Psychiatry

Question 1

52 y/o with h/o unipolar depression is brought to ED with a first episode of catatonia. Pt is on no meds, UDS is neg. Further w/u should initially focus on what factor?

Answer 1

METABOLIC DISORDERS

? which

Question 2

Among inpatients, available data indicates that catatonia most frequently occurs as a feature of what illness?

Answer 2

MAJOR DEPRESSIVE DISORDER

Question 3

21 y/o recently diagnosed with schizophrenia becomes largely mute and occasionally repeats words in a parrot-like manner. This is a subtype of schizophrenia called:

Answer 3

CATATONIC

Question 4

Symptoms that may dominate picture of mood disorders w catatonia?

Answer 4

EXCESSIVE PURPOSELESS MOTOR ACTIVITY NOT INFLUENCED BY EXTERNAL STIMULI

Question 5

*Which term describes state of immobility that is constantly maintained? (Ability of a catatonic pt to hold the same position)

Answer 5

CATALEPSY

Question 6

fxn dorsal anterior cingulate cortex?

Answer 6

expression and modulation of anxiety

hyperactive in GAD, PTSD, MDD

Question 7

fxn ventral anterior cingulate cortex?

Answer 7

extinguishing fear response

hypoactive in GAD, PTSD, MDD

Question 8

Multifocal myoclonus in a comatose patient indicates:

Answer 8

Metabolic encephalopathy

Question 9

A pt who has been receiving dialysis tx for years has become more disoriented, has memory loss. Physical exam normal, nursing staff report that pt has begun to have seizures. Blood lab testing shows no obvious etiology, neurodiagnostics show no suggestive findings. What most likely accounts for this presentation?

Answer 9

DIALYSIS DEMENTIA

Question 10

Which test correlates most strongly with pre-morbid functioning in pt w/ early dementia:

Answer 10

WECHSLER ADULT INTELLIGENCE SCALE IV VOCABULARY TEST (WAIS—IV)