4 Flashcards

(62 cards)

1
Q

Freud stages of development

A

1) oral - birth to 1 year - dependency
2) anal - 1-3 years - independence, control (neuroses)
3) phallic - 3-5 years - gender and sexual identity, Oedipal complex
4) Latency - 5y/o-puberty - decrease in sexual energy
5) Genital stage - Puberty to adulthood - libido intensifies, develop object relations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is this - get a flu vaccine and develop back pain, leg weakness, urinary incontinence

A

transverse myelitis - segmental inflammatory syndrome of bilateral spinal cord (immunologic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

vacuolar myelopathy

A

AIDS dz –> spinal cord compression picture - spasticity, gait instability, LE weakness, loss of propioception/vibration, sphincter dysfunction , Babinski signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Acute disseminated encephalomyelitis (ADEM)

A

demyelinating syndrome after systemic infection/vaccination that involves whole CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ptosis

A

upper eyelid droops

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

miosis vs mydriasis

A

miosis - constrict
mydriasis - dilate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

does Bell’s palsy affect whole face or partial?

A

entire face (unilaterally) whereas stroke only affects upper face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

one of the most common causes of opsoclonus-myoclonus of the infant is

A

neuroblastoma (lesion to the pons)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

most common primary brain tumor in patients over 60

A

glioblastoma multiforme (GBM)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Patients with OCD have anomalies in

A

Caudate, thalamus, orbitofrontal cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Anton’s syndrome

A

stroke to bilteral occipital lobe - cortical blindness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

most common CNS cancer for AIDS patients

A

lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

highest rate of synapse formation in the brain takes place when

A

as a toddler

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

most frequent opportunisitic CNS infection in AIDS patient

A

CNS toxoplasmosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

most common spinal cord pathology in AIDS patient

A

vacuolar myelopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Devic’s disease

A

variant of MS, neuromyeltiis optica

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

CJD, Kuru, Gerstmann-Straussler-Scheniker, fatal familial insomnia are also diseases of

A

prions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is this - headache, ipsilateral Horner’s syndrome, contralateral hemiparesis

A

Carotid artery occlusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Bell’s palsy most often due to what infection

A

Herpes simplex virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is this - paresthesias, fever, HA –> pharnygeal spasms –> seizures, coma, death

A

rabies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Hirano bodies seen in which diseases

A

CJD and Alzheimer’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

pancreatic cancer most associated with which mental health h/o

A

Depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

test of choice when youre worried about spinal cord compressions

A

Spine MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

can you subpoena the medical chart and/or psychotherapy notes?

A

just the medical chart, not psychotherapy notes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Balint syndrome
ischemic strokes to bilateral parietal-occipital lobes delirium, peduncular hallucinosis, gaze palsy, ocular apraxia, otpic ataxia, simultanagnosia
26
What is a feature of Anton's syndrome?
confabulation, lack of insight
27
one of the first manifestations of inhalant abuse
polyneuropathy
28
what organs damaged with inhalant abuse
renal failure, hepatic failure, bone marrow suppression, brain damage
29
Meige's syndrome
blepharospasm (involuntary eye blinking) and oromandibular dystonia
30
Ford v Wainwright
patients need to be competent to be executed
31
issue of scanning speech is lesion to
the cerebellum (form of ataxic dysphasia that causes choppy speech)
32
aphemia
motor speech disorder of near muteness nl reading/writing/comprehension
33
how to differentiate between lethargy, stupor, coma, and persistent vegetative state
lethargy- sleepy, but arousable with stimulation stupor- unresponsive but arousable with repeated stimulation coma - unarousable unresponsiveness PVS - lose cognitive functioning
34
how is the prognosis in conversion disorder
excellent - 90-10% in remission w/in a month
35
what is the least anticholinergic TCA
desipramine
36
what age can baby climb stairs
18 months
37
treatment for exhibitionism
medroxyprogesterone acetate (Depo Provera)
38
name of sign when you test a patient suspected of psychogenic hemiparesis
Hoovers sign
39
only true nero emergency that requires MRI
epidural spinal cord compression
40
vagal nerve stimulation treatment for refractory
Seizures and MDD
41
can carbamazapine be used for alcohol withdrawal
yes
42
You hear a bruit in the head when auscultating. what does this signify?
AVM
43
Hallervorden-Spatz syndrome
childhood onset dementia and parkinsonism - free iron build up in basal ganglia
44
what type of amnesia in alcoholic blackouts
anterograde- cant form new memories
45
subacute combined degeneration is lesion to what due to what
lateral and posterior columns of spinal cord --> upper motor neuro signs, loss of propioception/vibration b12 deficiency
46
what happens if you give carbamazepine and fluconazole
increased carbamazepine level decreased fluoconazole level
47
INH can cause deficiency in what
vitamin B6
48
Mirtazapine MOA
blocks presynaptic alpha 2 receptors --> stop feedback inhibition on release of NE and serotonin into cleft --> more NE and serotonin in synapse
49
side effects of fluoxetine that set it apart from other SSRIs
headache anxiety respiratory complaints
50
identity diffusion
failure to develop cohesive self or self-awareness
51
who has bipolar d/o more- men or women
equal
52
first test if child is not speaking yet
check hearing
53
niacin deficiency triad
diarrhea, dementia, dermatitis
54
vitamin E deficiency triad
neuropathy, retinopathy, areflexia
55
Pimozide
dopamine antagonist used in treatment of Tourette's
56
on which chromosome is the gene for amyloid precursor protein found
21
57
what happens when patient put on carbamazapine and ertyhroymcin
carbamazepine levels go up
58
best treatment for atypical depression
MAOIs
59
can people recall dreams in sleep terrors?
no
60
genital related side effect of thioridazine
retrograde ejaculation
61
most common neurological manifestation of neurosarcoidosis
cranial neuropathies (ie. facial nerve palsy)
62
Kleine-Levin syndrome
hypersomnia, apathy/depression, irritability, voracious eating, sexual disinhibition, psychosis, disorientation, memory impaired, incoherent speech starts in teens, ends in 40s