Neurology
Substance Abuse
Child Psychiatry
Psychopharmacology
Wild Card
100
Phineas Gage, who had an iron bar shot through his skull in an explosion in 1949 and subsequently showed profound changes in behavior is still of interest today because of its implications for? a)survival after TBI b)traumatic etiology of seizure disorders c)human pathology of Kluver bucy syndrome d) frontal lobe influence on personality and character e)the ways in which parts of the brain can adapt and assume functions of other parts that have been damaged
What is d) frobntal lobe influence on personality and character
100
Among cocaine, cannabis, mescaline, lorazepam, and an opioid, withdrawal from this substance is likely the diagnosis when a nurse presents to the ED with a 24-hour history of extreme anxiety, insomnia, nightmares and tremor, and then has a generalized tonic-clonic seizure during the psychiatric interview.
What is lorazepam?
100
Among aggressiveness, gaze aversion, prosodic modualtion, gestural communication and pragmatic communication, which is most likely to improve with pharmacological treatment in a patient with autism spectrum disorder?
What is aggressiveness?
100
Among adding Trihexyphenidyl 1 mg po BID, giving Lorazepam 1 mg IV now, giving benztropine 1 mg IV now, increasing Haloperidol to 10 mg po BID and giving diphenhydramine 25 mg po now, this intervention is most appropriate in a patient with a history of schizophrenia being treated with Haldol 5 mg BID who presents in the ED complaining of being unable to see and is found to be writhing , moaning, in distress and unable to stop looking up.
What is giving benztropine 1 mg IV now?
100
A set of feelings that a patient reenacts in the therapeutic relationship is referred to as: a) transference b) resistance c) rediscovery of trauma d) projective identification e) rapprochement
What is a) transference
200
Among cluster headaches, trigeminal neuralgia, sphenoid sinusitis, pineal gland cyst and substance abuse, this is the most likely diagnosis ina 24 year old male with nocturnal headaches with rhinorrhea, blocking of one nostril, tearing of the ipsilateral eye and swelling of the ipsilateral face lasting 45 minutes to an hour.
What is cluster headaches?
200
Among 6 months, 1 year, 18 months, 2 years and 3 years, this is the amount of time a patient must have been dependent on opioids to meet federal eligibility requirements for maintenance treatment with methadone.
What is 1 year?
200
Among toddlerhood, early childhood, late childhood, adolescence and adulthood, this developmental stage is the first period when an individual shows the capacity to set reasonable goals for one's self and to accept one's imperfections and other limitations.
What adolescence?
200
Among alprazolam, buspirone, chlorpromazine, prazosin and bupropion, this medication is most likely to relieve nightmares related to PTSD in combat veterans.
What is Prazosin?
200
Among confronting, observing, interpreting, clarifying and advising, this therapist intervention is considered to be the most supportive on the expressive-supportive spectrum.
What is advising?
300
Among dermatomyositis, myotonic dystrophy, desmin myopathy, inclusion body myositis and limb-girdle muscular dystrophy, this is the most likely diagnosis for a 65 year old male with insidious onset of weakness when rising from low chairs and using stairs and decreased strength in his right hand who is found on exam to have bilateral weakness of the quadriceps, weakness on opposition of the right thumb, atrophy in the forearm muscles and normal deep tendon reflexes and sensory exam. He has an ormal CK and absent anti-transfer RNA synthase antibodies (Jo1).
What is inclusion body myositis?
300
Among vitamin B1, B6, B12, C or E, high doses of this vitamin could have prevented the development of confusion, ataxia, nystagums and opthalmoplegia in a patient with alcohol dependence?
What is Vitamin B1?
300
Among social phobia, specific phobia, panic disorder, GAD and OCD, this disorder has been found to have childhood sexual and physical abuse as a risk factor.
What Panic disorder?
300
Among decreasing tonic inhibitory control by dopamine, competivie inhibition of prolactin, binding to and blocking prolactin receptors, stimulating hypophyseal prolactin production and stimulating production of prolactin precursors, this is the mechanism by which antipsychotic drugs elevate prolactin.
What is decreasing tonic inhibitory control by dopamine?
300
Among VNS, ECT, TCAs, MAOIs and rTMS, this treatment is mostly likely to result in remission in a patient with Major Depressive Disorder who has not improved after 4 weeks of sertraline 200 mg daily followed by Duloxetine 90 mg daily for 6 weeks and most recently Phenelzine 90 mg daily for 4 weeks and has begun updating his will due to his increasing frustration.
What is ECT?
400
Among stroke, dementia, tabes dorsalis, optic nerve atrophy, deafness and vestibulopathy, this is the most frequent manifestaion of acute neurosyphilis
What is stroke?
400
Among nalbuphine, nandrolone, methylene chloride, gamma hydroxybutyrate and dextromethorphan hydrobromide, increasing episodic secretion of this growth hormone increases muscle mass.
What is gamma hydryoxybutyrate?
400
Among normal grief, pathological denial, reaction formation, separation anxiety disorder and PTSD, this is most likely represented when a 5-year-old child, who experienced the sudden death of his mother in a motor vehicle collision, several months later reports knowing that his mother is “watching me from the sky every day.”
What is normal grief?
400
Among akathisia, parkinsonism, weight gain, acute dystonia and tardive dyskinesia, this side effect of antispychotics can be effectively treated with amantadine.
What is parkinsonism?
400
Among the t test, survival, odds ratio, relative risk or regression analysis, this statistical measure could be used to determine how two independent variables in a study, such as depression and alcohol dependence, affect the frequency of the occurence event, such as suicide.
What is regression analysis?
500
Among Gabapentin, Vigabatrin, Pheyntoin, Valproate and Carbamazepine, this medication is an adequate initial treatment of absence seizures in children.
What is Valproate?
500
Among alcohol, butalbital, meperidine, oxazepam and fentanyl, this substance could cause a drug addicted healthcare professional to experience a seizure that is not a withdrawal phenomenon.
What is meperidine?
500
Among phenylketonuria, hyperphenylalaninemia, congenital hypothyroidism, maple syrup urine disease and Tay-Sachs disease, this metabolic disease is most likely to manifest in the neonatal period.
What is maple syrup urine disease?
500
Among Lorazepam, Propranolol, Benztropine, Amantadine and Bromocriptine, this agent is the most appropriate treatment (in addition to intubation) for a 25-year-old patient with psychosis who receives haloperidol and develops an acute onset of laryngospasm.
What is Benzotropine?
500
Among hoarding, counting, aggression, contamination and the need for symmetry, this is the most common pattern of obsessions in patients with obsessive-compulsive disorder.
What is contamination?
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