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PRITE High Yield Topic Discussion Thread

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PRITE High Yield Topic Discussion Thread

Post  Admin on Sun Sep 04, 2011 9:45 pm

First topic message reminder :

Hi Friends.

This thread is dedicated to PRITE (Psychiatry Resident-In-Training Examination) Preparation.
Please contribute important high yield topics and notes here.
Goodluck

INDEX:

Page 1:
• Typical Antipsychotics
• Borderline Personality Disorder
• Schizophrenia
• Dopaminergic Pathway Functions & Effect of Antipsychotics
• Sigmund Freud’s Structural Model- The id, ego, and superego
•  Major depression with Atypical features
• Akathisia treatment
• Rabbit Syndrome
• Risperidone vs Clozapine


Page 2:
• Cluster A Personality disorder- differential diagnosis
• Cluster B Personality disorder- differential diagnosis
• Cluster C Personality disorder- differential diagnosis
• Personality disorder in toto (HY Facts)
• Frontotemporal dementia Vs Alzheimer’s dementia
• Autoreceptors Vs Heteroreceptors
• Visual Pathway And Associated Visual Defects
• Myasthenia Gravis
• Jean Piaget's Cognitive Development Stages
• Normal Aging- Facts
• Erikson's Stages of Psychosocial Development
• Cognitive Theory for depression Management


Page 3:
• Interpersonal Therapy (IPT)
• Valproate
• Childhood Onset Schizophrenia
• Recommenda​tions for monitoring adults on atypical antipsycho​tics
• Pediatric Depression- Which SSRI is Superior
• Neuroleptic Malignant Syndrome
• Hispanic culture-bound syndromes
• Elevated Clozapine Levels
• Pervasive Developmental Disorder Not Otherwise Specified (Including Atypical Autism)
• Diagnostic criteria for Attention-Deficit/Hyperactivity Disorder
• Diagnostic criteria for Gender Identity Disorder
• Freud's Topographical Model
• HIV Dementia/Toxoplasmosis/CNS Lymphoma/Cryptococcal Meningitis/PML
• Gait Abnormalities


Page 4:
• Trigeminal neuralgia Vs Post Herpetic Neuralgia
• Carbon Monoxide Toxicity: Brain MRI Findings
• Lumbar & Sacral Nerve Root Compromise
• Classic Conditioning Vs Operant Conditioning
• Observational Study Design: Case control Vs Cohort
• Alexia/Apraxia/Agnosia/Akinesia/Aphasia
• Adjustment Disorders Vs Acute Stress Disorder
• SNRIs: Venlafaxine Vs Duloxetine
• DSM IV Criteria for Manic Episode
• Bipolar Disorder: 15 Minutes CORE Psychiatric Evaluation- 4 Decision Points
• Bipolar Depression Vs Unipolar Depression
• Difference Between Classical Conditioning & Extinction
• "Neurology" Questions/HY Facts for PRITE (Post 1 & 2)


Page 5:
• Catatonia
• CVA
• "Delirium" & "Dementia"
• Seizure
• Obsessive-compulsive disorders
• Role of Ziprasidone in combination therapy for Bipolar maintenance
• Recognition of GAD in Primary Care Setting
• Social Anxiety Disorder
• Panic Disorder
• ADHD (Recent Facts)
• Basics of Nor-Epinephrine, Dopamine & Seretonin Neurons.
• Hyperprolactinaemia With Antipsychotics
• Idiopathic Parkinson Ds Vs Other Parkinsonian Syndrome
• Pathophysiology of Neuroleptic Malignant Syndrome (NMS)


Page 6:
• Treatment of Juvenile Myoclonic Epilepsy
• Borderline Personality Disorder- What Questions to Ask?
• Transient Global Amnesia- Facts.
• Effective Dose for Antipsychotics- ED50 & Near-Maximal ED
• Fatal Familial Insomnia
• Medications for Alcohol Dependence
• Serotonin Toxicity- Diagnostic Criteria
• Alexithymia
• AACAP Practice Parameters for Bipolar Disorder in Children
• Progressive Supranuclear Palsy Vs Parkinson's disease
• Treatment of Depression with Atypical Features
• Types of Aphasia
• The Social Learning Theory of Julian B. Rotter


***** Updated Daily *****

Regards
Administrator




Last edited by Admin on Sun Nov 24, 2013 7:29 pm; edited 67 times in total

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Mon Sep 19, 2011 12:02 am


Alexia: patient lose the ability to read. It is also called word blindness, text blindness or visual aphasia.

