Psych, behavioral, etc

Question 1

Retts disorder

Answer 1

X linked disorder

• almost exclusively in girls bc boys die in utero
• age 1-4, regression characterized by loss of development, loss of verbal abilities and mental retardation, ataxia and stereotyped handwriting

Question 2

Neurotransmitter changes seen in anxiety

Answer 2

increased ACh

decreased GABA and 5HT

Question 3

Neurotransmitter changes in alzheimers

Answer 3

decreased ACh

Question 4

neurotransmitter changes seen in Huntingtons

Answer 4

decreased GABA and ACh

increased DA

Question 5

Neurotransmitter changes seen in Parkinsons disease

Answer 5

decreased DA

Increased 5-HT and ACh

Question 6

order of loss of oritentation

Answer 6

time >place > person

Question 7

when do you see tactile hallucinations?

Answer 7

alcohol withdrawal and cocaine abusers

Question 8

time course of delusional disorder

Answer 8

> 1month

Question 9

time course of a manic episode?

Answer 9

> 1 week

Question 10

difference between acute stress disorder and PTSD

Answer 10

acute stress 2days-1month

PTSD: >1 month

Question 11

OCD egodystonic or syntonic?

Answer 11

dystonic~ know they have a problem

Question 12

OCPD: egodystonic or syntonic?

Answer 12

syntonic! dont think they have a problem

Question 13

schizoid- what is it?

Answer 13

personality disorder where they are socially withdrawn and content with isolation

Question 14

schizotypal- what is it?

Answer 14

personality disorder eccentric appearance and odd beliefs with magical thinking

Question 15

what is a major defense mechanism seem in borderline?

Answer 15

splitting

Question 16

what is a serum indicator of alcohol intoxication?

Answer 16

gamma-glutamyltransferase

Question 17

what is dronabinol used for?

Answer 17

pharmacologic form of marijuana

- used for antiemetic (chemotherapy) and appetite stimulants (in AIDS)

Question 18

when will you see Delirium tremens?

Answer 18

2-5 days after the last drink in an alcoholic

Question 19

what factors will vary PPV or NPV?

Answer 19

prevalence or pretest probability

Question 20

whats greater, prevalence or incidence in chronic diseases?

Answer 20

prevalence

Question 21

What is beneficence?

Answer 21

physicians have a special ethical duty to act in the patients best interest

Question 22

What are the 4 payment methods between insurance plans and physicians?

Answer 22

1. Capitation: dr paid a fixed amount per enrolee, promotes preventative med
2. Fee for service
3. Discount fee for service (less incentive)
4. Salary

Question 23

Priority of surrogates:

Answer 23

spouse> adult children > parents > adult siblings > other relatives

Question 24

APGAR score

Answer 24

Appearance, pulse, grimace, activity, respiration
>7 = good
<4 = resuscitate

Question 25

principal NT in REM sleep

Answer 25

ACh