Psychiatry Qbank and Pretest Flashcards
Patient thinks newscasters on TV are talking to him- definition?
Ideas of reference
Derealization vs Depersonalization?
Derealization- environment is strange or unreal
Depersonalization- self is strange or not real
What lobe of brain is typically responsible for partial complex seizures- can smell burning rubber as aura
Temporal lobe
Uncus generates the unusual smell
Name the aphasia- fluent speech, poor auditory comprehension, poor repetition, poor naming
Wernicke’s
Name the aphasia- Nonfluent speech, good auditory comprehension, poor repetition, poor naming
Broca’s
Find the lesion- disinhibition, lability, euphoria, lack of remorse?
Orbitofrontal region of frontal lobe
Find the lesion- jokes, puns, and laughs uncontrollably
Right prefrontal cortex
Treatment for tourette’s?
Neuroleptics or alpha 2 agonists
How does temporal lobe epilepsy present?
Bizarre behavior without the classic grand mal shaking movements
What levels dramatically increase after seizures?
prolactin
What is a common physical exam finding with eating disorders? (think vitals)
BRADYCARDIA
Which atypical antipsychotic should you check EKG and why?
Ziprasidone for QT prolongation
What mood stabilizer should be avoided in a patient with elevated creatinine?
Lithium
Tx for dystonia?
Benztropine or benadryl
Tx for akathisia
Propanolol