Apraxia: loss of the ability to execute or carry out learned purposeful movements, despite having the desire and the physical ability to perform the movements

Agnosia: loss of ability to recognize objects, persons, sounds, shapes, or smells while the specific sense is not defective nor is there any significant memory loss

Akinesia: inability to initiate movement

Aphasia: impairment of language ability





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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Tue Sep 20, 2011 1:44 pm

Adjustment Disorders Vs Acute Stress Disorder


Diagnostic criteria for Adjustment Disorders

A. The development of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s).
B. These symptoms or behaviors are clinically significant as evidenced by either of the following:
1. marked distress that is in excess of what would be expected from exposure to the stressor
2. significant impairment in social or occupational (academic) functioning
C. The stress-related disturbance does not meet the criteria for another specific Axis I disorder and is not merely an exacerbation of a preexisting Axis I or Axis II disorder.
D. The symptoms do not represent Bereavement.
E. Once the stressor (or its consequences) has terminated, the symptoms do not persist for more than an additional 6 months.

Specify if:
- Acute: if the disturbance lasts less than 6 months
- Chronic: if the disturbance lasts for 6 months or longer

Adjustment Disorders are coded based on the subtype, which is selected according to the predominant symptoms. The specific stressor(s) can be specified on Axis IV.

309.0 With Depressed Mood
309.24 With Anxiety
309.28 With Mixed Anxiety and Depressed Mood
309.3 With Disturbance of Conduct
309.4 With Mixed Disturbance of Emotions and Conduct
309.9 Unspecified



Diagnostic criteria for 308.3 Acute Stress Disorder

A. The person has been exposed to a traumatic event in which both of the following were present:
1. the person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others
2. the person's response involved intense fear, helplessness, or horror
B. Either while experiencing or after experiencing the distressing event, the individual has three (or more) of the following dissociative symptoms:
1. a subjective sense of numbing, detachment, or absence of emotional responsiveness
2. a reduction in awareness of his or her surroundings (e.g., "being in a daze")
3. derealization
4. depersonalization
5. dissociative amnesia (i.e., inability to recall an important aspect of the trauma)
C. The traumatic event is persistently reexperienced in at least one of the following ways: recurrent images, thoughts, dreams, illusions, flashback episodes, or a sense of reliving the experience; or distress on exposure to reminders of the traumatic event.
D. Marked avoidance of stimuli that arouse recollections of the trauma (e.g., thoughts, feelings, conversations, activities, places, people).
E. Marked symptoms of anxiety or increased arousal (e.g., difficulty sleeping, irritability, poor concentration, hypervigilance, exaggerated startle response, motor restlessness).
F. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or impairs the individual's ability to pursue some necessary task, such as obtaining necessary assistance or mobilizing personal resources by telling family members about the traumatic experience.
G. The disturbance lasts for a minimum of 2 days and a maximum of 4 weeks and occurs within 4 weeks of the traumatic event.
H. The disturbance is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition, is not better accounted for by Brief Psychotic Disorder, and is not merely an exacerbation of a preexisting Axis I or Axis II disorder.

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Fri Sep 23, 2011 10:44 pm

Psychopharmacology Discussion:

http://bit.ly/o01DVa

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Tue Sep 27, 2011 5:53 pm

Venlafaxine Vs Duloxetine



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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Sat Oct 08, 2011 2:04 pm

DSM IV Criteria for Manic Episode:


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Sun Oct 16, 2011 5:24 pm

Bipolar Disorder: 15 Minutes CORE Psychiatric Evaluation- 4 Decision Points


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Sun Oct 16, 2011 6:08 pm

Bipolar Depression Vs Unipolar Depression


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Wed Oct 19, 2011 10:13 pm

Difference Between Classical Conditioning & Extinction

Classical Conditioning:
Repeated pairing of Neutral Stimulus + Emotionally Salient Stimulus --> Eventually Neutral Stimulus evokes Emotional Response

Extinction:
Repeated pairing of Neutral Stimulus + ABSENCE of Emotional Stimulus --> Eventually Neutral Stimulus FAILS to evoke Emotional Response





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prite review

Post  drmahir70 on Mon Oct 24, 2011 3:49 pm


Neurology
Amnesia
Amnesia preceded by epigastric sensation and fear are associated with electrical abnormality where?
ansewr

Temporal lobe

Memory loss pattern in dissociative amnesia?
answer...

