Acute Psych
The part of the mental status exam characterized by person, place, and time
What is orientation?
Restlessness, irritability, and difficulty concentrating for 6 months are common symptoms in this disorder that causes clinically significant impairment in many important areas of functioning
What is generalized anxiety disorder?
This is considered the "gold" standard of bipolar treatment, but don't be fooled by its nickname as this element has an abbreviation of Li rather than Au
What is lithium?
A diagnosis of major depressive disorder must include 5 or more symptoms for two weeks, with one of the symptoms being either depressed mood or this word for loss of interest/pleasure
What is anhedonia?
Tight junctions, basement membrane, pericytes, and astrocyte foot processes are the components of this structure which blocks most substances in the blood from entering the CNS and CSF
What is the blood brain barrier?
This is used as the initial treatment of an altered mental status associated with alcoholism, even before the lab results come in
What is IV thiamine (vitamin B1)?
These medications are used in the short term treatment of anxiety rather than long term due to tolerance and dependance issues
What are benzodiazepines?
Decreased need for sleep, pressured speech, and grandiosity lasting 1 week would constitute this type of episode, which is used in the classification of bipolar 1 disorder
What is manic?
Low self-esteem and fatigue lasting 2 years would qualify as this type of depression that often is described as "present my whole life"
What is persistent depressive disorder?
CSF travels from the lateral ventricles to the third ventricle through this foramina, which shares a name with the 5th president of the United States
What is the interventricular foramina of Monro?
Damage to the past memories stored in the cerebral cortices and hippocampus leads to this form of memory loss
What is retrograde?
A person with agoraphobia may have anxiety about finding themself in this situation, which is also the title of the 1990 hit Christmas movie starring Macaulay Culkin.
What is home alone?
Carbamazepine, which has a black box warning for rash and aplastic anemia, blocks these channels as its mechanism of action
What is sodium?
A patient who takes pride in being a "freak in the bed" and is interested in smoking cessation should be prescribed this medication if they are diagnosed with depression
What is Wellbutrin (bupropion)?
A patient who recently suffered from a head trauma was diagnosed with non-communicating hydrocephalus due to an obstruction at this structure, which drains CSF from the third ventricle into the fourth ventricle
What is the cerebral aqueduct?
The hippocampus and the medial part of this lobe leads to short-term storage and consolidation of declarative memory
What is temporal?
A patient presenting with Stevens-Johnson syndrome might have been prescribed too much of this anticonvulsant
What is lamotrigine?
A 2-year toxic relationship might predispose someone to this disorder characterized by hypomania episodes along with non-MDD periods of depression
What is cyclothymia?
Mirtazapine (remeron) is a drug in this class, and would be indicated in someone pursuing their PhD in astrophysics who presented with depressed mood, anxiety, trouble sleeping, and decreased appetite
What are noradrenergic and specific serotonergic antidepressants (NaSSA)?
Found inferior to the body of the caudate nucleus and lateral to the internal capsule, this bundle of gray matter contains the putamen, globus pallidus internus, and globus pallidus externus
What is the lentiform nucleus?
This type of function is the orderly control of thought processes to solve a task, it is also a branch of the United States government
What is executive?
Norepinephrine causes smooth muscle contraction when it binds to this receptor of the Gq type
What is alpha-1?
A patient with bipolar disorder who also has significant sleep disturbances would benefit from this medication
What is quetiapine?
A patient presenting with delirium, hyperthermia, and this sign characterized by involuntary rhythmic muscle contractions can lead to the diagnosis of serotonin syndrome rather than NMS, which presents with "lead pipe" rigidity of the muscles
What is clonus?
A person not eating the food on the left side of their plate or bumping into objects on their left side would indicate that they previously had a major stroke in this artery that supplies the lateral parietal lobe
What is the right middle cerebral artery?