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Medical Scribe > Neurological and Psychiatric > Flashcards

Neurological and Psychiatric Flashcards

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USMLE® Step 1 flashcards
1
Q

normal neurological

A

alert, oriented x4, normal speech, nonfocal neuro exam

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2
Q

abnormal neurological

A

somnolent, obtunded, unresponsive
disoriented to (person, place, time, or situation)
aphasia (expressive or receptive), dysarthria
abnormal neuro exam

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3
Q

aphasia

A

difficulty with language

abnormal neurological

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4
Q

expressive aphasia

A

difficulty saying/explaining language

abnormal neurological

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5
Q

receptive aphasia

A

difficulty understanding

abnormal neurological

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6
Q

dysarthria

A

slurred speech

abnormal neurological

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7
Q

normal motor and sensation

A

motor strength 5/5 and symmetric

sensation intact

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8
Q

abnormal motor and sensation

A

extremity weakness
pronator drift
hypoesthesia
numbness

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9
Q

hypoesthesia

A

decreased sensation

abnormal motor and sensation

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10
Q

numbness

A

absent sensation

abnormal motor and sensation

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11
Q

pronator drift

A

pt try to move up arms with eyes closed without them drifting down

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12
Q

reflex locations

A 
triceps
biceps
brachioradialis
patellar
achilles
babinski
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13
Q

deep tendon reflexes

A

DTRs
0-4+
2+=normal

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14
Q

normal babinski

A

downgoing toes

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15
Q

abnormal babinski

A

upgoing toes

abnormal motor and sensation

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16
Q

normal psychiatric

A

normal effect
normal judgment
normal insight
normal speech

17
Q

insight

A

understanding

18
Q

abnormal psychiatric affect

A

flat/odd affect, tearful, anxious, depressed, hypomanic, poor eye contact

19
Q

abnormal psychiatric judgment

A

suicidal/homicidal, hallucinations, flight of ideas, paranoid

20
Q

abnormal psychiatric insight

A

denies illness/symptoms, non-complaint with treatment

21
Q

abnormal psychiatric speech

A

tangential/pressured speech

Medical Scribe (6 decks)

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