NeuroPsych

Question 1

Neurotransmitter changes in anxiety

Answer 1

H norepi
L serotonin
L GABA

Question 2

Neurotransmitter changes in depression

Answer 2

L serotonin
L norepi
L dopamine

Question 3

Neurotransmitter changes in Huntington disease

Answer 3

H dopamine
L acetylcholine
L GABA

Question 4

Neurotransmitter changes in Parkinson disease

Answer 4

H acetylcholine
L serotonin
L dopamine

Question 5

Neurotransmitter change in Alzheimer

Answer 5

L acetylcholine

Question 6

synthesis of norepinephrine

Answer 6

locus ceruleus

Question 7

synthesis of dopamine

Answer 7

substancia nigra pars compacta

ventral tegmentum

Question 8

synthesis of serotonin

Answer 8

raphe nucleus

Question 9

synthesis of acetylcholine

Answer 9

basal nucleus of Meynert

Question 10

synthesis of GABA

Answer 10

nucleus accumbens

Question 11

Hypothalamic nucleus affected in Kallman syndrome

Answer 11

Preoptic nucleus

release of GnRH

Question 12

TRAPS of Parkinson disease

Answer 12

Tremors at rest
Rigidity (cogwheel)
Akinesia / bradykinesia
Postural instability
Shuffling gait

Question 13

EOM during REM sleep is due to

Answer 13

PPRF (paramedian pontine reticular formation) / conjugate gaze center

Question 14

hyperorality
hypersexuality
disinhibited behavior

Answer 14

Kluver - Bucy syndrome

Question 15

Gerstmann syndrome results from a lesion in

Answer 15

dominant parieto temporal cortex

Question 16

s/sx of Wernicke encephalopathy

Answer 16

CAN

Confusion
Ataxia
Nystagmus

Question 17

hemiballismus results from a lesion in

Answer 17

contralateral subthalamic nucleus

(lacunar stroke)

Question 18

lesion at the amygdala (bilateral) results in

Answer 18

Kluver - bucy syndrome

Question 19

lesion at the hippocampus (bilateral) results in

Answer 19

anterograde amnesia

inability to create new memories

Question 20

common iatrogenic cause of central pontine myelinolysis

Answer 20

overly rapid correction of hyponatremia

Question 21

bilateral occlusion of ACA can result in

Answer 21

behavioral change (abulia)
urinary incontinence

Question 22

artery involved in medial medullary syndrome

Answer 22

anterior spinal artery

and vertebral artery

Question 23

artery involved in wallenberg syndrome

Answer 23

PICA

especially affecting the nucleus ambiguus

Question 24

locked - in syndrome results from a stroke in

Answer 24

basilar artery

Question 25

lateral pontine syndrome results from a stroke in

Answer 25

AICA

Question 26

PCOM aneurysm results in

Answer 26

CN III palsy - eyes down and out - ptosis - mydriasis

Question 27

risk of vasospasm in SAH occurs in

Answer 27

2-3 days

Question 28

appearance of stroke in MRI and CR

Answer 28

MRI: bright in 3-30 mins (DWI) CT: dark in 12-24 hours (noncontrast)

Question 29

aspects of cognition

Answer 29

memory attention judgment language

Question 30

s/sx of manic episode

Answer 30

“manics DIG FAST” ``` Distractibility Irresponsibility Grandiosity Flight of ideas Activity increased Sleep less Talkativeness ```

Question 31

s/sx of MDD

Answer 31

“SIG E CAPS” ``` Sleep disturbance Interest loss / anhedonia Guilt / worthlessness Energy loss and fatigue Concentration problems Appetite / wt changes Psychomotor retardation / agitation Suicida ideations ``` Depressed mood

Question 32

the disturbance of PTSD lasts

Answer 32

> 1 month

Question 33

major defense mechanism of paranoid personality disorder

Answer 33

projection

Question 34

major defense mechanism of borderline personality disorder

Answer 34

splitting

Question 35

cluster A personality disorders

Answer 35

“weird” paranoid schizoid schizotypal

Question 36

cluster B personality disorders

Answer 36

“wild” antisocial borderline histrionic narcissistic

Question 37

cluster C personality disorders

Answer 37

“worried” avoidant OCPD dependent

Question 38

ECG waveform with highest frequency and lowest amplitude

Answer 38

Beta

Question 39

stage of sleep where night terrors usually occur

Answer 39

N3 | slow wave sleep

Question 40

evolution of EPS side effects

Answer 40

“ADAPT” 4h - acute dystonia 4d - akithesia 4w - parkinsonism 4mo - tardive dyskinesia

Question 41

neuroleptic malignant syndrome s/sx

Answer 41

“FEVER” ``` Fever Encephalopathy VS unstable Enzymes high (myoglobinuria) Rigidity of muscles ```