REM Sleep

Question 1

What is the classical triad of serotonin syndrome

Answer 1

Mental status changes, autonomic hyperactivity, neuromyscular abnormalities (hyperreflexia, clonus, rigidity)

Question 2

Which serotonin post-synaptic agonisis are NOT associated with serotonin syndrome

Answer 2

Fentanyl, Triptans, Buspirone, LSD

Question 3

What is neuroleptic malignant syndrome?

Answer 3

Fever, Rigidity, mental status changes, with exposure to neuroleptics, dysautohomia, but myoclonus and hyperreflexia are rare

Question 4

What bipolar medication can make neuroleptic malignant syndrome worse

Answer 4

Lithium

Question 5

EEG in neuroleptic malignant syndrome

Answer 5

Slow waves

Question 6

Bromocryptine, Dantrolene, Amantadine recommended in what syndrome

Answer 6

Neuroleptic Malignant syndrome (not recommended in Serotonin Syndrome

Question 7

Time frame for resolution of serotonin syndrome and neuroleptic malignant syndrome

Answer 7

serotonin syndrome usually resolved in about a day, while neuroleptic malignant syndrome resolves in many days or weeks

Question 8

Antipyretics can be used in which syndrome - Serotonin or Neuroleptic malignant syndrome

Answer 8

Only in neuroleptic malignant syndrome - antipyretics of no benefit with serotonin syndrome

Question 9

Indication for intubation in serotonin syndrome and neuroleptic malignant

Answer 9

Pyrexia > 41.1C - also with paralysis, heavy sedation with benzodiazepines

Question 10

Wave activity in REM sleep

Answer 10

Theta wave predominantes.

Question 11

Waves responsible for rapid eye movements

Answer 11

PGO waves