Memory loss occurs for a discrete period of time .

Amnesia characterized by loss of memory of events that occur after onset of etiologic condition or agent
answer

Anterograde


What psychoactive drug produces amnesia?

answer
Alcohol




prite2006

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prite review

Post  drmahir70 on Tue Oct 25, 2011 2:41 am

Visual problem in pituitary tumor compressing optic chiasm>?

Bitemporal Hemianopsia

32 y/o pt 1-month history of worsening headaches, episodic mood swings and occasional hallucinations with visual, tactile and auditory content. CT head reveals tumor where?:

Temporal lobe


Syndrome characterized by fluent speech, preserved comprehension, inability to repeat, w/o associated signs. Location of lesion in the brain?

Supramarginal gyrus or insula

Acute onset of hemiballismus of LUE & LLE. MRI is most likely to show lesion located where?

Subthalamic nucleus
Left sided hemi-neglect is associated with lesion located where?

Right Parietal Lobe

60M right-handed, getting lost, only writes on right half of paper. Where is lesion


Right parietal

Which hormone secreted in functional pituitary adenoma:?


Prolactin
CT & MRI show ventriculomegaly are out of proportion to sulcal atrophy. This is suggestive of what diagnosis?


Normal Pressure Hydrocephalus


5 y/o with 4 month history of morning HA, vomiting, and recent problems with gait, falls, and diplopia?
Medulloblastoma


20 y/o with 1 yr of bitemporal headaches, polydipsia, polyuria, bulimia. For 2 months emotional outburst aggressive and transient confusion neuro exam normal. What will MRI of brain show?

Hypothalamic tumor


Previously pleasant mom becomes profane and irresponsible over 6 months:?



Frontal lobe


Unilateral hearing loss with vertigo, unsteadiness with falls and headaches, mild facial weakness and ipsilateral limb ataxia is most commonly associated with tumors in what locations:?


Cerebellopontine angle





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Re: PRITE High Yield Topic Discussion Thread

Post  drmahir70 on Tue Oct 25, 2011 2:55 am

Catatonia in prite review


52 y/o with h/o unipolar depression is brought to ED with a first episode of catatonia. Patient is on no meds, UDS is neg. Further w/u should initially focus on what factor?














Metabolic disorders
Which term describes state of immobility that is constantly maintained?












Cataplexy
Ability of catatonic pt to hold same position














Catalepsy

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cva in psychiatry prite review

Post  drmahir70 on Tue Oct 25, 2011 3:21 am

CVA

Chronic Afib develops aphasia and R hemiparesis at noon. ER exam notes weakness of R extremities and severe dysfluent aphasia, but CT at 1:30 PM has no acute lesion. Most appropriate treatment:
TPA

Young adult gained 70 lbs in last year c/o daily severe headaches sometimes assoc with graying out of vision. Papilledema present. CT and MRI brain no abnormalities but ventricles smaller than usual. Goal of treatment in this case:
Prevent blindness
Patient with hypertension develops vertigo, nausea, vomiting, hiccups, left sided face numbness, nystagmus, hoarseness, ataxia of the limbs, staggering gait, and is falling to the left. Dx?
Lateral medullary stroke
Rapid onset of right facial weakness, left limb weakness, diplopia
Brain Stem Infarction
Transient symptom associated with carotid stenosis: ***

