Pre-Test Questions

Question 1

Nausea and vomiting is d/t activation of _____ receptor sites located ______

Answer 1

Serotonin

Brain stem (AREA POSTREMA)

Question 2

Which drug is worse for pregnant bipolar pts: Lithium or valproate?

Answer 2

Valproate - category X

Question 3

What is the metabolite of serotonin?

Answer 3

5-HIAA

Question 4

Inability to recognize a color despite being able to match it?

Answer 4

Color agnosia

Question 5

What wave has freq of 3.5 to 4 Hz and has the highest amplitude but slowest waves?

Answer 5

Delta

Question 6

What treatment can be added in refractory depression?

Answer 6

Lithium

Question 7

What chemical rises significantly 20 minutes after a grand mal seizure and can be used to r/o non-epileptic seizure?

Answer 7

Prolactin

Question 8

Pt w/PTSD, what meds can be used to specifically treat Hyperarousal?

Answer 8

Clonidine

Beta blocker

Question 9

Perphenazine is know to cause what adverse effect?

Answer 9

Impairment in ejaculation

Question 10

Beneficence refers to what?

Answer 10

Preventing or removing harm and promoting well-being

Question 11

What neurotransmitter is most associated with Alzheimer’s disease?

Answer 11

ACh

Question 12

What medical treatment can be used in small doses for sleep terror disorder?

Answer 12

Diazepam

Question 13

What is described by a very frequent, stereotyped limb movements most often involving the legs in which movements are accompanied by brief arousal and disruption of sleep pattern but the individual is only aware of being CHRONICALLY tired during the day?

Answer 13

Periodic limb movement disorder

Question 14

Facticious disorder is for ____ gain

Malingering?

Answer 14

Primary

Secondary

Question 15

What is bruxism?

It is a SE of what drug?

Answer 15

Teeth grinding

MDMA

Question 16

What is St Johns wort used for?

Ginseng?

Answer 16

Antidepressant, sedatives, anxiolytic

Stimulant, for fatigue, mood elevator, improve immune system

Question 17

What does Tarasoff II say?

Answer 17

Duty to protect potential victims, not just warn them

Question 18

What gene is located on ch. 14 and responsible for Alzheimer’s in pts 40-50?

On ch. 1?

Answer 18

Presenilin 1

Presenilin 2

Question 19

Ritalin is what?

Uncommon but possible SE?

Answer 19

Methylphenidate

Tics

Question 20

Ramelton MC SE?

Cannot use in pts w/what?

Answer 20

HA

Severe sleep apnea, hepatic impairment, or COPD

Question 21

Inability to direct gaze rapidly?

Answer 21

Oculomotor apraxia

Question 22

What personality is characterized by HYPOsexuality, emotional intensity, and viscosity?

Answer 22

TLE

Temporal lobe epilepsy

Question 23

Tumors of what lobe can present w/olfactory changes, hallucinations, mood lability, irritability, intermittent anger, and behavioral dyscontrol?

Answer 23

Temporal lobe

Question 24

2?

What is the MC cause of malpractice claims in psychiatric practice?

Answer 24

Improper tx resulting in physical injury

Suicide/homicide

Question 25

Garlic breath is indicative of what poisoning?

Answer 25

Arsenic

Question 26

What medication can precipitate a hypomanic or manic episode?

Answer 26

Corticosteroids

Question 27

How long does marijuana stay in your system? PCP? Alprazolam?

Answer 27

4 weeks 8 days 3 days

Question 28

Dysfunction in what area causes disinhibition, irritability, lability, euphoria, and lack of remorse?

Answer 28

Orbitofrontal area

Question 29

Intoxication of what drug can cause anxiety disorder? What else can this drug cause?

Answer 29

Cocaine Hallucinations of bugs crawling on the skin with heart symptoms

Question 30

Alcoholic that comes in and cannot move his eyes upward or to the right has what? What is this called?

Answer 30

Wernicke encephalopathy CN 6 palsy

Question 31

What is a shared psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing?

Answer 31

Folie a deux

Question 32

A lesion to what area of the brain causes laughter, euphoria, and making jokes?

Answer 32

Right prefrontal area

Question 33

What causes vertical nystagmus? How to treat pt?

Answer 33

PCP Minimize sensory inputs

Question 34

1st line treatment for Alzheimer’s symptoms?

Answer 34

Donepezil

Question 35

What is Capgras syndrome?

Answer 35

Delusions of doubles

Question 36

Pt that is taking clozapine and starts to develop seizures, what do you do?

Answer 36

Stop clozapine temporarily and begin Phenobarbital

Question 37

What sleep disorder is when the pt is aware of discomfort and has a “need to move” in bed?

Answer 37

Restless leg syndrome

Question 38

Half life of Lithium? When is equilibrium reached?

Answer 38

20 hours 5-7 days

Question 39

What is the preferred treatment for psychotic symptoms in Parkinson’s pts?

Answer 39

Clozapine

Question 40

Triad of inability to direct optically guided movements, inability to direct gaze rapidly, and inability to integrate a visual scene to perceive it as a whole?

Answer 40

Balint syndrome

Question 41

When can an antipsychotic med be stopped if a pt has remained symptom free?

Answer 41

After 3 years of NO symptoms

Question 42

What wave has freq of 13-30 Hz and is the dominant wave in people who have their eyes open?

Answer 42

Beta

Question 43

Lesions to what area lead to deficiencies of planning, monitoring, flexibility, and motivation?

Answer 43

Dorsolateral

Question 44

Failure to acknowledge blindness?

Answer 44

Anton syndrome

Question 45

What are the contraindications of ECT?

Answer 45

``` Inc ICP MI w/in 4 weeks Aneurysm Bleeding disorder Space occupying lesion ```

Question 46

What is marked by fear and avoidance of being alone in public places where rapid exit would be difficult or help would not be available?

Answer 46

Agoraphobia

Question 47

Carbamazepine can cause what SEs? What labs need to be drawn q3months?

Answer 47

``` Aplastic anemia Agranulocytosis Thrombocytopenia Leukopenia Hepatotoxicity ``` SGOT, SGPT, LDP

Question 48

B-amyloid precursor protein is located on what ch.? Contributes to Alzheimer’s when?

Answer 48

21 After age 50

Question 49

What is the false perception of having lost everything including money, status, strength, health and internal organs?

Answer 49

Coward syndrome

Question 50

What is double depression?

Answer 50

MDD in pt w/dysthymic disorder