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1
Q

Genes involved in BAD (8)

A

G30
G72
BDNF
COMT
XBP1
DISC1
CLOCK
BMAL1

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2
Q

Insulin resistance in BAD (3)

A

Higher odds of a chronic course
Higher odds of rapid cycling
Decreased response to lithium

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3
Q

Max LOC duration in mild TBI

A

30min

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4
Q

Dementia bloodwork

A

?? See pics

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5
Q

CMA Virtues of ethical physician (5)

A

Compassion
Honesty
Humility
Integrity
Prudence

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6
Q

Crystal meth treatment

A

Contingency management

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7
Q

No withdrawal syndrome (3)

A

PCP
Inhalants
Hallucinogens

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8
Q

Assuming a normal distribution,
How many within 1, 2, 3 SDs?

A

1 = 68%
2 = 95%
3 = 99%

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9
Q

Risk factors for recidivism (5)

A

Young age
Substance abuse
Prior criminal history/imprisonment
Negative peers
ASPD

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10
Q

Normal MOCA score

A

26 or more / 30

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11
Q

Normal MMSE score

A

27 or more / 30

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12
Q

Gender dysphoria specifiers (2)

A

Posttransition
With disorder of sexual development

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13
Q

PTSD specifiers (2)

A

With delayed expression
With dissociative symptoms

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14
Q

PTSD specifiers (2)

A

With delayed expression
With dissociative symptoms

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15
Q

Paraphilia Tx (4)

A

External control (prison)
Decrease libido (meds)
Psychotherapy
Treat comorbidities

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16
Q

Pharm Tx of paraphilia (4)

A

SSRI
Cyproterone (T antagonist)
Medroxyprogesterone (decreases T)
Leuprolide (GnRH agonist, ablates T)

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17
Q

Sclerosing panencephalitis

A

Measles

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18
Q

EEG finding in CJD

A

Periodic sharp wave complexes
(Low sens., high spec.)

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19
Q

Aspects of CBTi (line)

A

1st line
-sleep hygiene psychoed
-stimulus control
-sleep restriction
2nd line
-cognitive restructuring
-relaxation training

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20
Q

Gold standard assessment for daytime sleepiness

A

Multiple sleep latency test

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21
Q

Attribution errors in depression (3)

A

Internal > external (personalization)
General > specific (overgeneralization)
Fixed > changeable (negative prediction)

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22
Q

IED age cutoff

A

6 or older

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23
Q

IED outburst frequency

A

At least 2x per week x3mo (no injury/damage)
OR
3x in 12mo. if damage or injury

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24
Q

IED relation with BPD/ASPD

A

Level of impulsive aggression HIGHER in IED

25
Q

Age when language differences stabilize, predicting later outcomes

A

4 years old

26
Q

Normal to mispronounce “the late eight” until what age?

27
Q

Clear speech (sounds and words) by what age?

28
Q

Speech sound d/o rarely remits spontaneously after what age?

29
Q

Stuttering (childhood-onset fluency d/o)
What % recover?

30
Q

Stuttering (childhood-onset fluency d/o)
At what age does severity predict recovery vs persistence

31
Q

Somatic passivity

A

Experience of bodily sensations (action, thought, emotion) imposed by external agency
Part of Schneider’s FRS

32
Q

22q11.2 features (6)

A

Cardiac anomalies
Hypoplastic thymus
Hypocalcemia
Immunodeficiency
Low-set ears, ocular hypertelorism, bulbous nose
25% have SCZ

33
Q

Cog deficits in SCZ (4)

A

Processing speed (#1)
Memory
Attention
Executive functioning

34
Q

Good prognosis in Del d/o (5)

A

Female
Acute onset
Start <age 30
Precipitating factor
Short duration of illness

35
Q

Key components of HRT for tics (2)

A

Awareness training
Competing response training

36
Q

Alpha-synucleinopathy (3)

A

Parkinson’s
LBD
MSA

37
Q

Six groups of sxs in anti-NMDAr encephalitis

A

Speech dysfunction
Abn bhvr or cog dysfunction
Movement disorder/Tremor/dyskinesia
Seizures
Decreased LOC
Autonomic dysfn

38
Q

Substances that cause nystagmus (5)

A

Alcohol
NOT cannabis
PCP
Other hallucinogens
Inhalant
S/H/A

39
Q

ECT mortality rate

A

2 per 100,000 treatments

40
Q

Substances leading to tremors (5)

A

Alcohol withdrawal
S/H/A withdrawal
Cannabis withdrawal
Hallucinogen intoxication
Inhalant intoxication

41
Q

Key components of HRT

A

Habit reversal therapy
1) awareness training
2) competing response training

42
Q

HPA axis hyperactivity in MDD ass’d with (3)

A

Melancholia
Psychotic features
Suicide risk

43
Q

Early onset in PDD is:

A

BEFORE Age 21

44
Q

What is CBASP and when to use

A

Cognitive behavioral analysis system of psychotherapy
2nd line for acute and maintenance MDD

45
Q

1st line ECT parameters (2)

A

Brief RUL
Brief bifrontal

46
Q

Duration of “brief” in ECT

47
Q

ECT maintenance options (4)

A

Maintenance ECT
New AD
Lithium + nortriptyline
Lithium + venlafaxine

48
Q

ECT stimulus intensity targets

A

Up to 2x the ST ( bilateral)
Up to 6x (RUL)

49
Q

Dx of anti-NMDAr encephalitis
4/6 group of sxs

A

Abnormal bhvr or cognitive dysfn
Speech dysfn
Seizures
Movement d/o
Decreased LOC
Autonomic dysfn or central hypovent.

50
Q

PANDAS Dx criteria (5)

A

OCD and/or tic disorder
Pediatric onset (age 3-puberty)
Abrupt onset + episodic course
Temporal relation with GAS infection (weeks, maybe months)
Neuro abN (hyperactivity, choreiform movts, tics)

51
Q

Bio factors implicated in GAD (4)

A

CCK
GABA
NE
Glutamate

52
Q

Cog domains affected in vasc NCD (2)

A

Complex attention (+proc speed)
Frontal-executive fn

53
Q

Progressive multifocal leukoencephalopathy in x and sxs:

A

HIV
Clumsiness
Difficulty speaking
Weakness
Later: Dementia & Speech/vision loss

54
Q

CJD presentation (4)

A

Neurocognitive sxs
Ataxia
AbN movts (chorea, myoclonus, dystonia)

55
Q

Major NCD due to TBI
TBI has (4)

A

Posttraumatic amnesia
LOC
Disorientation and confusion
Neurologic signs

56
Q

FTD bv criteria (5)

A

Disinhibition
Apathy
Lack of empathy
Hyperorality and dietary changes
Perseverative, stereotyped or compulsive/ritualistic bhvr

57
Q

FTD which cog domains are relatively spared? (2)

A

Learning and memory
Perceptual-motor

58
Q

Acute intermittent porphyria high levels of (3)

A

Urinary delta-aminolevulinic acid (ALA), porphobilinogen (PBG), and porphyrin

59
Q

CRAFFT for addictions

A

Have you ever ridden in a CAR driven by someone (including yourself) who was “high” or had been using alcohol or drugs?
Do you ever use alcohol or drugs to RELAX, feel better about yourself, or fit in?
Do you ever use alcohol or drugs while you are by yourself, or ALONE?
Do you ever FORGET things you did while using alcohol or drugs?
Do your FAMILY or FRIENDS ever tell you that you should cut down on your drinking or drug use?Have you ever gotten into TROUBLE while you were using alcohol or drugs?

MD Psychiatry (5 decks)

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