Monocular blindness
62 y/o M w DM is not making sense, saying “thar szing is phrumper zu stalking”. Normal intonation but no one in the family can understand it. He verbally responds to questions with similar utterances but fails to successfully execute any instruction. ****
Wernicke’s aphasia
58 y/o M h/o HTN, cig smoking and sudden inability to speak. Face drooping on R and dragging R leg. In ER examined within 40 mins of onset: Aphasic, unable to understand or repeat verbal commands. Unintelligable sounds for speech. Alert but appeared frustrated. R hemiplegia with arm and face weaker than leg. CT head showed no hemorrhage. Pathology type and area:
Thromboembolic stroke L MCA (middle cerebral artery)
Abulia refers to impairment in ability to:
Spontaneously move and speak
Sudden-onset left hemiparesis with deviation of eyes to the right
Right putaminal hemorrhage
Sudden onset vertigo/nausea, hoarseness/dysphagia, right sided face numbness, diminished gag reflex on right, decreased pinprick and temp sensation on left
Right medullary infarction
65 y/o diabetic presents to ED c/o acute L sided weakness, deviation of gaze to R, L hemiplegia and hemisensory deficit, and L homonymous hemianopsia. 12 hrs later, pt is unconscious, L pupil enlarged and unreactive. CT will show what?
R MCA infarct w/ edema and uncal herniation
Pt with acute onset vertigo, what will suggest R lateral medullary infarct?
R facial loss of touch + temp sensation
46 y/o M w/ double vision + pain R eye. Exam: ptosis R eyelid, inability to elevate or adduct R eye + R pupillary dilation. This is caused by:
Post. Communicating artery aneurysm
Aphasia w/ effortful fragmented, dysfluent, telegraphic speech, is seen in a lesion where?
Post frontal lobe
39 year old with h/o of multiple miscarriages develops an acute left sided hemiparesis. Work up revels elevated anticardiolipin titers and no other risk factors for stroke. Appropriate intervention at this point is?
Plasmapheresis
Abnormal elevated metabolic findings associated with increased risk of stroke in patients under 50
Plasma homocysteine
73 y/o found on floor, unaware of L UE/LE. Flaccid L arm, but denies anything wrong and when asked to raise L arm raises R. When asked which arm is her L, she replies “yours.” Dx?
Parietal lobe CVA
CT scan with occipital and intraventricular hyperintensities
Parenchymal hemorrhage
Which med has secondary prevention against embolic stroke in patients with Afib?
Oral warfarin
As opposed to strokes caused by arterial embolism or thrombosis, those caused by cerebral vein or venous sinus thrombosis are
More often associated with seizures at onset
Atrophy of right temporal lobe on cross section associated with occlusion of:
Middle cerebral artery
Loss of ability to execute previously learned motor activities (which is not the result of demonstrable weakness, ataxia or sensory loss) is associated with lesions of?
Left parietal cortex
58 y/o s/p CABG – anomia for fingers and body parts, errors involving right and left, inability to write thoughts/take notes/make calculations. Fluent speech and excellent comprehension
Left medial temporal stroke
Visual disturbances associated with occlusion of the right posterior cerebral artery?
Left homonymous hemianopsia
65 y/o with HTN collapsed. In ED is stuporous, R hemiparesis + hemisensory deficit, eyes deviate to L. CT would show intraparenchymal hemorrhage in:
Left basal ganglia
Higher frequency & greater severity of depression associated w/ cortical & subcortical strokes
Left anterior frontal
Pt with hypertension develops painless vision loss on the left eye. PE revels blindness in the left eye and afferent papillary defect on the left. MRI shows several T2 hyperintensities in the white matter periventricularly. No corpus callosum lesions. No enhancement with gadolinium. Dx?
Ischemic optic neuropathy
63 y/o with new onset aphasia and R hemiparesis, 2 days ago had milder/similar symptoms that resolved in 30 minutes, yesterday had similar episode x45 minutes. Current sx started 1.5 hrs ago. CT shows no stroke or hemorrhage. Tx?
Intravenous thrombolytic agents
Lower facial weakness w/ relative sparing of forehead can be stroke in
Internal capsule
Prosopagnosia is:
Inability to recognize faces
57 y/o diabetic w/ HTN c/o several episodes of visual loss “curtain falling” over his L eye, transient speech and language disturbance, and mild R hemiparesis that lasted 2 hrs. Suggests presence of what?
Extracranial L internal carotid stenosis
Head injury with LOC followed by lucid interval for a few hours then rapidly progressing coma. What hemorrhage?
Epidural
5 days after CABG a 47 yr M is disoriented in time and place. He identifies his right and left but not that of the examiners. Can draw square and circle but not a clock. This is:
Dyspraxia
Pt in ED with sudden HA and collapsing, some lethargy. Exam shows rigid neck, no papilledema, no focal CN or motor signs. The initial test should be?
CT Head
Post stroke depression in an 80 y/o pt who is R handed is associated with cognitive impairments that
Correlate with left hemispheric involvement
Fluent speech with preserved comprehension but inability to repeat statements is consistent with what type of aphasia?
Conduction
Normal Romberg w eyes open but loses balance with eyes closed. Where is abnormality?
Cerebellar vermis
65 y/o with h/o HTN, Meniere’s with sudden vertigo, N/V, worse with head movement, R beating nystagmus on lateral gaze, finger to nose testing is ataxic, poor balance and dysarthria. Dx?
Cerebellar infarct
66 y/o M in ED w/ sudden occipital HA, dizziness, vertigo, N/V, unable to stand, mild lethargy, slurred speech. Exam shows small reactive pupils, gaze deviated to the R, nystagmus, w/ occasional ocular bobbing, R facial weakness, decreased R corneal reflex, truncal ataxia, b/l hyperreflexia, b/l Babinski. Dx?
Cerebellar hemorrhage
Motor speech paradigm activation task on fMRI – hyperactivity in right temporal lobe. Damage is where?
Calcarine fissure
Inability to recognize objects by touch:
Astereognosis
In managing acute ischemic stroke, administer this within 48 hrs of onset of stroke for beneficial effect in reducing risk of recurrent stroke, disability and death:
Aspirin
70 y/o w/ attacks of “whirling sensations” w/n/v, diplopia, dysarthria, tingling of lips. Occurs several times daily for 1 minute, severe that pt collapses and is immobilized when symptoms start. No residual s/s, no tinnitus, hearing impairment, ALOC or association with any particular activity. Dx?
Vertebrobasilar insufficiency
Component of type A behavior most reliable risk factor for CAD
Hostility
70 y/o F sudden onset paralysis R foot and leg. R arm and hand lightly affected. No aphasia or visual field deficit. Over weeks found with loss bladder control, abulia and lack of spontaneity. Which vascular area:
Anterior cerebral artery (left)
Complications of a cerebellar hemorrhage?
Acute hydrocephalus

