Mind Face Flashcards
Vitamin E excess leads to problems with ?
clotting, and if severe, may lead to hemorrhagic strokes.
If necessary, vitamin K can help stop the bleeding
Chronic infections, including neurosyphilis, may
produce what on MRI
characteristic enhancement of the meninges at the base of the brain.
(Other chronic infections such as cryptococcosis, tuberculosis, and Lyme disease, may also produce this )
The appearance of __________ on MRI would give the diagnosis of a vascular dementia
patches of increased signal in the white matter (not just periventricular in location)
EEG wave
A 67-year-old man presents with acute diffuse encephalopathy
Diffuse slowing of background rhythm
EEG wave
A 49-year-old alcoholic with chronic hepatic encephalopathy.
Triphasic waves
EEG wave
A 43-year-old woman just diagnosed with Creutzfeldt-Jakob disease.
Generalized periodic sharp waves
illness anx disorder vs somatic symptoms
illness anx misinterprets being normal as being sick (PVCs as deadly)
somatic symptoms feels symptoms that aren’t organic
Perseveration
associated cognitive disorders, response that persists
patient displays an inability to change the topic or gives the same response to different questions
- example
- a patient asked to repeat the phrase “no ifs, and, or buts”
- responds by saying, “no ifs, ifs, ifs, ifs.”
Having a patient subtract 7s from 100 tests _____
concentration.
______________ is tested by asking a patient to repeat a series of numbers immediately after you
say them with no time delay
Immediate memory
What replaced axis 5
axis 5= global fxn
Now the WHO Disability Assessment Schedule (WHODAS)
ego-syntonic
s/s do not cause a problem for the patient and are not seen as such
A commonly used term to describe sad is ________
dysphoric
euthymic
normal state of mood—neither high, nor low
projective identification
feeling the emotions someone is projecting upon you
Depersonalization
refers to feeling that one is falling apart or not one’s self, that one’s self is unreal or detached
Derealization
subjective sense that the environment is strange or unreal, as if reality had been changed
Echolalia
refers to the repetition of the examiner’s words or phrases by the patient
Nihilism
belief that oneself, others, or the world are either nonexistent or are coming to an end
Fugue
taking on of a new identity with no memory of the old one
According to DSM-5, diagnoses previously coded on Axis I, II, and III have all been combined into
diagnosis
pt presents with body temperature over 40°C (104°F), tachycardia, arrhythmia, vomiting, diarrhea, dehydration, coma, and death
Thyrotoxicosis
-may occur when a thyrotoxic patient becomes very sick or physically stressed.
EEG
seizure.
characterized on EEG by interictal epileptiform discharges.
EEG
hepatic encephalopathy
Triphasic waves (1/2 will have this)
EEG
stroke
Periodic lateralizing epileptiform discharges suggest
the presence of an acute destructive cerebral lesion and are associated with focal neurological finding
EEG
generalized periodic sharp waves seen on EEG
CJD
EEG
ETOH w/d
generalized paroxysmal activity and spike discharges
EEG
awake eyes open
beta
At night, BATS Drink Blood
EEG
awake eyes closed
alpha
At night, BATS Drink Blood
EEG
rem sleep
beta
At night, BATS Drink Blood
EEG
delta
deepest non-rem
At night, BATS Drink Blood
EEG
Sleep spindles
deep sleep
where bruxism occurs
Alcohol, benzodiazepines, and barbiturates are associated with what in sleep?
↓ REM sleep and delta wave sleep;
