Psychiatry Shrinky Dinks

Question 1

ADHD pts who can’t use stimulants can try

Answer 1

Imipramine for patients with comorbid anxiety or tics, do not tolerate stimulants, bed wetting, or patients who have a history of substance abuse

Question 2

Rabbit syndrome

Answer 2

uncommon extrapyramidal neuroleptic-induced syndrome often confused with tardive dyskinesia. In radid chewing movements and regular vs the orofacial movements typical of tardive

tongue and other parts of the body are not involved.

Question 3

Lithium causes a benign, high-frequency, fine tremor that worsens during activities requiring fine
motor control. Rx?

Answer 3

Dose reduction, elimination of caffeine, slow-release Li, and beta blockers

Question 4

dementia pugilistica

Answer 4

• boxer’s dementia, a type of chronic traumatic encephalopathy
• cognitive decline / memory deficits are characteristically accompanied by parkinsonian symptoms.

Question 5

Huntington disease is an autosomal ________ (D vs R)

Answer 5

autosomal dominant disorder

Question 6

Grand mal seizures are followed by a sharp rise in serum ______ level that lasts approximately 20 minutes

Answer 6

prolactin

Question 7

Tumors of the temporal lobe can present with

Answer 7

olfactory /unusual types of hallucinations
derealization episodes
mood lability/ irritability,
intermittent anger
behavioral dyscontrol
Anxiety

Question 8

Occipital lobe tumors present with

Answer 8

headache, papilledema, and homonymous hemianopsia
aural flashing lights
visual sz

Question 9

Delerium vs delerium tremens

Answer 9

Stable vital signs

delirium tremens is accompanied by hypertension, tachycardia, and elevated temperature

Question 10

cholinesterase inhibitors that can all be used to treat the mild to moderate symptoms of Alzheimer dementia

Answer 10

1st line: Donepezil

also rivastigmine, galantamine, and tacrine

Question 11

Somatic symptom disorder is recognized by

Answer 11

patient’s preoccupation with having a serious medical
condition w/ somatic symptoms that are distressing or significantly disrupt daily life.

Despite medical evaluation and reassurance, the patient continues to fear that the disease is present

rx: regular pcp visits

Question 12

Acute arsenic poisoning from ingestion results in

Answer 12

↑ permeability of small blood vessels –> necrosis of the intestinal mucosa

s/s: hemorrhagic gastroenteritis
fluid loss
hypotension
NVD
 abdominal pain
delirium, coma, and seizures
Breath= garlicky odor

Question 13

NPH is an idiopathic disorder caused by

Answer 13

obstruction of the flow of the CSF into the subarachnoid space

progression of symptoms as first gait, followed by incontinence, followed by neurocognitive disorder

Question 14

NPH dementia

Answer 14

dementia displays frontal-subcortical dysfunction , such as impaired attention, visuospatial deficits, and poor judgment.

Apathy and lack of concern are the typical personality changes.

Question 15

Wernike presentation

Answer 15

AMS, ataxia, and sixth-nerve paralysis.

rx: thiamine

Question 16

Binswanger’s disease

Answer 16

aka subcortical leukoencephalopathy

form of small vessel vascular dementia caused by damage to the white brain matter

Question 17

2nd most common cause of dementia in the elderly

Answer 17

vascular dementia

Question 18

__________ is the primary metabolite of dopamine

Answer 18

Homovanillic acid

Question 19

Cataplexy refers to ?

Answer 19

a sudden loss of muscle tone (weakness –> total loss of tone) triggered by strong emotions during full wakefulness.

Question 20

cataplexy rx?

Answer 20

medications that reduce REM sleep, such as antidepressants.

Question 21

) Ideational apraxia is

Answer 21

the inability to put a sequence of skilled acts together in a row, though the individual may be able to perform each component of the sequence without error

typical in cortical degeneration from Alzheimer’s

ex: pick up a piece of paper in his left hand, fold it in half, and place it back on the table.

Question 22

e consolidation of immediate memory into long-term is a crucial function of the ________ ?

Answer 22

hippocampus

Question 23

Lesions of the orbitofrontal area are accompanied by

Answer 23

abnormal social behaviors
 an excessively good opinion of oneself
 jocularity
 sexual disinhibition
 lack of concern for others.

Question 24

Central achromatopsia

Answer 24

is a complete inability to perceive color.

Question 25

Simultanagnosia is

Answer 25

the inability to integrate a visual scene to perceive it as a whole

Question 26

Gerstmann syndrome

Answer 26

includes agraphia
calculation difficulties (acalculia)
right-left disorientation,
finger agnosia.

lesions of the parietal lobe, dominant hemisphere.

Question 27

Color anomia is

Answer 27

the inability to name a color despite being able to point to it

Question 28

Prosopagnosia is

Answer 28

the inability to
recognize faces in the presence of preserved recognition of other objects.

results from disconnect of the left inferior temporal cortices (ITC) from the visual association area in the left parietal lobe

Question 29

Tranylcypromine is?

Answer 29

an MAOi

Question 30

A decreased latency of REM sleep is seen in

Answer 30

major depressive disorder

Question 31

Hereditary Alzheimer disease

Answer 31

onset 40 and 50

mutation of presenilin 1 gene on chromosome 14

Question 32

fancy name for serotonin

Answer 32

5-Hydroxyindoleacetic acid

Question 33

It has been proven that a dysfunction of ______ pathways is implicated in the genesis of OCD

Answer 33

serotoninergic

Question 34

_____ (NT) is most commonly associated with dementia of the Alzheimer type, as well as with other dementias.

Answer 34

Acetylcholine

Question 35

lesion to the left prefrontal area a

Answer 35

abolishes the normal mood-elevating influences of this area and produces depression and uncontrollable crying

Question 36

lesion to the right prefrontal area m

Answer 36

may produce laughter, euphoria, and a tendency to joke and make puns

Question 37

Dysfunction of the orbitofrontal area causes

Answer 37

disinhibition, irritability, lability, euphoria, and lack of remorse

Question 38

Lesions in the dorsolateral area lead to

Answer 38

deficiencies of planning, monitoring, flexibility, and motivation

Question 39

Damage to the _______ has been shown to impair a

person’s ability to recognize fear and anger from external cues of voice and facial expression.

Answer 39

amygdala