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Psych Boards 2023 > 3 > Flashcards

3 Flashcards

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1
Q

best treatment for manic pregnant person

A

ECT

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2
Q

most common symptom for narcoleptics

A

sleep attacks

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3
Q

which neurotransmitter works as an adjunct for glutamate and as an independent inhibitory neurotransmitter

A

glycine

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4
Q

trauma to which vessel causes epidural hematoma

A

middle meningeal artery

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5
Q

what is the characteristic EEG pattern in CJD?

A

periodic sharp wave complexes

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6
Q

stages of Mahler’s separation-individuation

A

1) autism
2) symbiosis
3) differentiation
4) practicing
5) rapprochement
6) object constancy

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7
Q

Mahler stage of autism - time and characteristic

A

birth to 2 months

more time asleep

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8
Q

Mahler stage of symbiosis - time and characteristic

A

2-5 months

distinguish from inner and outer world while perceiving itself as part of single entity with mother

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9
Q

Mahler stage of differentiation - time and characteristic

A

5-10 months

begin to distinguish self from mother

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10
Q

Mahler stage of practicing - time and characteristic

A

10-18 months

move independently and explore outside world

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11
Q

Mahler stage of rapprochement - time and characteristic

A

18-24 months

independence vacillate with need for its mother

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12
Q

Mahler stage of object constancy - time and characteristic

A

2-5 years

understand permanence of other people even when not present

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13
Q

skin manifestations of arsenic poisoning

A

keratosis, melanosis, malignancies, Mees lines of fingernails (white striations)

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14
Q

symptoms of arsenic poisoning

A

central - N/V/D, hypotension, tachy, encephalopathy

peripheral- neuropathy, skin manifestations

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15
Q

lead poisoning in children vs adult manifestation

A

children - encephalopathy

adults - neuropathy

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16
Q

mercury poisoning

A

psych/neuro - irritability, personality changes, confusion, stupor

tremors, weakness, visual dist. ataxia

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17
Q

organophosphate poisoning mechanism

A

inhibits acetylcholinesterases –> cholinergic toxicity

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18
Q

person who coined the name schizophrenia

A

Eugen Bleuler

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19
Q

which toxin causes blue line at the gingival margin

A

lead

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20
Q

manganese poisoning manifestation

A

Parkinsonian features, behavioral/cognitive changes, cock walk

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21
Q

which NT is derived from serine

A

glycine

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22
Q

where is glycine most concentrated in

A

spinal cord

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23
Q

what are people studying glycine as treatment for

A

neg symptoms of schizophrenia

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24
Q

which child abuse most lethal

A

shaking baby –> subdural hematomas

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25
can there be preserved eye tracking and swallowing in persistent vegetative state?
yes
26
can there be preserved response to noxious stimulation in persistent vegetative state?
no
27
what is the most common typical effect of depression on nocturnal sleep
early morning awakening
28
antidote to benzo overdose
flumazenil
29
antidote to organophosphate OD
atropine
30
antidote to lead poisoning
dimercaprol
31
Papez circuit involves which parts
hippocampus, thalamus, cortex, mammillary bodies
32
PKU manifestation
microcephaly, mousy odors, infantile spasms, light hair/skin
33
internal carotid stenosis should be treated surgically if stenosis is symptomatic and above what percent
70%
34
which solid tumor metastasizes most frequently to the brain
lung
35
most useful treatment for post-LP HA
repeat LP with blood patch - inject some blood to increase the pressure from the CSF leak
36
compression of which peripheral nerve causes meralgia paresthtica
lateral femoral cutaneous - pain in anterior thigh wear looser pants
37
week after having a baby, she gets headache, behavioral changes, irritability, seizures, dipolopia. what is it?
cerebral venous thrombosis - hypercoagulable state from pregnancy
38
most common congenital viral infection in newborns
CMV
39
most common myopathy in patients over 50
inclusion body myositis
40
when is sleep apnea pathological
more than 5 episodes (>10 sec each) per hr or >30 episodes in a night
41
what is rate limiting step in dopamine synthesis
tyrosine hydroxylase turning L-tyrosine --> L-DOPA
42
lethal level of lithium is above
4
43
IQ associated with which lobe
parietal
44
Ganser's syndrome
dissociative disorder where you voluntarily talk past the point or give approximate answers (variant of malingering)
45
how does ibuprofen affect lithium levels?
increases
46
how does aspirin affect lithium levels?
no effect
47
how do diuretics affect lithium levels?
increases
48
Todd's paralysis
brief period of transient hemiparesis after a seizure
49
tropical spastic paraparesis is a
chronic progressive myelopathy caused by HTLV-1
50
battle sign indicative of
basilar skull fracture (mastoid hematoma)
51
whats best treatment to treat ADHD in a patient with Tourettes
atomexetine
52
side effects of depakote
common - weight gain, tremor, thinning of the hair, ankle swelling GI distress, sedation, pancreatitis, pancytopenia, hepatotoxicity teratogenic
53
amphetamines can be detected on UDS for how long
48 hrs
54
alcohol can be detected on UDS for how long
12 hours
55
Kluver Bucy syndrome is destruction of the
amydgala bodies bilaterally and inferior temporal cortex
56
can addicts use patient controlled analgesia
yes
57
surgery option for OCD
cingulotomy
58
most useful long term treatment setting for noncompliant schizophrenic patient with hx of vioence
outpatient commitment program
59
can MAOIs be mixed with meperidine
NO
60
can MAOIs be mixed with anesthetics?
NO
61
can MAOIs be mixed with asthma medication?
NO
62
can MAOIs be mixed with dextromethorphan?
NO
63
can MAOIs be mixed with stimulants?
NO
64
what is the term of a psychiatrist's right to maintain a patient's secrecy in the face of a subpoena
privilege
65
dif between privilege and confidentiality
privilege - legal protection confidentiality - ethical standard
66
WBC frequency for clozapine
1) Baseline before treatment 2) 1st 6 months - weekly 3) 2nd 6 months - biweekly 4) after 12 mo - monthly 5) tx stopped - weekly for 4 weeks
67
sleep changes in people >65 y/o
- more REM episodes - REM shorter - less total REM sleep - NREM decreased delta wave amplitude - lower percentage of N3 sleep - higher % N1 and N2 sleep
68
interaction between clozapine and SSRIs, TCAs
increase clozapine level
69
interaction between clozapine and cimetidine
increase clozapine level
70
interaction between clozapine and carbamazepine
decrease clozapine level
71
interaction between clozapine and depakote
increase clozapine level
72
risk of combined use of clozapine and alcohol, benzos
CNS depression
73
risk of combined use of clozapine and lithium
increase risk of NMS, movement d/os, seizures, confusion
74
most widely used substance among US high school students
cannabis (tho I'm not sure this is right based on other studies)
75
Beck's cognitive triad of distorted thoughts in depression
- I am worthless - The world is self-defeating - Expectation of continued hardship/failure
76
alogia is
poverty of speech and thought content
77
how many mood episodes in 12 months to meet criteria for rapid cycling
4
78
what type of reinforcement underlies gambling
random reinforcement
79
dif between primary and secondary refinforcement
primary - unlearned (ie. hunger) secondary - learned (ie. reward)
80
schizophrenia late onset is considered after what age
45 yo
81
three essential stages by Bowlby and Roberston when children separated from parents
1) protest 2) despair 3) detachment upon her return
82
usual and accepted length of period of grief after death of loved one is
12 months (1-2 months can return to acute functioning)
83
which sleep agent with long half life
lunesta eszopiclone

Psych Boards 2023 (8 decks)

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