Prite stuvia - Study guides, Class notes & Summaries

26 y.o. w/HA and R-hand clumsiness for weeks. Exam shows difficulty w/rapid alternating movements of hand, overt intention tremor on finger-to-nose, and mildly dysmetric finger tamping. CNS intact and no papilledema. Where will damage show on MRI? - ANSWERCEREBELLUM Mesolimbic DA pathway includes which structure? - ANSWERVENTRAL STRIATUM In addiction, dopaminergic neurons project to nucleus accumbens. Cell bodies of these neurons reside in which area of brain? - ANSWERVENTRAL T...

Q: Factor with most evidence to support its protective effect in the bereavement of a spouse? - ANSWERA: Quality of the social support of the bereaved Q: CNS responses to fear-provoking stimuli are mediated through which structure? - ANSWERA: Central nucleus of the amygdala Q: 28 yo F w/ recent onset of 1-2min episodes of putting clean silverware back in dishwasher while making chewing movements and unable to interrupt. Pt cannot recall them. Most likely diagnosis: - ANSWERA: Complex parti...

What is abulia? - ANSWERLack of will, drive, or initiative for action, speech and thought What is anterior cerebral artery stroke syndrome? - ANSWER- Contralateral leg paresis - Abulia, disinhibition, executive dysfunction *In some cases, akinetic mutism, if bilateral caudate head infarction What is middle cerebral artery stroke syndrome? - ANSWER- Contralateral hemiparesis/sensory loss - Homonymous hemianopia - Dysarthria, aphasia, Alexia, agraphia, acalculia, apraxia *If non-dom...

a lesion to the left anterior lateral temporal lobe would result in the inability to __________ - ANSWERidentify objects What disorder was significantly more prevalent in mothers of patients with anorexia - ANSWEROCD What was Kurt Schneider's contribution to psychiatry - ANSWERknown for his "first rank" symptoms of schizophrenia, including thought insertion and withdrawal, thought broadcasting, 2 voices having a dialogue, delusions of passivity What is kava kava? - ANSWERUsed t...

The impaired physician who fails to obtain or benefit from treatment may require the services of an administrative psychiatrist skilled in performing fitness-for-duty evaluations. In these situations, the administrative psychiatrist: A serves as a patient advocate B has the authority to administer necessary treatment C may assist the physician with professional obligations D is not bound by the usual parameters of confidentiality E may not respond to the physician's questions concerning...

A 27 yo patient is seen for intermittent muscle twitching. Examination demonstrates full strength with normal muscle bulk. An EMG demonstrates spontaneous discharges which are relatively constant and represent firing of the motor unit. These findings are typical of: A. Cramps B. spasms C. myokymia D. fibrillations E. Fasciculations - ANSWERE. Fasciculations A 72 yo patient presents with subacute onset of progressive ataxia of gait and limbs. Laboratory testing reveals the presence of an ...

Which if the following findings on the mental status exam of a psychiatric patient is the strongest predictor of inability to make medical decisions? A. Lack of insight B. Poor judgement C. Suicidal ideation D. Perceptual disturbances E. Abnormal thought content - ANSWERA Pedigree-based approaches are most powerful for identifying what type of gene variant? A. Copy number B. Rare high penetrance C. Simple tandem repeat D. Common low penetrance E. Single nucleotide polymorphism - ANS...

High social economic status parents of a 16 year old who has met normal developmental milestones are worried that their child is using social media and texting to communicate with peers. They found text messages w/ romantic partners and visits to sexual health related websites. What is the most likely consequence of the adolescents reliance on electronic forms of communication? - ANSWERContinued socialization within the current peer group 35 hospitalized w/ concussion following MVC with only ...

A pt reports a fear of driving and experiences feelings of panic, SOB, palpitations, sweating, clamminess when anticipating a drive down a steep road. The pt acknowledges going out of the way to avoid this situation. They deny similar symptoms in other settings. Which is the most likely diagnosis? A Panic disorder B Specific phobia C GAD D PTSD E OCD - ANSWERB Clinical psychiatry Psychopathology & associated conditions Which of the following is a premise of the objects relations theory...

Which of the following acutely inhibits the release of glucocorticoids in the adrenal glands? a. GABA b. Cortisol c. Estrogen d. Serotonin e. Acetylcholine - ANSWERa. GABA A teacher assigns the children in class to solve as many math problems as they can on their own in 20 minute period. Teacher makes a note of each student's progress, divides the class into groups to further work on the problems together, and provides help to each group when members are stuck. This strategy most di...