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USMLE 2019 > NeuroPsych > Flashcards

NeuroPsych Flashcards

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USMLE® Step 1 flashcards
1
Q

Neurotransmitter changes in anxiety

A

H norepi
L serotonin
L GABA

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2
Q

Neurotransmitter changes in depression

A

L serotonin
L norepi
L dopamine

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3
Q

Neurotransmitter changes in Huntington disease

A

H dopamine
L acetylcholine
L GABA

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4
Q

Neurotransmitter changes in Parkinson disease

A

H acetylcholine
L serotonin
L dopamine

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5
Q

Neurotransmitter change in Alzheimer

A

L acetylcholine

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6
Q

synthesis of norepinephrine

A

locus ceruleus

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7
Q

synthesis of dopamine

A

substancia nigra pars compacta

ventral tegmentum

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8
Q

synthesis of serotonin

A

raphe nucleus

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9
Q

synthesis of acetylcholine

A

basal nucleus of Meynert

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10
Q

synthesis of GABA

A

nucleus accumbens

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11
Q

Hypothalamic nucleus affected in Kallman syndrome

A

Preoptic nucleus

release of GnRH

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12
Q

TRAPS of Parkinson disease

A 
Tremors at rest
Rigidity (cogwheel)
Akinesia / bradykinesia
Postural instability
Shuffling gait
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13
Q

EOM during REM sleep is due to

A

PPRF (paramedian pontine reticular formation) / conjugate gaze center

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14
Q

hyperorality
hypersexuality
disinhibited behavior

A

Kluver - Bucy syndrome

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15
Q

Gerstmann syndrome results from a lesion in

A

dominant parieto temporal cortex

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16
Q

s/sx of Wernicke encephalopathy

A

CAN

Confusion
Ataxia
Nystagmus

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17
Q

hemiballismus results from a lesion in

A

contralateral subthalamic nucleus

(lacunar stroke)

18
Q

lesion at the amygdala (bilateral) results in

A

Kluver - bucy syndrome

19
Q

lesion at the hippocampus (bilateral) results in

A

anterograde amnesia

inability to create new memories

20
Q

common iatrogenic cause of central pontine myelinolysis

A

overly rapid correction of hyponatremia

21
Q

bilateral occlusion of ACA can result in

A 
behavioral change (abulia)
urinary incontinence
22
Q

artery involved in medial medullary syndrome

A

anterior spinal artery

and vertebral artery

23
Q

artery involved in wallenberg syndrome

A

PICA

especially affecting the nucleus ambiguus

24
Q

locked - in syndrome results from a stroke in

A

basilar artery

25
Q

lateral pontine syndrome results from a stroke in

A

AICA

26
Q

PCOM aneurysm results in

A

CN III palsy

  • eyes down and out
  • ptosis
  • mydriasis
27
Q

risk of vasospasm in SAH occurs in

A

2-3 days

28
Q

appearance of stroke in MRI and CR

A

MRI: bright in 3-30 mins (DWI)
CT: dark in 12-24 hours (noncontrast)

29
Q

aspects of cognition

A

memory
attention
judgment
language

30
Q

s/sx of manic episode

A

“manics DIG FAST”

Distractibility
Irresponsibility
Grandiosity
Flight of ideas
Activity increased
Sleep less
Talkativeness
31
Q

s/sx of MDD

A

“SIG E CAPS”

Sleep disturbance
Interest loss / anhedonia
Guilt / worthlessness
Energy loss and fatigue
Concentration problems
Appetite / wt changes
Psychomotor retardation / agitation
Suicida ideations

Depressed mood

32
Q

the disturbance of PTSD lasts

A

> 1 month

33
Q

major defense mechanism of paranoid personality disorder

A

projection

34
Q

major defense mechanism of borderline personality disorder

A

splitting

35
Q

cluster A personality disorders

A

“weird”

paranoid
schizoid
schizotypal

36
Q

cluster B personality disorders

A

“wild”

antisocial
borderline
histrionic
narcissistic

37
Q

cluster C personality disorders

A

“worried”

avoidant
OCPD
dependent

38
Q

ECG waveform with highest frequency and lowest amplitude

A

Beta

39
Q

stage of sleep where night terrors usually occur

A

N3

slow wave sleep

40
Q

evolution of EPS side effects

A

“ADAPT”

4h - acute dystonia
4d - akithesia
4w - parkinsonism
4mo - tardive dyskinesia

41
Q

neuroleptic malignant syndrome s/sx

A

“FEVER”

Fever
Encephalopathy
VS unstable
Enzymes high (myoglobinuria)
Rigidity of muscles

USMLE 2019 (10 decks)

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