NBME Psych 1 1-29-15

ruhland1's version from 2016-01-29 11:56

Section 1

Question Answer
5 HT3 antag-setron (odensetron)
projectionif you are cheating and therefore believe the other person is cheating
displacementalexs dad frustrated with work goes home and yells at his kids
subliminationsatisfy an impulse in an acceptable way, instead of beating his wife he goes and works out
reaction formation stacy is homosexual therefore does everything nonhomosexual
lacunar infarctpure motor contralat
conversion disordertalledaga nights
somatization d/omultiple physical complaints
factitous disorderdeliberately exaggertes symptoms, Munchausen is extreme form of this
CocainDA reuptake inhibitor
Amphetreleases DA and NE stored in nerve endings
perphenazineantipsych used in schizo and mania of BP d/o, low doses to treat agitated depression in combo w an anti dep
marraige problems w andhedonia and being clingytherapy for martial conselin
chlordiazpezoxidefor patients out of control and psychotic and for ETOH with drawl
alcoholic maintainecenaltrexone> acamprosate
fomepizoleinhib alc dehy for methanol antidote
disulfrimto stop drinking
acamprosateto reduce ETOH craving, not suited for monotherapy however
Naltrexoneto treat ETOH dependance
high on DDXPUD if in foil
Vomitingup serum amylase dn Cl- dn K+
panic attacksSSRI and Cognitive behavioral therapy
D4 reca D2-like rec
Heat strokeassoc w lose of consciousness
heat exhaustmoist, dilated pupil, normal temp
heat strokedry, pupils constric, very high temp, not elevated CPK
NMSup up CPK up temp up BO

Section 2

Question Answer
tell me as many words as you can begining with Afrontal lobes
close eyes copy left hand position to rightcorpus callosum
right facial wk and dysarthric slow speechleft frontal lobe
change personalityfrontal lobes
L arm weak, L babinski, L pronator drift, psychosisright frontal and pareital lobe
right arm bumps into thingsleft spacial neglect
constuctional dyspraxiaunable to draw two overlaping pentagons
alexiainability to understand printed words or sentence
angular gyrusconstructional dyspraxia, translating visual patterns and letters and words into meaningful info
agnosiainability to recognize objects
finger agnosiaLeft angular gyrus
agraphiacant write
rombergproprioception dorsal columns
festinatinggait observerd in parkinsons, dn basal ganglia
remembers 3 states and ddxs which one doesnt fitL prefrontal cortex and L temporal lobe and hippocampus
prefrontal cortexplanning, behavior, decision making
down R side motorL paritel lobe. Bilateral dmg is balint synd
gerstmann syndroma sponiform eccephalopathy,
parietal lobe dominantlanguage hemisphere, right sided in right handed people, and praxis. Praxis= accepted practice or custom like using a pencil to write
praxiscomplex purposeful motor
gerstmanacalcuia, finger agnosia, damage to dominant inferior parietal
non dominant parietal loberhythm of language and non verbal context
ideokinetic apraxiainability to imitate hand gestures
cannot imaginaryily comb hair, cant flip a coin when askedideokinetic dyspraxia
fregoli syndromebelief that different ppl are infact same person, delusion of doubles (fregoli!! double ravioli!
cannot idenitfy pictures of famous people and writes OR Eyes instead of CLOSE YOUR EYESnon-dominant frontal and parietal lobes