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dementia prite review

Post  drmahir70 on Tue Oct 25, 2011 3:47 am

Delirium

Multifocal myoclonus in a comatose patient indicates:
Metabolic Encephalopathy
50M male w/ progressive dementia, ataxia, dysarthria, EEG w/ sharp waves
Subacute Spongiform Encephalopathy
79 y/o with decreasing mental state over 3 weeks has an exaggerated startle response with violent myoclonus that is elicited by turning on the room lights, speaking loudly, or touching the patient. Myoclonic jerks occur spontaneously. Dx?
Spongiform Encephalopathy
Two days after bowel surgery, 53 y/o is delirious. Correctly draws a square when asked, but then continues to draw squares when asked to draw other shapes. MSE would reveal:
Perseveration
75 y/o F is 8 days s/p total hip replacement and has delirium. Her diazepam and doxepin were discontinued just prior to surgery. She is getting meperidine for pain, diphenhydramine for sleep and a renewed prescription for doxepin. Her confusion is likely due to: medication toxicity, diazepam WDRL, electrolyte imbalance, atypical depression, UTI.
Medication toxicity, diazepam withdrawal, electrolyte imbalance, atypical depression, or UTI.
Best recommendation for pt with delirium? Minimize contact with family members or limit sleep meds to diphenhydramine, or maximize staff continuity assigned to pt?
Maximize staff continuity assigned to pt
Delirium in HIV patients treated with what parental agent?
Low dose of a high-potency antipsychotic
Mild confusion, lethargy, thirst, polydipsia
Hyponatremia
Cancer patient on chemo is disoriented and agitated. Afebrile VSS. Neg neuro exam. Poor attention, cog impairment. Held for observation. CT neg, EEG diffuse slowing. Treat with:
Haldol
A 70 y/o +HIV heroin abuser is treated with Lopinavir and Ritonavir and fluoxetine for MDD. Hep C was dx and treated 2 months ago. Since then pt is more irritable, insomnia, and diarrhea. Why?
Drug-drug interaction
A consult is requested for an inpatient on a medical ward who is agitated and hallucinating. Pt appears to be flushed and hot with dry skin, mydriasis, a rapid pulse and diminished bowel sounds. What is your first recommendation?
Discontinue anticholinergic drugs
52 y/o w/ depression and HTN, severe headaches, “not himself” x 10 days. Poor eye contact, inattentive, picking at clothes, muttering, nodding off
Delirium
Suggests delirium rather than dementia
Clouding of consciousness
Dementia


