WEEK1 Flashcards

1
Q

Triad of DiGeorge syndrome

A

cardiac defects, hypoplastic thymus, hypocalcemia

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2
Q

long face, big ears, macroorchidism

A

Fragile X (most common heritable cause of ID!!!)

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3
Q

Imaging for CT Chest DiGeorge

A

absent thymic shadow

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4
Q

diagnostic test for phenylketonuria?

A

Plasma amino acids, demonstrating an accumulation of phenylalanine.

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5
Q

head banging, hand-wrist biting, pulling at one’s nails (onyichotillomania), nose picking, inserting objects into orifices, self hugging

A

Smith-Magenis syndrome (Microdeletions or mutations of the retinoic acid-induced 1 gene, on chromosome 17p11.2, is the underlying genetic etiology.)

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6
Q

define “rapid cycling”

A

4 or more mood episodes of different polarity within 12 month period (i.e. 4 hypomanic episodes in person with MDD)

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7
Q

Which allele does the United States Food and Drug Administration recommend testing for to mitigate the risk of Stevens-Johnson syndrome when prescribing carbamazepine to patients of Asian heritage?

A

HLA B1502

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8
Q

shagreen patch, multiple renal hamartomas, subependymal nodules, and cardiac rhabdomyoma

A

tuberous sclerosis

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9
Q

What is the inheritance pattern of neurofibromatosis

A

autosomal dominant, either sporadic or inherited

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10
Q

22q11 deletion

A

digeorge aka velocardiofacial syndrome

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11
Q

4p minus

A

Wolf Hirschorn

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12
Q

5p minus deletion

A

cri du chat

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13
Q

7q11.23 deletion

A

William’s syndrome (ELASTIN!!!!)

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14
Q

15q11-13

A

maternal: angelman
paternal: Prader Willi

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15
Q

almond-shaped eyes, small hands and feet, and scoliosis

A

Prader Willi (paternal deletion)

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16
Q

risk as a neonate for prader willi?

A

neonatal hypotonia

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17
Q

starting dose atmoxetine

A

25 mg daily then inc to 60 mg

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18
Q

etiolopgy enuresis

A

delayed bladder maturity

19
Q

first line treatment nocturnal enuresis

A

BEHAVIORAL - bell method

then pharmacologic if ineffective (DESMOPRESSIN 1st line), imiprimaine as last resort

20
Q

how to treat emotional detachment in paranoid personality disorder?

21
Q

therapy for stimulant use disorder

A

contigency management or CBT

22
Q

What temperament trait is classically associated with an increased risk for developing major depressive disorder?

A

neuroticism

23
Q

FDA approved uses for Fluoxetine

A

MDD, OCD, bulimia, panic, bipolar dep (w/ olanzapine)

24
Q

Memantine mechanism and why effective in Alzheimer’s?

A

NMDA receptor antagonist

reduces excitotoxicity caused by overstimulation of glutamate receptors decreaseing neuron cell death

25
difference between asexul and hypoactive sexual desire?
asexual egosyntoci doesn't cause distress | hypoactive sexual causes distress
26
mechanism clonidine
alpha 2 AGONIST
27
3 types of tic disorders?
tourette's persistent (chronic) motor or vocal tic disorder provisional tic disorder
28
dsm tourette's
multiple motor + at least one vocal tick, for greater than 1 year
29
tourette's vs provisional tic disorder?
provisional less than one year
30
how to manage tic disorder in youth?
psychoeducation or habit reversal training for distressing tics for treatment resistance use ALPHA 2 AGONISTS (clonidine/guanfacine) or aripiprazole (FDA approved for tourette's 6-18)
31
seasonal pattern of depression?
CONSISTENT seasonal pattern: regular temporal relationship between onset of MDD episodes during one part of the year and FULL REMISSION at the other time of year (can also happen in summer)
32
brain areas with most cannabinoid receptors
HIPPOCAMPUS basal ganglia cerebellum
33
absence seizure on EEG
2.5 to 5 Hz spike wave activity (can induce seizure by hypoventilation)
34
diagnostic features of Lewy body dementia? (core and supportive)
CORE: fluctuating cognition, well formed/detailed VH, parkinsonism SUPPORTIVE: sensitivity to antipsychotics, REM sleep behavior disorder
35
inheritance duchenne muscular dystrophy?
x linked recessive
36
Where does DMD start?
lower extremities
37
mechanism for duchenne muscular dystrophy?
defect gene on x-linked chromosome leads to decreased dystrophin production = elevated CK at birth = muscular dystrophy causing weakness = eventually causes dilated cardiomyopatyh
38
lesion to what area causes Kluver Bucy syndrome?
damge to BILATERAL TEMPORAL LOBES (median); can be from trauma, HSV encephalitis, alzheimer's, temporal lobectomy
39
what area affected by thiamine deficiency?
mammilary bodies, leads to Wernicke Korsakoff syndrome
40
Which variant of partial epilepsy is most routinely associated with memory and affective abnormalities?
temporal lobe epilepsy
41
long term sequelae inhalant
ataxia, impaired cognition, dementia, polyneuropathy
42
risk factors tardive dyskinesia
longer exposure, MULTI INFARCT DEMENTIA, older age
43
location of CB1 and CB2 (cannabinoid receptors)
CB1 - CNS, causes main psychoactive effects on body | CB2 - peripheral, in immune system i.e. WBCs