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Neurology
Susbtance Use
Forensic Psychiatry
Psychopharm
Miscellaneous
100
Which of the following is the most common complication of idiopathic intracranial hypertension? herniation, exophthalmos, gait disorder, visual impairment, CSF rhinorrhea
What is visual impairment?
100
The first symptom reported by patients with emerging amphetamine psychosis is: loss of insight, paranoid ideations, auditory hallucinations, visual hallucinations, over-action to stimuli in the peripheral visual field.
What is paranoid ideations?
100
Which of the following probabilities most accurately describes the likelihood of patients with schizophrenia committing homicide compared with the "general population"? Twice as likely, Less as likely, equal likelihood, three times as likely, five times as likely
What is equal likelihood?
100
Which of the following medications would be preferable for use in an anxious patient with pulmonary disease? Alprazolam, Bupropion, Clonazepam, Propranolol, Buspirone
What is Clonazepam?
100
Patients with dissociative identity disorder are also most likely to meet the diagnostic criteria for which of the following disorders? Bipolar Disorder, OCD, PTSD, somatoform pain, delusional disorder
What is PTSD?
200
The EEG finding of 4-6 Hz irregular polyspike activity in a patient with generalized seizures is characteristic of which of the following forms of epilepsy? Absence, benign rolandic, partial complex, juvenile myoclonic
What is partial complex?
200
A 40 yo dentist is referred for evaluation by staff members who are concerned about erratic behavior, staying excessively late at the office and problems with dexterity in treating patients. He complains of numbness and weakness of limbs, loss of dexterity, and loss of balance. Which of the following drugs the dentist is most likely abusing? Opioids, Alcohol, Nitrous Oxide, PCP, Gamma Hydroxybutyrate
What is nitrous oxide?
200
Which of the following is the most common psychiatric diagnosis associated with violent acts? Bipolar Disorder, Schizophrenia, substance-use disorder, borderline personality disorder
What is substance-use disorder?
200
An 18yo patient with a H/O migraines is brought to the ER complaining of headache, N/V. The patient is given IV Metoclopramide, an hour later he complains of difficulty speaking and SOB. Examination reveals severe contraction of patient's tongue and repetitive spasm of the larynx. The most appropriate initial management of patient's condition is: amantadine, diazepam, diphenhydramine, dantrolene, propranolol
What is diphenhydramine?
200
A diagnosis of Anorexa Nervosa requires that the patient has maintained a weight below what percentage of a minimally normal weight for age and height? 55%, 65%, 75%, 85%, 95%
What is 85%?
300
Irregular, unequal, and small pupils that fail to react to light, do not dilate properly in response to mydriatic drugs, but do constrict on accommodation, are seen in patients with which of the following illnesses? Horner's syndrome, retrobulbar neuropathy, retinoblastoma, syphilis, ciliary degeneration
What is syphilis?
300
Those individuals carrying inactive alleles of the CYP2A6 gene have increased cotinine levels per unit of drug ingested and are relatively protected from addiction to which of the following substances? Tobacco, Marijuana, Opioids, Barbs, Benzodiazepines
What is Tobacco?
300
Informed consent is not required in which of the forensic evaluations? Workers compensation claims, mental state at the time of the offense, competency to stand trial, dangerousness at criminal sentencing, dangerousness for purposes of conditional release
What is competency to stand trial?
300
Which of the following substances usually decreases serum benzodiazepine levels? Lithium, Carbamazepine, Cimetdine, Erythromycin
What is Carbamazepine?
300
Which of the following best describes Freud's psychological theory of development? Conflict theory, drive theory, learning theory, experimental theory, deficit theory
What is drive theory?
400
Delayed neurological deterioration following carbon monoxide-induced coma is most commonly manifested by which of the following abnormalities? Parkinsonism, Ballismus, Myoclonus, Chorea, Dyskinesia
What is Parkinsonism?
400
Which of the following characterizes the blackouts that occur in individuals who have been drinking alcohol? A sensation experienced while drinking in which one loses vision for a short period of time, anterograde amnesia for the period of time when a person was drinking heavily but remained awake, retrograde amnesia for memories of events that occurred in the hours prior to intoxication, both anterograde and retrograde amnesia for the period of time surrounding ingestion of alcohol
What is anterograde amnesia for the period of time when a person was drinking heavily but remained awake?
400
A male patient presents to the doctor, complaining of an inability to move his left arm. Patient reports becoming increasingly enraged at his wife and on several occasions feared he might strike her. Shortly after one argument, his arm became limp. This is an example of: malingering, primary gain, secondary gain, symptoms of amplification, la belle indifference
What is primary gain?
400
Which of the following medications has the lowest likelihood of discontinuation symptoms if the medication is abruptly stopped? Paroxetine, Flouxetine, Sertraline, Citalopram, Fluvoxamine
What is Flouxetine?
400
Which of the following compounds increases muscle mass by increasing the episodic secretion of growth hormone: N albuphine, nandrolone, methylene chloride, gamma hydroxybutyrate, dextromethorphan hydrobromide
What is Gamma Hydroxybutyrate?
500
A 38-year-old female patient is noted to have continuously active muscle spasm of the proximal limbs and axial trunk. Lumbar lordosis becomes exaggerated while walking. EMG shows no distant motor nerve abnormality. Antiglutamic acid decarboxylase antibodies are present in serum. Which of the following syndromes is the most likely diagnosis: Satoyoshi, Myokymia, Stiff-person, cramp-fasciculation, continuous muscle fiber activity
What is Stiff-person?
500
Lysergic Acid Diethylamide and mescaline show agonism at which of the following receptors? 5HT1A, 5HT2A, 5HT3, D1, D2
What is 5HT2A?
500
A psychiatrist is consulted regarding an 88-year-old patient with dementia. The psychiatrist is asked to assess the patient's competence to make medical decisions, and to determine the best treatment for the patient's agitation. The patient has a durable power of attorney for healthcare. If the psychiatrist finds that the patient is incompetent to make medical decisions, treatment recommendations will have to be approved by: attorney, attending physician, assigned decision maker, patient's closest relative, patient's spouse
What is assigned decision maker?
500
A leading hypothesis as to why atypical antipsychotic medications are less likely than typical neuroleptic agents to cause extrapyramidal side effects is based on which of the following properties of atypicals? Higher affinity for D1 receptors, affinity for muscarinic cholinergic receptors, decreased binding to D2 receptors, rapid dissociation from D2 receptors
What is rapid dissociation from D2 receptors?
500
Implantation of DBS electrodes has been shown to lead to remission in about half of patients with treatment-refractory depression. To obtain this effect, the electrodes is placed in the: orbitofrontal cortex, subgenual cingulate cortex, lateral parietal cortex, dorsolateral prefrontal cortex
What is subgenual cingulate cortex?