Somatic Treatments
Management and Treatment
Neurology
More Neurology!
Interns Only
100
ECT is not indicated in which of the following disorders? A. Schizophrenia B. Major Depressive Disorder C. Bipolar Mania D. Personality Disorders E. Parkinsonism
D. Personality Disorders
100
Which of the following is contraindicated in renal failure? A. Pramipexole (Mirapex); B. Ropinirole (Requip); C. Carbidopa-Levodopa (Sinemet); D. Entacapone (Comtan); E. Bromcriptine (Parlodel)
A. Pramipexole (Mirapex)
100
Pituitary adenomas most commonly secrete which of the following? A. prolactin; B. growth hormone; C. adrenocorticotropin hormone; D. follicle stimulating hormone; E. luteinizing hormone
A. prolactin
100
All of the following are commonly associated with normal pressure hydrocephalus except A. dementia; B. psychomotor retardation; C. urinary incontinence; D. gait apraxia; E. visual hallucinations
E. visual hallucinations
100
Which of the following is an X-linked muscular dystrophy? A. Duchenne; B. Limb girdle; C. Facioscapulo-humeral; D. Myotonia congenita; E. Myotonic dystrophy
A. Duchenne
200
Which of the following is NOT TRUE about phototherapy of depression? A. Thirty minutes is the appropriate duration of exposure for intensity of 10,000 lux. B. Mood switch to hypomania is a potential risk. C. It is effective as adjunctive treatment for non-seasonal depression. D. Seizures are not a known adverse effect. E. Use with St. John�s wort preparations is not recommended.
C. It is effective as adjunctive treatment for non-seasonal depression.
200
Which antidepressant is contraindicated with Tizanidine (Zanaflex)? A. Fluvoxamine; B. Fluoxetine; C. Sertraline; D. Paroxetine; E. Citalopram
A. Fluvoxamine
200
In what stage of sleep do nightmares typically occur? A. Stage 1; B. Stage 2; C. Stage 3; D. Stage 4; E. REM
E. REM
200
Which of the following senses is involved in Anton's Syndrome? A. hearing; B. smell; C. vision; D. taste; E. touch
C. vision
200
Which of the following has been linked to a deficiency of a single enzyme? A. Sturge-Weber Syndrome ; B. Tuberous Sclerosis; C. Phenylketonuria; D. Turner's Syndrome
C. Phenylketonuria
300
Transcranial magnetic stimulation: A. Has not been shown to be an effective treatment for major depression; B. Has been shown to be an effective treatment for major depression but is not yet approved by the FDA for treating major depression; C. Has been approved by the FDA as an alternative to ECT for treatment of major depression but, unlike ECT, does not require a generalized seizure to produce its therapeutic effect; D. Is believed to produce its therapeutic effects by inducing a generalized seizure; E. Requires the concurrent use of general anesthesia
A. Has not been shown to be an effective treatment for major depression
300
What is the mechanism of action of sumatriptan (Imitrex)? A. 5HT-1D agonist; B. 5HT-2 antagonist; C. Serotonin reuptake inhibition; D. Serotonin synthesis stimulation; E. Dopamine reuptake inhibition
A. 5HT-1D agonist
300
Lambert-Eaton Syndrome is closely associated with which of the following? A. glioblastoma multiforme; B. non-Hodgkins lymphoma; C. small cell carcinoma of the lung; D. Duchenne's muscular dystrophy; E. melanoma
C. small cell carcinoma of the lung
300
Which of the following is at highest risk for suicide? A. Female Catholic; B. White single male; C. Married white female; D. Middle aged individual in stable relationship; E. Elderly widowed male
E. Elderly widowed male
400
Phototherapy for major depression: A. Is associated with suppression of a.m. cortisol; B. Is associated with suppression of melatonin; C. Is associated with an increased occurrence of ocular cataracts ; D. Should not be combined with a tricyclic antidepressant; E. Is contraindicated in the first trimester of pregnancy
B. Is associated with suppression of melatonin
400
Which of the following does not principally act on the GABAergic system? A. Gabapentin (Neurontin); B. Tiagabine (Gabatril); C. Lorazepam (Ativan); D. Phenobarbital; E. Divalproex (Depakote)
Gabapentin (Neurontin)
400
Stroke affecting which of the following brain regions is the most common cause of hemispatial neglect? A. nondominant parietal lobe; B. dominant parietal lobe; C. nondominant temporal lobe; D. dominant temporal lobe; E. dominant frontal lobe
A. nondominant parietal lobe
400
Which of the following neurotransmitters is involved with cell death after a stroke? A. serotonin; B. dopamine; C. norepinephrine; D. glutamate; E. GABA
D. glutamate
400
Use of which one the following medications is most likely to cause gingival hypertrophy? A. Fosphenytoin; B. Tiagabine; C. Valproic Acid; D. Carbamazepine; E. Phenytoin
E. Phenytoin
500
Which of the following is the most common adverse event (AE)reported during Vagus Nerve Stimulation (VNS) therapy? A. Voice alteration; B. Increased cough; C. Neck pain; D. Dysphagia; E. Migraine headache
A. Voice alteration
500
A patient with epilepsy is awaiting liver transplant. Which of the following medications would be the least likely to cause any difficulty with hepatic metabolism? A. Phenytoin; B. Carbamazepine; C. Valproic Acid ; D. Phenobarbital; E. Gabapentin
Gabapentin
500
All of the following are true of pseudobulbar palsy except: A. Emotional incontinence is a hallmark feature; B. Symptoms include dysarthria and dysphagia; C. Is characterized by docility, hyperphagia, hyersexuality, and memory loss; D. May be associated with multiple sclerosis, infarct, or Binswanger's disease
C. Is characterized by docility, hyperphagia, hyersexuality, and memory loss
500
Which of the following has a characeristic "elfin" facial appearance? A. Prader-Willi Syndrome; B. Angelman's Syndrome; C. Down's Syndrome; D. Williams Syndrome; E. Rett's Syndrome
D. Williams Syndrome
500
Which of the following is a sign of an upper motor lesion? A. decreased muscle tone; B. normal muscle bulk; C. fasciculations ; D. absent deep tendon reflexes; E. downgoing Babinski
D. absent deep tendon reflexes
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