MOC 18 Exam#1

Question 1

What is the difference in mechanism of action between Methadone and Buprenorphine?

Answer 1

• Methadone is a full opioid agonist

- Buprenorphine is a partial opioid agonist

Question 2

What are the 2 main advantages of Buprenorphine over Methadone for treatment of heroin dependence?

Answer 2

• decreased risk of abuse potential

- decreased risk of overdose

Question 3

Tests of executive function on the MoCA

Answer 3

• Trails B
• Cube drawing
• Clock drawing

Question 4

Characteristics of Neurocognitive Disorder with Lewy Bodies

Answer 4

• fluctuating cognition & attention (like delirium)
• visual hallucinations (early symptom)
• Parkinson’s like symptoms (esp after antipsychotics)
• delusions

Question 5

Improvement rates for Tardive Dyskinesia

Answer 5

• about 50%
• remission rates higher in younger population
• remission rates lower in the elderly
• older patients at higher risk of TD

Question 6

Characteristics of Absence Seizures

Answer 6

• remit by adolescence
• have no aura
• AUTOSOMAL DOMINANT inheritance
• ETHOSUXAMIDE best treatment

Question 7

Anorexia nervosa binge-eating/purging type

Answer 7

• recurrent behavior of purging or binge eating
• distorted perception of body weigt
• refusal to maintain normal body weight
• intense fear of gaining weight

Question 8

Bulimia nervosa

Answer 8

• binge eating, w or w/o purging

- once a week for 3 months

Question 9

Copper deficiency may look similar to:

Answer 9

Subacute combined degeneration

Question 10

2 conditions in which copper deficiency is most commonly seen?

Answer 10

• after gastric bypass surgery

- excessive Zinc ingestion

Question 11

Characteristics of neurodegenerative disorder due to FTD

Answer 11

• onset mostly before age 60 y
• with insidious, gradually progressive course
• typically presents with profound personality and behavioral changes (loss of insight)
• significant decline in language skills