65 y/o M 6 months confusion episodes, disorientation, visual hallucinations of children playing in his room. Hallucinated images are fully formed, colorful, vivid and pt has little insight into their nature. No AH. Wife says he is normal between episodes. Exam: Normal language, memory, mod diff with trails test, mild diff with serial subtractions, mild symmetric rigidity and bradykinesia. Brain MRI unremarkable. CSF, routine labs and UDS normal. Diagnosis:
Lewy body dementia

Dementing illness with limb and axial rigidity tremor, fluctuations in cognitive function, confusion states, hallucinosis and other symptoms of psychosis. Dx?
Diffuse lewy body disease
70 y/o woman has dementia, abnormal proprioception, and dysesthesia. Lab studies reveal macrocytic anemia most likely caused by a deficiency of
Vitamin B12
74F PI, suspicious, poor ADL’s
Pick’s disease
Safest heterocyclic antidepressant for a 78 y/o with depression, agitation and dementia is:
Nortriptyline
What cognitive enhancers is an NMDA receptor antagonist?
Memantine
Neuronal damage from excitotoxicity secondary to glutamate sensitivity. Treat with:
Memantine
75 y/o with mild intermittent forgetfulness, hallucinations, delusions, confusion. Frequent falls and dizziness when getting out of bed. BP laying down 135/90, standing 100/55. BL limb and axial rigidity without tremor. Dx?
Lewy Body disease
Detection of 2 Apolien e4 alleles is useful in dx dementia b/c
Increases probability of dx of Alzheimers
Neurofibrillary tangles in Alzheimer’s are composed of:
Hyperphosphorylated tau proteins
80 y/o Alzheimer’s with increasingly combative behavior. Family wants to keep at home. Give what med?
Haldol
Dementia characterized by personality change, attention deficits, impulsivity, affect lability, indifference, perseveration, loss of executive function. Assoc with dysfunction in what area of the brain?
Frontal lobe
Alzheimer’s disease risk – Apolipoprotein E phenotype
ɛ4ɛ4
Binswanger disease has pseudobulbar state, gait disorder, AND:
Dementia
An 80yo pt with Alzheimer’s is brought in for increasingly combative behavior. Daughter would like to keep the pt at home if possible. What interventions would be most helpful in this situation?
Assessing for caregiver burnout
Which meds have best results for treating agitation in dementia?
Anti-psychotics
Clock drawing test is quickly administered and sensitive screen for which d/o?
Alzheimer’s
Amyloid precursor protein in
Alzheimer’s Disease
Most common cause of dementia:
Alzheimer’s disease
Individuals over 40yo with Down’s syndrome frequently develops:
Alzheimer’s
What baseline labs should be taken before starting tacrine?
ALT and AST (baseline and f/u)
Known risk factors for dementia:
Age, family hx, female, Down Syndrome
Neuronal enzyme that is the target of drugs to treat Alzheimer’s i.e. galantamine and rivastigmine
Acetyl cholinesterase