Section 3

Question Answer
persylvian syndcongenital, partial bil parylisis, and seizures, facial dipligeia
capgras right parietal lobe
L sided neglectright parietal lobe
wernickes aphaisa cant understand what is say and can speak but says randome things
orbitoprefrontal cortexdecision making
lack of concern, dn motivationfrontal lobes
anteior commissuresexuality, connects L and R amygdala
occiptal temporal junctioninability to recognize more than one bject at a time
corpus callosumakinetic mutism(does not move or speak), tacile anomia,
alexia without agraphiacant read but can write, corpus callosum splenium lesion
dorsal lateral prefrontal cortexdepression, schizo, stress
cannot name fingersangular gyrus
tactile anomiacannot name the things they touch, corpus callosum
parietal operculummath, visuospatial, imagery of movement
astereognosia=tactile agnosia, inability to have tactile recognition in both hands
graphanesthesiainability to recognize writing on skin based on touch, lesions of combined cortices
visual object agnosiaposterior occipital and temporal lobes
balint syndrometriad od simulanagnosia(inability to perceive more than one obeject at a time), occular apraxia(inability to fix eyes on eobject) and using vision to move hand to certain locations (optic atxia)
damage pareito occiptal lobes bilateralBalint synd
split brainput only one side of pants up cause other side didnt, hugged wife with one side,
see object in left visual field but cant verbally name itrecog with right side but cannot name because corpus callosum is damaged so info does not reach brochas
bil achromatopsiabil lz ventral occipital cortex
cross at medulladorsal columns
cross at same level spinal coredspinothalmic tract
blindsightstriate lz cortex, respond to visual stimuli they do not consciously see
superior temporal regionhearing and wernicke
inferior tempor sulcusvisual stimuli in field of vision
articulate well organized, trouble recognizing faces,left hemisphere>right
uses intuition and creativityright hemisphere>left
arcuate fasiculusconduction aphasia
conduction aphasiaproduction of unintended syllables when speaking and poor speech repition
rhombencephaloncomposed of meduula pons and cerebelum, bodily processes
bil amygdala damageput inedible objects in mouth(hyperorality), masturbates with door open

Section 4

Question Answer
kluver bucydn medial temporal lobe, hyperpahgia hypersex hyperoral
dn medial temporal and adolescent jewkluver bucy syndrome
dn smell, circumstanial speech, easily distracteddown orbital frontal
catastrophic reactioncommon in alzheimer
dysprosodyvariations in melody and accent of sppech, stroke
frontal lobe dysfuncechopraxia
kinestheticdoing physical activities to learn
ECT txtx NMS, biploar, MDD, cataonia
ECT contrapanic d/o
ECT eventamnesia around events surrounding tx
ECT patientinhale pure oxygen, relax all muscles but one foot
following EXTmeet w patient within a few days following hospital disch
SI and planbest tx is ECT
asking pt about suicidal thoughtsdn risk suiciced
major MDD and best tx for concentration and memory problemsECT
rivastigminetreats cognitive, functional, and behavioral problems assoc with alz and PD dz
very high MDD and needs ECThas Melancholia
ECT medmuscle relaxant
ECT and szmust cause a seizure inorder to improve mental status
anticholto reduce bradycardia of ECT, and no food and water so dn aspiration
ECT m relaxantsucciynl choile
ECT and followingg has asystole and bronchial sectrionsforget to administer atropine

Section 5

Question Answer
cervical stenweak numb arm hand foot leg
left mouth paralysisR hemisphere stroke
bells palsyeverything paralyezed but forhead which recieves inn from both hemis
right eyelid droop, miosis and right watery nasal dischcluster HA
intention tremorlateral cerebellum
postural tremorwhen limbs outstreched Park Dz
arms flap like chickenwing beating tremor (holmes tremor) of wilsons dz
wilson dzpencillamine
asterixiswilson, ammonia on brain, hepatic enceph
past pointingpatient attempting to reach an object will overshoot in cerebeallar dz
utilization behaviorgrab a hammer in view using it appropriately but at an inappropriate time, lz of frontal lobe known as bilateral magnetic apraxia
puplis constrict to light elevate eyelids and adductCN II and III
sudden bad HA, V and neck stiff, down MMSE score, storke like sxruptured aneur
bil Upper right qudrant downleft meyers
optic radinationgenicocalcarine tract
plantar reflexdownward response=good
trouble slid right hell down left shinfrom knee to great toeright cerebellar hemisphere
dorsal columnshave pt stand with eyes closed
examining womaask her if theres any thing they need to know that may hinder the examination