
A chronic state of waxing and waning anxiety that is associated with an inability to control symptoms of anxiety and worry
GAD
Panic disorder
PTSD
Social Anxiety
GAD
Anxiety disorders often present in addition to other psychiatric disorders, such as mood disorders. Both are associated with dysregulations in the limbic system and, therefore, share similar symptoms, including fatigue, impaired concentration, restlessness, difficulties with sleep, and somatic symptoms, although mood disorders have a prominent mood factor.
True
