Neuro 2 Flashcards
Irresistible impulses to repeat a ritualistic act over and over again (i.e. handwashing) is known as a(n):
compulsion
A 17 year-old male presents with a chief complaint of intermittent ringing in the ears. He has been listening to loud music with headphones since he was 11 years old. What might you expect an audiogram (hearing test) to show?
high frequency (4000hz) hearing loss
A 55 year-old chronic alcoholic patient presents with ophthalmoplegia, ataxia and memory loss. Based upon these symptoms, which diagnosis is most precise?
vitamin B1 deficiency
The symptoms ascribed to Horner’s syndrome are due primarily to which of the following?
unopposed parasympathetic activity
A 27 year-old female patient presents with chief complaint of headaches. She states that occasionally they are so bad that she can’t function but, most of the time, she just tries to ignore them and “get on with things”. She sometimes gets nauseous and dizzy with the headaches. She works at a computer 5 hours per day. Her mother is also prone to frequent headaches. What is the most likely diagnosis?
cannot classify headache with information given
Approximately 67% of epileptic patients who are refractory to anticonvulsant therapy have a seizure focus in which area of the brain?
temporal lobe
A 55 year-old female patient presents with diplopia. On physical exam, horizontal and vertical eye movements are intact, but she is unable to perform rotational eye movements adequately. Which extra-ocular muscle is most likely to be affected?
inferior oblique
Of the physiological correlates of schizophrenia, which of the following has been found in the largest proportion of patients?
enlarged ventricles
A 29 year-old female patient tells you that since the death of her aunt seven weeks ago she has been feeling sad and irritable every day, has no appetite, feels tired all the time and sleeps for more than ten hours each night. Additionally, she isn’t interested in spending time with her friends and feels guilty about not keeping in closer touch with her aunt when she was alive. She also says that, because she’s having trouble getting to work on time and concentrating when she’s there, she’s afraid she’s going to lose her job. Based on these symptoms, which of the following is the best diagnosis?
Major Depressive Disorder
A 53 year-old male patient presents with chronic headache, neck and back pain. PE reveals thickened rope-like muscle bands in the trapazii bilaterally. What would be the best treatment?
myofascial trigger point release
A common symptom of alcohol withdrawal is which of the following?
tremor
The parents of a 24 year-old newly diagnosed schizophrenic patient consult with you in follow-up. He has recently begun antipsychotic medications and the family has been in counseling for eight weeks. He is doing significantly better in his functioning and the family would like him to resume work. What is your advice concerning his prognosis?
schizophrenia is a life-long diagnosis and he will need a constant supportive environment
A 30 year-old opioid dependent patient wants treatment for his addiction. He has previously attended several detoxification facilities but always seems to relapse. Which of the following is the most reasonable choice at this time?
buprenorphine
A 48-year-old man presents for follow-up of a shoulder injury from a car accident 2 months ago. He complains of insomnia, anxiousness and lack of focus. He has continual thoughts that he is going to crash his car into a pole or barricade. What is his likely diagnosis?
post-traumatic stress disorder
A 24-year-old woman comes to clinic brought in by a friend. She states she has never felt better. Her friend states the patient stays up all night, brings strange men home, and has had wild spending sprees. The patient has had depression and was started on paroxetine four months ago. Patient exhibits mild agitation and virtually continuous flow of speech during the visit. What should you do now?
discontinue paroxetine and start lithium
