Bloody Blows
Mental Maladies
Amazing Anatomy
Phantastic Pharmacology
Mysterious Misc.
100
A pt presented to the ER with an inability to communicate and total body paralysis, except for vertical eye movements. This is the artery that is affected and the name of this disorder.
What is basilar artery and locked-in syndrome?
100
A pt presents to the Emergency Room with decreased cognitive processing and reduced memory. Upon hx taking with their spouse, you find that this has been occurring for more than a year. An MMSE test was given and the pt scored a 19. On MRI imaging you find increased brain atrophy. This is the most likely diagnosis.
What is Alzheimer's Disease?
100
This is the only CN that doesn't relay through the thalamus on its way to the cortex.
What is CN I?
100
This is the difference between SSRIs and SNRIs.
What is reuptake inhibition of norepinephrine in addition to serotonin?
100
This individual would belong to which personality disorder cluster.
What is Cluster B?
200
A pt presents to the ER with dysphagia, hoarsness, a decreased gag reflex, horner syndrome on the right side, tongue deviation to the right, right sided ataxia/dysmetria. This is the most likely artery that was infarcted (include laterality).
What is right PICA artery?
200
A pt presents to the hospital with a history of racing thoughts and very little sleep over the past 9 days. During your history taking, the pt is pacing around the room and is talking non-stop about their plan to become a millionaire but supporting a Nigerian prince that needs their monetary support at this moment in time. This is the most likely diagnosis.
What is Bipolar Type 1?
200
This region in the hippocampus is most commonly affected by ischemic damage.
What is CA1?
200
A pt started a secondary drug treatment for their depression. The first medication they took was an SSRI and the second one they were just prescribed is an MAO. This puts them at a heightened risk of this condition.
What is serotonin syndrome?
200
A patient presents visual acuity problems with increasing tunnel vision. These fibers are being compromised at this location.
What are nasal fibers at the optic chiasm?
300
A pt with a traumatic impact to the side of the had presents to the ER with a variety of neurologic symptoms. On head CT, you find a bright crescent shaped lesion that is crossing suture lines. This is the most likely diagnosis.
What is subdural hematoma?
300
A recent development for treating Alzheimer's disease involves using antibody treatments to remove beta amyloid plaques. These medications should be started during these Braak Stages. (What are the drugs and name the stage)
What are donanemab and lecanemab? What are Braak Stages III-IV (I'll also take MCI impairment Braak stages)?
300
A lesion here results in an ability to adduct the left eye when abducting the right eye in response to something moving horizontally across your field of view. This is the name of that condition.
What is the left MLF? What is Internuclear Ophthalmoplegia?
300
This is the mechanism of action of aripiprazole.
What is a D2 partial agonist and serotonin receptor blocker?
300
Acupressure at this specific point on the wrist below the pisiform bone can induce sleepiness in a pt according to studies. This is the specific name/designation of this point.
What is HT7/Shen Men point?
400
A pt presents to the ER with complete contralateral paralysis. There have no significant neurologic deficits (no aphasia, neglect, visual field loss). This is the most likely artery that was infarcted.
What is the lenticulostriate artery?
400
These are the 3 major disorders that are found in Cluster A Groupings of pts.
What is paranoid, schizoid, schizotypal?
400
There are 3 cranial nerve nuclei that can sense taste, and they synapse to a specific point before ascending in the brain. These are the cranial nerves, the nucleus they synapse onto and the pathway it takes to get to the lateral part of the brain.
What are CN VII, IX, X; the rostral solitary nucleus; the VPM of the thalamus?
400
A pt is about to be put under for a surgical procedure. In the process of administering the anesthetic, the pt begins to go completely rigid, their heart rate increases dramatically, and their temperature begins to rise substantially. This is the name of the condition being presented, the medication that would be used to save this patient and the site of action it works on.
What is malignant hyperthermia, dantrolene, and ryanodine receptor?
400
What is the CBF rate of a patient if the following is true:
MAP of 100 mmHg
ICP = 15 mmHg
Cerebral vascular Resistance = 0.5
(I don't really care about the units)
170
500
The neuro system goes through a variety of histologic changes during significant ischemia. These are the major events that happen at 12-24 hours; 3-5 days (days in general); 1-2 weeks.
What is eosinophlic cytoplasm (red dead neruons), Macrophage infiltration (microglia), Reactive gliosis and glial scar?
500
A diagnosis of major depressive disorder has very specific criteria. These are 5 out of the 9 diagnostic symptoms and the time period they need to be around for.
What is 2 weeks or longer and:
Sleep disturbances; Anhedonia; Guilt; Energy (decreased); Concentration (Decreased); Appetite/wt changes; Psychomotor retardation or agitation; Suicidal Ideation
500
This involves two pathways. These are those two pathways to the cortex associated with this functional unit.
Organ of corti - spiral ganglion - dorsal cochlear nuclei - dorsal striae - lateral lemniscus - inferior colliculus - Medial Geniculate nucleus - auditory cortex
Organ of corti - spiral ganglion - ventral cochlear nuclei - trapezoid body - superior olivary complex - lateral lemniscus - inferior colliculus - MGN - auditory cortex
500
The GABA receptor is a heteropentamer protein. The interface at which the benzodiazepine binds to this receptor is in between these subunits.
What is alpha and gamma?
500
A pt has open-angle glaucoma indicating an injury to the flow of the aqueous humor. This is the location of the lesion in the proper flow of the fluid and the proper flow (describe where the lesion is and the proper flow of it).
What is trabecular meshwork; what is the ciliary body to posterior chamber to anterior chamber to trabecular meshwork to canal of schlem to episcleral vasculature?