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seizure prite review

Post  drmahir70 on Tue Oct 25, 2011 3:49 am

Seizures

19 yr old woman has bouts of motor agitation, often followed by intense, seemingly meaningless writing; also mood lability, tactile & olfactory hallucinations. During the interview, patient abruptly stops paying attention and begins rapidly pacing around the room. What should be the next step?
Wait 15 mins, then obtain prolactin level
Which procedure confirms the diagnosis of non-epileptic seizures? Video telemetry or EEG between episodes?
Video telemetry (CL: Should be more accurately called EEG Video telemetry)
Antiepileptic for juvenile myoclonic epilepsy
Valproic Acid
Complex partial seizures are differentiated from simple partial seizures by:
Simple seizures have no loss of consciousness but have altered responsiveness to outside stimuli.
Convulsive episode with leftward eye deviation, tonic contracture of left side. Postictally, eyes deviate to right w/ hemiparesis of left side
Seizure focus right frontal region
28 female w/ HA, hyperventilates, asynchronous tonic-clonic sz, no LOC during Sz
Psychogenic Seizure
In young pt w/ epilepsy, tx depression w/
Prozac
Lack of prolactin elevation after szs suggests what kind of szs:
Non-epileptic
32 y/o with partial complex seizures refractory to treatment, picture of MRI shown. (picture)
Mesial temporal sclerosis
Drug-addicted healthcare professional experiences seizure that is not a withdrawal phenomenon. Cause?
Meperidine
What is the diagnostic value of transient paresis or aphasia after a seizure?
Localizes the focus of seizure
Complex partial epilepsy aura has what symptom?
Lip smacking
Head & eyes deviate to right and right arm extends immediately before a generalized tonic-clonic seizure
Left cerebral hemisphere
Gustatory special sensory seizures (auras) localize where?
Insular cortex
First sz with focal onset and second generalization in a 58 y/o patient is most likely the consequence of what?
Glioblastoma multiforme
10 y/o child freq episodes brief lapses of consciousness without premonitory sxs. Lasts 2-10 seconds, followed by immediate and full resumption of consciousness without awareness of what has happened. These ictal episodes most likely caused by what kind szs:
Absence

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Mon Nov 07, 2011 10:31 pm


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Tue Nov 08, 2011 9:30 pm

ROLE OF ZIPRASIDONE IN COMBINATION THERAPY FOR BIPOLAR MAINTENANCE


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Tue Nov 08, 2011 10:24 pm

Recognition of GAD in Primary Care Setting


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Wed Nov 09, 2011 8:22 pm

Social Anxiety Disorder


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Wed Nov 09, 2011 8:31 pm

Panic Disorder


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Psychiatry Boards and PRITE Question Bank!

Post  sp2010 on Wed Nov 09, 2011 11:09 pm

I have been using BoardVitals Psychiatry Question Bank to prepare for the PRITE and it is really great so I wanted to share the link. They use the FRED interface (same as we used for USMLE exams) and it has tons of options to make your own tests by subjects within psychiatry, keywords, incorrectly answered etc. It also gives you feedback by subject so you can track how you are doing and focus on your weak subjects. www.BoardVitals.com

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Fri Dec 30, 2011 5:34 am

ADHD (Recent Facts):


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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Mon Jan 02, 2012 5:31 pm

Basics of Nor-Epinephrine, Dopamine & Seretonin Neurons.

http://bit.ly/uoDyEz

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Sun Jan 15, 2012 12:40 pm

Hyperprolactinaemia With Antipsychotics

http://www.medsafe.govt.nz/profs/puarticles/hyperpro.htm#Atypical

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Wed Aug 22, 2012 9:08 pm

United Kingdom Parkinsons Disease Society Brain Bank clinical diagnostic criteria

Step 1. Diagnosis of a parkinsonian syndrome
- Bradykinesia and at least one of the following:
- Muscular rigidity
- Rest tremor (4-6 Hz)
- Postural instability unrelated to primary visual, cerebellar,
- vestibular or proprioceptive dysfunction

Step 2. Exclusion criteria
- History of:
* Cerebrovascular disease with stepwise progression
* Repeated head injury
* Antipsychotic or dopamine-depleting drugs
* Definite encephalitis and/or oculogyric crises on no drug treatment
- More than one affected relative
- Sustained remission
- Negative response to large doses of levodopa (if malabsorption excluded)
- Strictly unilateral features after three years
- Other neurological features: supranuclear gaze palsy, cerebellar signs, early severe autonomic involvement, Babinski sign, early severe dementia with disturbances of language, memory or praxis
- Exposure to known neurotoxin

Step 3. Supportive criteria **Imp**
- Unilateral onset
- Excellent response to levodopa
- Rest tremor present
- Progressive disorder
- Persistent asymmetry, affecting side of onset most
- Severe levodopa-induced chorea
- Levodopa response for five years plus
- Clinical course of 10 years plus

Source: Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases. JNeurol Neurosurg Psychiatry 1992; 55: 181-184.

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Re: PRITE High Yield Topic Discussion Thread

Post  Admin on Sat Aug 25, 2012 12:32 pm

Pathophysiology of Neuroleptic Malignant Syndrome (NMS)



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Re: PRITE High Yield Topic Discussion Thread

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