Psychopathology
Patient Evaluation and Treatment Selection
ASAP / Misc Fellowships
Global Neurology
PCLS / General Psychology
100
A profound breakdown in both the logical connection between ideas and the overall sense of goal-directedness of speech is referred to as this.
What is derailment? (2008,1,6)
100
Which of the following TCAs has the most potent antihistaminic effect? Doxepin; Imipramine; Clomipramine; Nortriptyline; Amitriptyline
What is Doxepin? (2008,1,7)
100
Which of the following substances is most likely to cause a patient to develop persistent dementia with long-term use? Inhalants; Opiods; Phencyclidine; Hallucinogens; Amphetamines
What are Inhalants? (2008,1,61)
100
Which of the following would be seen in electrophysiologic testing of patients with myasthenia gravis? Conduction Block; Delayed F-Responses; Increased Motor Latencies; Slow Nerve Conduction Velocities; Decremental Response to repetitive stimulation
What is Decremental response to repetitive stimulation? (2008,1,3)
100
As part of a comprehensive pain management team for a patient with a history of narcotic abuse; a consulting psychiatrist may appropriately be asked to do which of the following? Document manipulative / drug-seeking behavior; Administer / interpret comprehensive neuro-psych testing; Recommend and manage pharmacological alternatives to narcotic analgesia; Reassure the patient that the patient's pain is not being under treated; Resolve conflicts between the patient and the treatment team?
Resolve conflicts between the patient and the treatment team. (2008,1,27)
200
Which of the following is a positive prognostic predictor of overall outcome for children with autism? Communicative speech by age 5; Absence of self-stimulatory behaviors; Appropriate eye contact by the child; Early initiation of PT / OT; Participation in applied behavioral analysis therapy
What is speech by age 5? (2008,1,12)
200
A 28 y/o F in otherwise good health has trigeminal neuralgia, for which she has been treated with oxcarbazepine. The patient tells her physician that she wishes to begin oral contraception. What should the physician should advised the patient about possible drug-drug interactions?
Oxcarbazepine may decrease the effectiveness of the contraceptive. (2008,1,8)
200
This type of model for addition treatment emphasizes the role of ambivalence in the process of change.
What is motivational enhancement therapy (MET)? (2008,1,75)
200
Atrophy of this area on MRI would most specifically indicate Huntington's Dz.
What is the Head of the Caudate?
200
A researcher develops a new questionnaire on the subject of traumatic stress. Asking trauma experts to evaluate its relevance and completeness would measure the tests...
What is content validity? (2008,1,42)
300
This is the most likely diagnosis for the following presentation: A patient presents with chapped and reddened hands. Upon questioning, the patient admits to washing the hands many times a day because, "I work in a hospital cafeteria and am intensely afraid of contracting a flesh-eating bacterial infection."
What is Specific Phobia? (2008,1,17) NO CREDIT FOR HYPOCONDRIASIS.
300
This anticonvulsant medication is associated with the development of kidney stones.
What is Topiramate? (2008,1,54)
300
Lesions in this brain structure results in superior homonymous quadrantic defects in the visual fields.
What is Temporal Optic Radiation? (2008,1,108)
300
Patients with intermittent sustained muscle contraction that is most evident with sustained posture are most likely to have which of the following disorders? Rubral tremor; Essential Tremor; Cerebrellar Dysfunction; Metabolic Encephalopathy; Upper Motor Neuron Weakness
What is Metabolic Encephalopathy? (2008,1,39)
300
This has been shown to be the most powerful predictor of falling in older adults.
What is the use of sedative medications? (2008,1,74)
400
Secure attachment in an infant is associated with which of the following outcomes? Easy temperament in childhood; Emotional and social competence; Higher intellectual ability in adolescence; Educational success through childhood and adolescence; Physical coordination and later athletic ability
What is Emotional and Social Competence? (2008, 1, 25)
400
The side effect of sendation and weight gain are associated with mirtazepine's antagonism of this receptor.
What is H1? (2008,1,60)
400
The subjective effect of an increased feeling of "connectedness to others" is the basis of appeal of this illicit drug.
What is Methylenedioxymethamphetamine (MDMA)? (2008,1,111)
400
A 65 y/o pt has a stroke which causes him to fall. On examination, the pt is found to have weakness of the right leg, with only minor weakness of the right had, and no weakness of the face. There is no sensory deficit. Speech is not affected, but the patient seems unusually quite and passive. The stroke is most likely involves what artery?
What is the left anterior cerebral artery? (2008,1,41)
400
A patient with depression recounts to the psychiatrist events of the last week and describes many unpleasant experiences, concerns about the sadness of some friends, and a reluctance to read the newspaper because "all the news is bad." In cognitive psychology, which of the following formulations best accounts for this patient's presentation? Catastrophizing; Information overload; Learned helplessness; Selective Attention Bias; Automatic Negative Thoughts
What is Selective Attention Bias? (2008,1,120)
500
Patients who complain of having lost not only possessions, status and strength but also heart, blood, and intestines suffer from this syndrome.
What is Cotard Syndrome? (2008,1,48)
500
Which of the following substances usually decreases serum benzo levels? Li; Carbamazepine; Cimetidine; Erythromycin
What is Carbamazepine? (2008,1,141)
500
This is the likely causative organisim: A 52 y/o pt with ETOH dependence presents with several days of severe HA, nausea, and low grade fever. Physical examination reveals mild disorientation, nucal regidity and mild spasticity in LE. A head CT is unrevealing, and a spinal tap reveals 54 mm3 leukocytes (mostly lymphocytes), a glucose of 45 mg/dL, protein 43 mg/dL, and presence of occasional gram-positive spherical cells.
What is Cryptococcus Neoformans? (2008,1,116)
500
The derivative from this vitamin is a necessary cofactor for the function of the enzyme glutamic acid decarboxylase.
What is pyridoxine? (2008,1,55)
500
Which of the following medical conditions is most likely to include psychosis in the symptom complex? Hypoparathyroidism; Pheochromocytoma; MS; SLE
What is SLE? (2008,1,137)
M
e
n
u