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,55 y/o woman
6 week hx of
- Low energy
- Irritability
- Crying spells
- Sleep disturbances
- Anhedonia
- Constricted affect
- "Testy" mood
- Speech slightly slowed
- Concentration problems
"Wouldn't wake up some days," but no intent or plan to harm self
Cause of pt's sx? - correct ans:Major depressive disorder
26 y/o woman
5 wks after birth of first child
- Worries constantly that infant is ill; wakes him 10-14 times every night to make sure he is well
- Worried she will infect infant with germs; washes her own hands 30x/day
- 2 months prior to delivery, worried about people breaking into her house; checked the lock on the
front door 3-4 times every night
Disorder?
Treatment? - correct ans:OCD
SSRI:
, - Fluoxetine, Paroxetine, Sertraline, Citalopram
A patient has myasthenia gravis. What type of neoplasm are they most likely to have? - correct
ans:Thymoma
R eye cannot adduct past midline on horizontal gaze when looking to the left
Convergence is normal
Rightward horizontal gaze is normal.
What is this problem called? Where is the lesion? - correct ans:Internuclear ophthalmoplegia
(Right sided)
Lesion in R MLF
(medial longitudinal fasciculus
Where is the medial longitudinal fasciculus in the brainstem? - correct ans:Medial pons (caudal)
What age is a child who can:
- Use pincer grasp, finger feeding
- Stand while holding onto table
- Play peekaboo - correct ans:9 mo
What genetic mutation mechanisms are responsible for causing beta thalassemia? - correct ans:Point
mutations in splice sites and promoter sequences
--> decreased beta globin synthesis
Beta chain is either underproduced (beta thal minor)