Pre-Test Questions Flashcards
Nausea and vomiting is d/t activation of _____ receptor sites located ______
Serotonin
Brain stem (AREA POSTREMA)
Which drug is worse for pregnant bipolar pts: Lithium or valproate?
Valproate - category X
What is the metabolite of serotonin?
5-HIAA
Inability to recognize a color despite being able to match it?
Color agnosia
What wave has freq of 3.5 to 4 Hz and has the highest amplitude but slowest waves?
Delta
What treatment can be added in refractory depression?
Lithium
What chemical rises significantly 20 minutes after a grand mal seizure and can be used to r/o non-epileptic seizure?
Prolactin
Pt w/PTSD, what meds can be used to specifically treat Hyperarousal?
Clonidine
Beta blocker
Perphenazine is know to cause what adverse effect?
Impairment in ejaculation
Beneficence refers to what?
Preventing or removing harm and promoting well-being
What neurotransmitter is most associated with Alzheimer’s disease?
ACh
What medical treatment can be used in small doses for sleep terror disorder?
Diazepam
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?
Periodic limb movement disorder
Facticious disorder is for ____ gain
Malingering?
Primary
Secondary
What is bruxism?
It is a SE of what drug?
Teeth grinding
MDMA
What is St Johns wort used for?
Ginseng?
Antidepressant, sedatives, anxiolytic
Stimulant, for fatigue, mood elevator, improve immune system
What does Tarasoff II say?
Duty to protect potential victims, not just warn them
What gene is located on ch. 14 and responsible for Alzheimer’s in pts 40-50?
On ch. 1?
Presenilin 1
Presenilin 2
Ritalin is what?
Uncommon but possible SE?
Methylphenidate
Tics
Ramelton MC SE?
Cannot use in pts w/what?
HA
Severe sleep apnea, hepatic impairment, or COPD
Inability to direct gaze rapidly?
Oculomotor apraxia
What personality is characterized by HYPOsexuality, emotional intensity, and viscosity?
TLE
Temporal lobe epilepsy
Tumors of what lobe can present w/olfactory changes, hallucinations, mood lability, irritability, intermittent anger, and behavioral dyscontrol?
Temporal lobe
2?
What is the MC cause of malpractice claims in psychiatric practice?
Improper tx resulting in physical injury
Suicide/homicide
Garlic breath is indicative of what poisoning?
Arsenic
What medication can precipitate a hypomanic or manic episode?
Corticosteroids
How long does marijuana stay in your system?
PCP?
Alprazolam?
4 weeks
8 days
3 days
Dysfunction in what area causes disinhibition, irritability, lability, euphoria, and lack of remorse?
Orbitofrontal area
Intoxication of what drug can cause anxiety disorder?
What else can this drug cause?
Cocaine
Hallucinations of bugs crawling on the skin with heart symptoms
Alcoholic that comes in and cannot move his eyes upward or to the right has what?
What is this called?
Wernicke encephalopathy
CN 6 palsy
What is a shared psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing?
Folie a deux
A lesion to what area of the brain causes laughter, euphoria, and making jokes?
Right prefrontal area
What causes vertical nystagmus?
How to treat pt?
PCP
Minimize sensory inputs
1st line treatment for Alzheimer’s symptoms?
Donepezil
What is Capgras syndrome?
Delusions of doubles
Pt that is taking clozapine and starts to develop seizures, what do you do?
Stop clozapine temporarily and begin Phenobarbital
What sleep disorder is when the pt is aware of discomfort and has a “need to move” in bed?
Restless leg syndrome
Half life of Lithium?
When is equilibrium reached?
20 hours
5-7 days
What is the preferred treatment for psychotic symptoms in Parkinson’s pts?
Clozapine
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?
Balint syndrome
When can an antipsychotic med be stopped if a pt has remained symptom free?
After 3 years of NO symptoms
What wave has freq of 13-30 Hz and is the dominant wave in people who have their eyes open?
Beta
Lesions to what area lead to deficiencies of planning, monitoring, flexibility, and motivation?
Dorsolateral
Failure to acknowledge blindness?
Anton syndrome
What are the contraindications of ECT?
Inc ICP MI w/in 4 weeks Aneurysm Bleeding disorder Space occupying lesion
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?
Agoraphobia
Carbamazepine can cause what SEs?
What labs need to be drawn q3months?
Aplastic anemia Agranulocytosis Thrombocytopenia Leukopenia Hepatotoxicity
SGOT, SGPT, LDP
B-amyloid precursor protein is located on what ch.?
Contributes to Alzheimer’s when?
21
After age 50
What is the false perception of having lost everything including money, status, strength, health and internal organs?
Coward syndrome
What is double depression?
MDD in pt w/dysthymic disorder
