Gut Reaction

ANXIETY

100

Name five medical conditions which can present with anxiety:

Hypoglycaemia, Cerebral trauma, Febrile illness, Chronic infection, Migraine, Premenstrual Syndrome, Epilepsy, Withdrawal from alcohol/other substances, Thyroid dysfunction, Pituitary dysfunction, B12/B3 Deficiency

200

What are common symptoms of anxiety in younger patients?

nausea, vomiting, abdominal pain and diarrhoea

300

Name five common symptoms associated with anxiety

Diarrhoea, Dizziness, lightheadedness, Hyperhidrosis (excess sweating), Hyperreflexia (twitching), Hypertension, Palpitations, Pupillary mydriasis, Restlessness (eg. pacing), Syncope (fainting), Tachycardia, Tingling in the extremities, Tremors, Upset stomach (“butterflies”), Urinary frequency/hesitancy/urgency

400

5-HT/Seratonin receptors are associated with which two areas of the brain?

Cortex and amygdala

500

Anxiety can produce confusion and cognitive inflexibility, which can impair_______, ______, ______

concentration, new learning, recall

Ethics & DSM

100

Name 1 of the 8 DSM-5 principal categories of Anxiety Disorder

Separation Anxiety Disorder, Selective Mutism, Phobic Disorders, SOcial Phobia, Panic Disorder, Generalized Anxiety Disorder, Subsance/Medication Induced Anxiety, Anxiety due to Medical Condition

200

At what age can a child get their own medicare card?

15

300

What are the two speheres of autonomy?

Occurent - technical competence and life goals, Dispositional - life experience

400

The court acting in best interests of the child against the parents wishes is called what?
a) guardan prova

b) Competa pueri

c) liberas adduxera

d) parens patriae

d) parens patriae

500

DSM-5 defines Depressive Disorder with Anxious Distress as fulfilling at least 2 of 5 symptoms. The 5 symptoms are:

Feeling keyed up or tense. Feeling unusually restless. Difficulty concentrating because of worry. Fear of something awful may happen. Feeling might lose control of self

Erikson's Stages

100

What is the Psycho Social Crisis of the 65-death stage?

Ego Integrity vs. Despair. E.G. Reflection on Life

200

What is the Psycho Social Crisis of the 2-4yrs stage?

Autonomy vs. Shame and Doubt. E.G. Toilet Training, Clothing Themselves

300

What is the basic lessons of The first stage Erikson development?

Basic Trust vs Mistrust

400

How many stages are there on the Eirkson development scale?

8

500

What age range is young adulthood according to Erikson?

18-40 yrs

Pharmacology

100

In terms of memory loss, what is the difference between barbiturates and benzodiazepines?

Barbiturates cause retrograde, BZD cause anterograde memory loss

200

Alcohol, barbiturates and BZDs all act on what receptor in the brain, and what do they do?

GABA receptors, they allow chloride ions to pass through

300

what other therapy can be used with these medications to reduce a patients anxiety symptoms?

cognitive behaviour therapy

400

name 4 types of antidepressants that can be used in anxiety disorders

serotonin reuptake inhibitors, serotonin-norepinenephrine inhibitors, tricyclic antidepressants and monoamine oxidase inhibitors

500

what are the oldest class of anti depressants and what are its two types?

Monoamine oxidase inhibitors and the two types are reversible and irreversible

Clinical Coaching

100

Name 3 medications that may have neurological side effects (cause neurological symptoms) or adverse reactions

Antihypertensives, Anticoagulants, OCP (oral contraceptive pill), Anticonvulsants,Adrenergic Agonisists, Benzodiazepines

200

What are the 3 pathologies that can be revealed by the test for positional drift & what is the drift that would be observed with each?

1)Weakness (UMN or LMN) – affected limb would drift downwards & pronate(pronate b/c less effort needed to hold wrists pronated then supinated)

2) Cerebellar lesions – affected limb would drift upwards & pronate

3) Proprioceptive deficits – affected limb would display “searching” mvts (b/c pt can’t tell where the limb is in space)

300

What specific neurological observations are made when examining the lower limbs with the patient standing (before getting on the bed)?

Gait, Distal limb muscle strength, Balance, Proximal muscle strength (proximal myopathy)

400

Name 3 red flag symptoms associated with a headache

LOC, drowsiness, abrupt onset, history HI(head injury), loss of vision, tender temporal area, neck stiffness, symptoms of raised ICP(intracranial pressure)-vomiting/worse in the morning or with coughing, fever, sweats, wt loss, rash, history ca (breast/lung/melanoma)

500

The Occulomotor N(CN III) supplies

1) Levator Palpalbrae Superioris M 2) Constrictor Pupillae Ms 3) 4 of the extra-ocular Ms – Sup & Inf Rectus, Med Rectus & Inf Oblique 4) Carries the motor sympathetic fibres to lev palp sup (which have ascended into the cranium from the upper Tx sympathetic chain & exited with CN III)