Name that Brain
Previously pleasant mom becomes profane and irresponsible over 6
months. Most likely a pathology in:
Frontal Lobe
Mental competency of an elderly patient is determined by
Judicial hearing
According to Erikson, a child who strives to be competent by
learning new skills, taking pride in results is which stage? (Also
correlated with the Freudian stage of latency)
Industry vs Inferiority
62 yo requests antidepressant. Spouse died 6 wks ago. Crying spells,
decreased appetite, poor sleep. Continues to see friends, no SI. Fam
Hx of depression, no prior depressive episodes.
Dx: bereavement, no meds necessary
A state of general fatigue, hypersomnolence, and depression may be
seen during a patient’s withdrawal from:
Cocaine
66 yo with HTN develops vertigo, diplopia, nausea, vomiting,
hiccups, L face numbness, nystagmus, hoarseness, ataxia of limbs,
staggering gait, and tendency to fall to the left. Dx?
Lateral Medullary Stroke
Sufficient to establish that a person is incompetent to stand trial
Failure to understand the charges one is facing
Learned helplessness is a model for what disorder
Depression
First line to treat bipolar I depression:
Quetiapine
Use of which substance in adolescence is associated with
development of schizophrenia?
Cannabis
26 yo w/HA and R-hand clumsiness for weeks. Exam shows difficutty
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?
Cerebellum
A lawsuit charges that a psychiatric facility prematurely discharged a
patient who was not approved for further stay by the managed care
company. The final legal responsibility generally falls to who
Psychiatrist
8 yo boy sees 2 bottles with same amount of liquid. The content of
one is poured in shorter wider glass and the other to a longer
narrow glass. When asked which has more liquid he says it’s the
same. According to Piaget he is exhibiting
Conservation
60 yo F with 10 month hx of apathy and depression has hyperchromic
macrocytic anemia. Best test to order next:
Vitamin B12 level
Which drug causes euphoria, a feeling like “flying above the dance
floor,” social withdrawal, nystagmus?
Ketamine
60 yo right-handed M, getting lost, only writes on right half of paper.
Left-sided hemi-neglect. Where is the lesion?
Right parietal lobe
In forensic psychiatry, the term “standard of care” refers to the use
of treatments that are
USED BY AVERAGE REASONABLE PRACTITIONERS
Animistic thinking is characteristic of which of Piaget’s stages of
cognitive development?
Preoperational thought
Insomnia secondary to depression will more consistently affect REM
sleep in which of the following ways?
REDUCED LATENCY TO REM SLEEP
Heavy smoking will likely affect the dosing of which of the following medications?
Clozapine/Olanzapine
Adult neurogenesis happens in which area of the brain?
Hippocampus
75 yo pt with AD started on quetiapine 12.5 mg bid for agitation.
According to Omnibus Budget Reconciliation Act, the MD must
ATTEMPT TO DECREASE OR STOP THE MED DOSE AT LEAST EVERY 3
MONTHS.
3 yo girl hurts self with a tricycle. Then she hit the tricycle and asks,
Why did you hurt me? Which thought process does this behavior
exemplify?
Animism
Pt w/ h/o Depression and well-controlled epilepsy responded to
bupropion after failing on several antidepressants. Pt had not tried
imipramine, nortriptyline, duloxetine, and selegiline. No Sz have
occurred on bupropion 100mg BID. Insurance recommends changing
med due to reduced sz threshold with bupropion. What is an
appropriate response from a psychiatrist?
Continue buproprion
20 yo F comes in with rapid deep breathing after overdose. Reports
tinnitus, vomiting, and nausea. What did she ingest?
Aspirin