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Question 1

What skin side effects can lithium cause?

Answer 1

• Acne
• Psoriasis
• Alopecia

Question 2

What’s the difference between attachment and bonding

Answer 2

Attachment- emotional dependence of infant on its mother

Bonding - mother’s feelings for infant

Question 3

best test for Huntington’s

Answer 3

PCR (to examine trinucleotide repeats)

Question 4

which frontal lobe region causes personality characteristics of being profane, irritable, irresponsible?

Answer 4

orbitofrontal

Question 5

which frontal lobe region causes apathy?

Answer 5

medial frontal lesion

Question 6

Difference of cohort versus case control study

Answer 6

Case control study - Start with an outcome and go back in time to study the risk factor.

Cohort study - Start with risk factor and see who developed the disease and who did not.

Question 7

What is this: mental confusion, opthalmolpegia, gait ataxia

Answer 7

Wernicke’s encephalopathy

Question 8

Where are the lesions in Wernicke’s encephalopathy

Answer 8

microhemorrhages in periventricular gray matter around aqueduct of 3rd and 4th ventricles

Question 9

Can lithium be given with MAOIs?

Answer 9

Yes

Question 10

Can meperidine be given with MAOIs?

Answer 10

no

Question 11

How long of a washout of SSRIs before giving MAOIs

Answer 11

14 days (28 for fluoxetine)

Question 12

What is the inheritance pattern of Hungtinton’s

Answer 12

Autosomal dominant

Question 13

Difference of primary vs secondary vs tertiary prevention

Answer 13

Primary - prevent onset of dz

Secondary - identify dz in early stages

Tertiary - reduce deficits of dz in later stages to prevent dysfunction

Question 14

Which neuromuscular dz associated with small cell lung cancer?

Answer 14

Lambert Eaton

Question 15

what degenerates in ALS

Answer 15

upper and lower motor neuron cells (anterior horn cells)

Question 16

what is 1st and 2nd line tx for absence seizures

Answer 16

1st - ethosuximide

2nd - depakote

Question 17

time criteria for insomnia disorder

Answer 17

3 nights/week for 3 months

Question 18

Tuberous sclerosis charactersitcs

Answer 18

seizures, retardation, behavioral problems, cutaneous lesions (ash leaf, shagreen spots), retinal hemorrhages

Question 19

Memantine MOA

Answer 19

NMDA antagonist

Question 20

do antipsychotics and ritalin increase or decrease TCA concentration?

Answer 20

increase

Question 21

Gerstmanns syndrome is a lesion where?

Answer 21

left parietal lobe damage

Question 22

classic tetrad of Gerstmann’s syn

Answer 22

acalculia, agraphia, right and left confusion, finger agnosia

Question 23

Can EEG have spontaneous activity in brain death?

Answer 23

Apparently yes

Question 24

Test for myasthenia gravis

Answer 24

Edrophoniium chloride (Tensilon)

Question 25

Gower's maneuver seen in

Answer 25

Duchenne's muscular dystrophy

Question 26

classic picture of giant cell arteritis ((vascuitis)

Answer 26

new onset HA, fever, nightsweats, weight loss, jaw claudication, polymalgia rheumatica (25%) in older women. Retinal artery occlusion can happen

Question 27

test for giant cell arteritis

Answer 27

serum ESR

Question 28

MAOI washout period for bupropion

Answer 28

14 days

Question 29

can you combine lithium and MAOI?

Answer 29

yes

Question 30

older person gets prescribed SSRI and develops disorientation, nausea, weakness. What's happened?

Answer 30

SIADH

Question 31

Sleep patterns in depression on EEG

Answer 31

shortened REM latency increased REM density decreased IV sleep

Question 32

most significnt genetic risk factor for Alzheimer's dz

Answer 32

homozygosity for inheritance of E4 allele of apo E (chrom 19)

Question 33

female orgasmic disorder is absence of orgasms what % of the time?

Answer 33

75-100%

Question 34

which anticonvulsant causes hirsutism, facial dysmorphism, gingival hypertropy, and cerebellar atrophy (ataxia)

Answer 34

phenytoin

Question 35

xyrem treatment for

Answer 35

cataplexy associated with narcolepsy (analogue of date rape drug)

Question 36

chronic fatigue syndrome timeline

Answer 36

fatigue for over 24 hrs for 6 months

Question 37

4 Piaget stages

Answer 37

1) sensorimotor 2) perioperational 3) Concrete operations 4) formal operations

Question 38

What Piaget stage is conservation?

Answer 38

concrete

Question 39

What Piaget stage is object permanence

Answer 39

Sensorimotor

Question 40

short palpebral fissures a result of what

Answer 40

fetal alcohol syndrome or William syn

Question 41

At what age would child tolerate mother's absence without distress in secure attachment?

Answer 41

25 months

Question 42

What age is stranger anxiety

Answer 42

8 months-2 years

Question 43

Which MAOI works on MAOB at lower doses?

Answer 43

Selegeline

Question 44

Pergolide MOA and use

Answer 44

dopamine agonist - used in Parkinson's

Question 45

What's the only atypical antipsychotic that blocks serotonin and NE reuptake and blocks 5HT 1A receptor?

Answer 45

Ziprasione

Question 46

difference of effect of right versus left prefrontal cortex on mood

Answer 46

left activated - elevate mood (lesion--> depression) right activated - depressed mood (lesion --> euphoria)

Question 47

most common cause of intracerebral hemorrhage

Answer 47

HTN

Question 48

type I error

Answer 48

null hypothesis was rejected when it should have been retained (difference only exists due to chance, false positive)

Question 49

type 2 error

Answer 49

null hypothesis retained when it should have been rejected (false negative)

Question 50

What is the probability of finding the difference between 2 samples

Answer 50

power

Question 51

PCP can be found in urine for how long?

Answer 51

till 8 days

Question 52

Cocaine can be found in urine for how long?

Answer 52

8 hrs

Question 53

heroin can be found in urine for how long?

Answer 53

72 hrs

Question 54

test of choice to diagnosed CJD?

Answer 54

LP and CSF assay for 14-3-3- and tau proteins

Question 55

What eye finding found in schizophrenia

Answer 55

abnormal smooth pursuit and saccades

Question 56

which mental health disorder has highest prevalence

Answer 56

anxiety disorders

Question 57

biggest comorbidity with gambling d/o

Answer 57

MDD

Question 58

which drug can cause dementia

Answer 58

inhalants

Question 59

LSD MOA

Answer 59

partial agonist at postsynaptic serotonin receptors

Question 60

which mental health disorder is most likely to be violent?

Answer 60

substance abusers

Question 61

what's a characteristic of NF-2 but not NF-1

Answer 61

bilateral schwannomas