LMR COMPREHENSIVE EXAM UPDATED QUESTIONS
AND ANSWERS SURE A+
✔✔treatment for OCD - ✔✔prozac in children
zoloft or chlomipramine in adults
✔✔DMDD (disruptive mood dysregulation disorder) - ✔✔irritable, sad, tantrums for no
reason
similar to bipolar
✔✔Intermittent Explosive Disorder (IED) - ✔✔out of proportion to situation
shows remorse (unlike conduct disorder)
✔✔irritable and labile mood - ✔✔do a Mood Questionnaire
✔✔Rett syndrome - ✔✔loss of purposeful hand skills
stereotypical hand movements
✔✔Delirium vs Dementia - ✔✔1. Delirium- Acute onset (hours/days), caused by
infection or substance use, altered LOC, UTIs in elderly (urinalysis)
2. Dementia: Chronic, insidious onset, usually not reversible, attention usually
unaffected and normal arousal level, impaired executive function
(vitamin B12/folic acid lab)
✔✔frontal lobe function - ✔✔executive function, problem solving, memory, judgment,
impulse control, language (broca's area), personality
problems: personality changes, emotional/ intellectual changes
✔✔occipital lobe function - ✔✔vision
visual hallucinations
✔✔temporal lobe function - ✔✔hearing (auditory hallucinations)
memory (amnesia)
language comprehension- Wernicke's (aphasia)
✔✔parietal lobe function - ✔✔sensory and perceptual disturbances
✔✔cortical dementia - ✔✔language and memory
aphasia and amnesia
(e.g. alzheimer's disease)
✔✔subcortical dementia - ✔✔apathy, depression, motor symptoms
, (e.g. HIV dementia)
✔✔hiv related dementia - ✔✔cognitive deficit, motor abnormalities (unsteady gait),
behavior abnormalities
subcortical dementia
✔✔treatment for hiv dementia - ✔✔antiretroviral therapy
✔✔pseudodementia - ✔✔memory problems due to depression
cognitive screening
"I don't know" answers common
tx: antidepressant
true dementia = "near misses" ??
✔✔Lewy bodies dementia - ✔✔visual hallucinations
parkinson features (bradykinesia, cogwheel rigidity, tremor)
✔✔frontotemporal dementia (picks disease) - ✔✔personality and behavior changes
apoptosis
note:
Kluver bucy syndrome = hypersexuality, hyperorality, placidity
✔✔Autism Spectrum Disorder neurotransmitters - ✔✔GLU, GABA, 5h
glutamate, GABA, serotonin
✔✔Autism Spectrum Disorder (ASD) - ✔✔deficit in social interactions
easily frustrated
lack eye contact or response when called
✔✔Broken mirror theory - ✔✔An account of autism in which the social difficulties are
considered as a consequence of mirror system dysfunction
mirror neuron causes dysfunction in ASD
✔✔screening tools in ASD - ✔✔MCHAT
ADOS-G
ASQ
✔✔ASD risks - ✔✔male
intellectual disability
genetic loading
AND ANSWERS SURE A+
✔✔treatment for OCD - ✔✔prozac in children
zoloft or chlomipramine in adults
✔✔DMDD (disruptive mood dysregulation disorder) - ✔✔irritable, sad, tantrums for no
reason
similar to bipolar
✔✔Intermittent Explosive Disorder (IED) - ✔✔out of proportion to situation
shows remorse (unlike conduct disorder)
✔✔irritable and labile mood - ✔✔do a Mood Questionnaire
✔✔Rett syndrome - ✔✔loss of purposeful hand skills
stereotypical hand movements
✔✔Delirium vs Dementia - ✔✔1. Delirium- Acute onset (hours/days), caused by
infection or substance use, altered LOC, UTIs in elderly (urinalysis)
2. Dementia: Chronic, insidious onset, usually not reversible, attention usually
unaffected and normal arousal level, impaired executive function
(vitamin B12/folic acid lab)
✔✔frontal lobe function - ✔✔executive function, problem solving, memory, judgment,
impulse control, language (broca's area), personality
problems: personality changes, emotional/ intellectual changes
✔✔occipital lobe function - ✔✔vision
visual hallucinations
✔✔temporal lobe function - ✔✔hearing (auditory hallucinations)
memory (amnesia)
language comprehension- Wernicke's (aphasia)
✔✔parietal lobe function - ✔✔sensory and perceptual disturbances
✔✔cortical dementia - ✔✔language and memory
aphasia and amnesia
(e.g. alzheimer's disease)
✔✔subcortical dementia - ✔✔apathy, depression, motor symptoms
, (e.g. HIV dementia)
✔✔hiv related dementia - ✔✔cognitive deficit, motor abnormalities (unsteady gait),
behavior abnormalities
subcortical dementia
✔✔treatment for hiv dementia - ✔✔antiretroviral therapy
✔✔pseudodementia - ✔✔memory problems due to depression
cognitive screening
"I don't know" answers common
tx: antidepressant
true dementia = "near misses" ??
✔✔Lewy bodies dementia - ✔✔visual hallucinations
parkinson features (bradykinesia, cogwheel rigidity, tremor)
✔✔frontotemporal dementia (picks disease) - ✔✔personality and behavior changes
apoptosis
note:
Kluver bucy syndrome = hypersexuality, hyperorality, placidity
✔✔Autism Spectrum Disorder neurotransmitters - ✔✔GLU, GABA, 5h
glutamate, GABA, serotonin
✔✔Autism Spectrum Disorder (ASD) - ✔✔deficit in social interactions
easily frustrated
lack eye contact or response when called
✔✔Broken mirror theory - ✔✔An account of autism in which the social difficulties are
considered as a consequence of mirror system dysfunction
mirror neuron causes dysfunction in ASD
✔✔screening tools in ASD - ✔✔MCHAT
ADOS-G
ASQ
✔✔ASD risks - ✔✔male
intellectual disability
genetic loading
