Where's the lesion?
Drugs, drugs, drugs
Testing... Testing...
Cradle to Grave
Stats & Studies
I'm fine. It's fine.
100
A right-handed patient ignores food on the left half of the plate and draws all numbers on the right side of a clock.
What is the right parietal lobe?
Right parietal injury produced left hemispatial neglect.
100
Which medication is associated with agranulocytosis and requires ANC monitoring?
What is clozapine?
100
This test is considered most useful to specifically evaluate concept formation, reasoning, and executive functioning.
What is the Wisconsin Card Sorting Test?
100
This is the age that the developing brain has its highest number of neuronal synapses?
What is 2 years old?
100
A screening test correctly identifies 90 of 100 people who truly have a disorder. What property of the test is being described?
What is sensitivity?
measures the proportion of positives that are correctly identified as such
100
This defense mechanism is at play when a medical student blames their bad performance on an attending not liking him.
What is rationalization?
using rational explanations to justify an unacceptable behavior or belief
200
A patient develops vertigo, diplopia, hoarseness, ipsilateral facial numbness, limb ataxia, nystagmus, and a tendency to fall toward the affected side. What syndrome is most likely?
What is lateral medullary (Wallenberg) syndrome?
200
This medication would help a patient who develops severe inner restlessness and an inability to sit still after starting an antipsychotic.
What is propranolol?
200
This psychological test measures test-taking attitudes during the exam.
What is the MMPI (Minnesota Multiphasic Personality Inventory) validity scale?
200
In this stage of Piaget's theory of cognitive development, children first understand conservation of volume.
What is concrete operational?
200
A study reports an odds ratio of 2.0 with a 95% confidence interval of 0.8-4.6. Is the association
statistically significant at the 0.05 level?
No.
Confidence interval containing 1 means you accept the null.
200
This defense mechanism is at play when a young man recounts how his father kicked his puppy to death but has no emotion when telling his therapist this.
What is isolation of affect?
300
A patient has fluent speech and intact comprehension but cannot repeat phrases. What white-matter tract is classically implicated?
What is the arcuate fasciculus?
300
This should be immediately suspected when a patient taking an antipsychotic develops fever and severe, generalized rigidity.
What is neuroleptic malignant syndrome?
300
This test assesses the ability to attend to a task while inhibiting interfering stimuli.
What is the Stroop Color and Word Test?
300
An 18y/o began psychotherapy due to feelings of inadequacy and depression in the context of working in a coffee shop since graduation from high school and deferring their college acceptance. He has been having conflicts with his parents over his ambivalence in attending college. According to Erikson, he is in this developmental stage.
What is identity vs role confusion?
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300
Treatment reduces an adverse outcome from 20% in controls to 10% in the treatment group. What is the number needed to treat?
What is 10?
300
This defense mechanism is at play when someone with murderous impulses toward a neighbor gives the neighbor a bouquet of flowers.
What is reaction formation?
unacceptable impulse/emotion is converted to an acceptable impulse
400
After a head injury, a previously responsible patient becomes impulsive, tactless, euphoric, and socially disinhibited while memory and general intelligence remain intact. What region is most likely damaged?
What is the orbitofrontal cortex?
400
This lab test should be ordered when a patient taking clozapine develops dyspnea, orthostatic hypotension, tachycardia, eosinophilia, and
nonspecific T-wave changes shortly after treatment begins.
What is troponin?
400
This neuropsychological test examines both visuospatial and executive functions.
What is clock drawing?
400
A female child performs a dance for her mother and basks in the gleam of her mother's eyes. According to self-psychology, the child is having this experience.
What is mirroring?
Heinz Kohut.
Caregiver reflects back to the child that they are seen/valued/special.
400
This type of error occurs when you fail to reject the null.
What is a type II beta error?
Type I alpha error: occurs when we incorrectly reject the null hypothesis when it is actually true
Type II beta error: occurs when we accept the null hypothesis (or fail to reject it) when it is actually false
400
DAILY DOUBLE!
This defense mechanism is at play when a person channels their distress from a breakup into kickboxing.
500
A patient suddenly develops weakness of the right leg much greater than the right arm, with no facial weakness. Speech is intact, but the patient is strikingly quiet and abulic. Which vascular territory is affected?
What is the left anterior cerebral artery?
500
DAILY DOUBLE!
A patient stable on clozapine resumes heavy cigarette smoking after discharge and soon develops recurrent psychotic symptoms despite adherence. What best explains the relapse?
500
This psychological test determines neuropsychological impairment.
What is the Halstead-Reitan battery?
500
A recently retired woman with recent life transitions has regrets about her job and her daughter. She wants a meaningful last few decades. She is in this developmental stage according to Erikson.
Integrity vs Despair
Accepting responsibility for one's own life, holding onto integrity, and a “detached yet active concern with life.”
Virtue: wisdom
Pathology: failing to attain integrity leads to becoming deeply disgusted with the external world and contemptuous of persons and institutions. Disgusts masks the fear of death and a sense of despair that “time is now too short for the attempt to start another life and try out alternate routes to integrity.”
500
A new diagnostic test is evaluated only in patients from a tertiary referral clinic where disease prevalence is much higher than in routine practice. This commonly reported test characteristic is especially likely to
change when the test is used in the general population.
What is positive predictive value?
PPV: the proportion of positive test results that are true positives. PPV varies with the prevalence of the disease in the population the test is being used on.
NPV: the proportion of negative test results that are true negatives
500
A sports fan is furious with a spectator for interfering with a play that could have won the game. He criticizes the spectator on social media.
What is displacement?
shift emotion from one object to another