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Neurology
Substance Abuse
Child Psychiatry
Psychopharmacology
Wild Card
100
Among digit-symbol test, mental status examination, EEG, CT and MRI, this is most important for the evaluation of early and moderate dementia.
What is mental status exam?
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 sertraline, buproprion, venlafaxine, fluoxetine and citalopram, this is considered the first-line medication treatment for adolescents with major depression.
What is fluoxetine?
100
Among sedation, sexual dysfunction, excessive perspiration, gastrointestinal side effects and central nervous system activation, this is the most common reason that patients discontinue the use of SSRI’s early in treatment.
What is gastrointestinal side effects?
100
Among nausea, muscle pain, dental trauma, cardiac arrhythmia and cognitive impairment, this side effect most commonly limits the use of ECT.
What is cognitive impairment?
200
Among propranolol, valproic acid, topiramate, ergotamine and sumatriptan, this is the most effective treatment for migraines.
What is sumatriptan?
200
Among marijuana, alcohol, amphetamine, heroin and MDMA, this substance is most likely to be found on urine toxicology in a 21-year-old male patient dropped off at an Emergency Room who is agitated, believes computers in the ED are flashing messages at him, and says “I need my knife to protect myself.”
What is amphetamine?
200
Among number of caretakers, child’s participation in day care, socioeconomic status of the family, number of languages spoken at home and amount of talk directed toward the child, this factor is most associated with vocabulary growth and pre-literacy language skills in preschoolers.
What is amount of talk directed toward the child?
200
Among dopamine agonists, low potency phenothiazines, anticholinergic agents, serotonergic agents and GABA-ergic agents, this class of medication (in addition to life support measures) can be considered for treatment of patients with neuroleptic malignant syndrome.
What are dopamine agonists?
200
Among flat fee, retainer, hourly rate, percentage of plaintiff’s award and reduced fee for public agencies, this is an unethical fee arrangement for a forensic psychiatrist.
What is percentage of plaintiff’s award?
300
Among the amygdala, basal ganglia, mesial temporal lobe, nucleus accumbens and subgenual anterior cingulated, this structure typically has neuropathologic changes in a patient with vascular dementia.
What is the basal ganglia?
300
Among habituation, classical conditioning, observational learning, learned helplessness and negative reinforcement, this learning theory concept helps explain the reaction of a recovering heroin user who goes to get blood drawn for routine laboratory work and develops intense cravings for heroin upon seeing the needle.
What is classical conditioning?
300
Among hyperkalemia, hyperchloremic acidosis, decreased serum amylase levels, QT and T wave changes and increased bone density, this finding is most likely to be observed in patients with bingeing and purging behavior.
What is QT and T wave changes?
300
Among lithium, valproic acid, fluvoxamine, carbamazepine and paroxetine, this medication has the potential to decrease methadone blood levels in a patient who receives methadone maintenance treatment.
What is carbamazepine?
300
Among remote memory, recent memory, recent past memory, immediate retention and immediate recall, this is tested when a patient is asked to report on what he ate for breakfast yesterday.
What is recent memory?
400
Among thalamus, cerebellum, optic nerve, olfactory bulb and prefrontal cortex, this central nervous system structure is most likely to suffer permanent damage when a patient experiences lithium toxicity following an overdose.
What is cerebellum?
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 delirium, Parkinson disease, agitated depression, frontal lobe dementia and progressive supranuclear palsy, this is the most likely diagnosis in a 65-year-old patient, brought in by his family for anxiety and recent personality changes, who presents with unsteadiness of gait, unexplained falls and dysphagia.
What is progressive supranuclear palsy?
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 Sigmund Freud, Erich Fromm, Carl Jung, Jacques Lacan and Carl Rogers, this theorist introduced the concept of introversion and extroversion as types of personality organization.
Who is Carl Jung?