Mind Face

Question 1

Vitamin E excess leads to problems with ?

Answer 1

clotting, and if severe, may lead to hemorrhagic strokes.

If necessary, vitamin K can help stop the bleeding

Question 2

Chronic infections, including neurosyphilis, may

produce what on MRI

Answer 2

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 )

Question 3

The appearance of __________ on MRI would give the diagnosis of a vascular dementia

Answer 3

patches of increased signal in the white matter (not just periventricular in location)

Question 4

EEG wave

A 67-year-old man presents with acute diffuse encephalopathy

Answer 4

Diffuse slowing of background rhythm

Question 5

EEG wave

A 49-year-old alcoholic with chronic hepatic encephalopathy.

Answer 5

Triphasic waves

Question 6

EEG wave

A 43-year-old woman just diagnosed with Creutzfeldt-Jakob disease.

Answer 6

Generalized periodic sharp waves

Question 7

illness anx disorder vs somatic symptoms

Answer 7

illness anx misinterprets being normal as being sick (PVCs as deadly)

somatic symptoms feels symptoms that aren’t organic

Question 8

Perseveration

Answer 8

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.”

Question 9

Having a patient subtract 7s from 100 tests _____

Answer 9

concentration.

Question 10

______________ is tested by asking a patient to repeat a series of numbers immediately after you
say them with no time delay

Answer 10

Immediate memory

Question 11

What replaced axis 5

Answer 11

axis 5= global fxn

Now the WHO Disability Assessment Schedule (WHODAS)

Question 12

ego-syntonic

Answer 12

s/s do not cause a problem for the patient and are not seen as such

Question 13

A commonly used term to describe sad is ________

Answer 13

dysphoric

Question 14

euthymic

Answer 14

normal state of mood—neither high, nor low

Question 15

projective identification

Answer 15

feeling the emotions someone is projecting upon you

Question 16

Depersonalization

Answer 16

refers to feeling that one is falling apart or not one’s self, that one’s self is unreal or detached

Question 17

Derealization

Answer 17

subjective sense that the environment is strange or unreal, as if reality had been changed

Question 18

Echolalia

Answer 18

refers to the repetition of the examiner’s words or phrases by the patient

Question 19

Nihilism

Answer 19

belief that oneself, others, or the world are either nonexistent or are coming to an end

Question 20

Fugue

Answer 20

taking on of a new identity with no memory of the old one

Question 21

According to DSM-5, diagnoses previously coded on Axis I, II, and III have all been combined into

Answer 21

diagnosis

Question 22

pt presents with body temperature over 40°C (104°F), tachycardia, arrhythmia, vomiting, diarrhea, dehydration, coma, and death

Answer 22

Thyrotoxicosis

-may occur when a thyrotoxic patient becomes very sick or physically stressed.

Question 23

EEG

seizure.

Answer 23

characterized on EEG by interictal epileptiform discharges.

Question 24

EEG

hepatic encephalopathy

Answer 24

Triphasic waves (1/2 will have this)

Question 25

EEG

stroke

Answer 25

Periodic lateralizing epileptiform discharges suggest

the presence of an acute destructive cerebral lesion and are associated with focal neurological finding

Question 26

EEG

generalized periodic sharp waves seen on EEG

Answer 26

CJD

Question 27

EEG

ETOH w/d

Answer 27

generalized paroxysmal activity and spike discharges

Question 28

EEG

awake eyes open

Answer 28

beta

At night, BATS Drink Blood

Question 29

EEG

awake eyes closed

Answer 29

alpha

At night, BATS Drink Blood

Question 30

EEG

rem sleep

Answer 30

beta

At night, BATS Drink Blood

Question 31

EEG

delta

Answer 31

deepest non-rem

At night, BATS Drink Blood

Question 32

EEG

Sleep spindles

Answer 32

deep sleep

where bruxism occurs

Question 33

Alcohol, benzodiazepines, and barbiturates are associated with  what in sleep?

Answer 33

↓ REM sleep and delta wave sleep;