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Psych > Pre-Test Questions > Flashcards

Pre-Test Questions Flashcards

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1
Q

Nausea and vomiting is d/t activation of _____ receptor sites located ______

A

Serotonin

Brain stem (AREA POSTREMA)

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2
Q

Which drug is worse for pregnant bipolar pts: Lithium or valproate?

A

Valproate - category X

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3
Q

What is the metabolite of serotonin?

A

5-HIAA

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4
Q

Inability to recognize a color despite being able to match it?

A

Color agnosia

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5
Q

What wave has freq of 3.5 to 4 Hz and has the highest amplitude but slowest waves?

A

Delta

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6
Q

What treatment can be added in refractory depression?

A

Lithium

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7
Q

What chemical rises significantly 20 minutes after a grand mal seizure and can be used to r/o non-epileptic seizure?

A

Prolactin

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8
Q

Pt w/PTSD, what meds can be used to specifically treat Hyperarousal?

A

Clonidine

Beta blocker

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9
Q

Perphenazine is know to cause what adverse effect?

A

Impairment in ejaculation

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10
Q

Beneficence refers to what?

A

Preventing or removing harm and promoting well-being

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11
Q

What neurotransmitter is most associated with Alzheimer’s disease?

A

ACh

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12
Q

What medical treatment can be used in small doses for sleep terror disorder?

A

Diazepam

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13
Q

What is described by a very frequent, stereotyped limb movements most often involving the legs in which movements are accompanied by brief arousal and disruption of sleep pattern but the individual is only aware of being CHRONICALLY tired during the day?

A

Periodic limb movement disorder

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14
Q

Facticious disorder is for ____ gain

Malingering?

A

Primary

Secondary

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15
Q

What is bruxism?

It is a SE of what drug?

A

Teeth grinding

MDMA

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16
Q

What is St Johns wort used for?

Ginseng?

A

Antidepressant, sedatives, anxiolytic

Stimulant, for fatigue, mood elevator, improve immune system

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17
Q

What does Tarasoff II say?

A

Duty to protect potential victims, not just warn them

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18
Q

What gene is located on ch. 14 and responsible for Alzheimer’s in pts 40-50?

On ch. 1?

A

Presenilin 1

Presenilin 2

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19
Q

Ritalin is what?

Uncommon but possible SE?

A

Methylphenidate

Tics

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20
Q

Ramelton MC SE?

Cannot use in pts w/what?

A

HA

Severe sleep apnea, hepatic impairment, or COPD

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21
Q

Inability to direct gaze rapidly?

A

Oculomotor apraxia

22
Q

What personality is characterized by HYPOsexuality, emotional intensity, and viscosity?

A

TLE

Temporal lobe epilepsy

23
Q

Tumors of what lobe can present w/olfactory changes, hallucinations, mood lability, irritability, intermittent anger, and behavioral dyscontrol?

A

Temporal lobe

24
Q

2?

What is the MC cause of malpractice claims in psychiatric practice?

A

Improper tx resulting in physical injury

Suicide/homicide

25
Q

Garlic breath is indicative of what poisoning?

A

Arsenic

26
Q

What medication can precipitate a hypomanic or manic episode?

A

Corticosteroids

27
Q

How long does marijuana stay in your system?

PCP?

Alprazolam?

A

4 weeks

8 days

3 days

28
Q

Dysfunction in what area causes disinhibition, irritability, lability, euphoria, and lack of remorse?

A

Orbitofrontal area

29
Q

Intoxication of what drug can cause anxiety disorder?

What else can this drug cause?

A

Cocaine

Hallucinations of bugs crawling on the skin with heart symptoms

30
Q

Alcoholic that comes in and cannot move his eyes upward or to the right has what?

What is this called?

A

Wernicke encephalopathy

CN 6 palsy

31
Q

What is a shared psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing?

A

Folie a deux

32
Q

A lesion to what area of the brain causes laughter, euphoria, and making jokes?

A

Right prefrontal area

33
Q

What causes vertical nystagmus?

How to treat pt?

A

PCP

Minimize sensory inputs

34
Q

1st line treatment for Alzheimer’s symptoms?

A

Donepezil

35
Q

What is Capgras syndrome?

A

Delusions of doubles

36
Q

Pt that is taking clozapine and starts to develop seizures, what do you do?

A

Stop clozapine temporarily and begin Phenobarbital

37
Q

What sleep disorder is when the pt is aware of discomfort and has a “need to move” in bed?

A

Restless leg syndrome

38
Q

Half life of Lithium?

When is equilibrium reached?

A

20 hours

5-7 days

39
Q

What is the preferred treatment for psychotic symptoms in Parkinson’s pts?

A

Clozapine

40
Q

Triad of inability to direct optically guided movements, inability to direct gaze rapidly, and inability to integrate a visual scene to perceive it as a whole?

A

Balint syndrome

41
Q

When can an antipsychotic med be stopped if a pt has remained symptom free?

A

After 3 years of NO symptoms

42
Q

What wave has freq of 13-30 Hz and is the dominant wave in people who have their eyes open?

A

Beta

43
Q

Lesions to what area lead to deficiencies of planning, monitoring, flexibility, and motivation?

A

Dorsolateral

44
Q

Failure to acknowledge blindness?

A

Anton syndrome

45
Q

What are the contraindications of ECT?

A 
Inc ICP
MI w/in 4 weeks 
Aneurysm
Bleeding disorder
Space occupying lesion
46
Q

What is marked by fear and avoidance of being alone in public places where rapid exit would be difficult or help would not be available?

A

Agoraphobia

47
Q

Carbamazepine can cause what SEs?

What labs need to be drawn q3months?

A 
Aplastic anemia
Agranulocytosis 
Thrombocytopenia 
Leukopenia 
Hepatotoxicity

SGOT, SGPT, LDP

48
Q

B-amyloid precursor protein is located on what ch.?

Contributes to Alzheimer’s when?

A

21

After age 50

49
Q

What is the false perception of having lost everything including money, status, strength, health and internal organs?

A

Coward syndrome

50
Q

What is double depression?

A

MDD in pt w/dysthymic disorder

Psych (8 decks)

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