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.

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

Trigeminal neuralgia (Also Known as tic douloureux, Prosopalgia, Suicide Disease or Fothergill's disease) Vs Post Herpetic Neuralgia:

Post Herpetic Neuralgia, which occurs after shingles (VGV), may have similar symptoms to Trigeminal Neuralgia if Trigeminal Nerve is affected.
Differentiate by presence of associated vescicles, and unremitting pain (not lasting seconds) following the dermatomes

Brain CT and MRI findings after carbon monoxide toxicity

Details here: http://bit.ly/pRGG18

Lumbar & Sacral Nerve Root Compromise

Nerve Root	L4	L5	S1
Motor Weakness	Extension of Quadriceps	Dorsiflexion of greater toe & foot	Plantar flexion of greater toe & foot
Screening Exam	Squat & Rise	Heel walking	Toe walking
Reflexes	Knee jerk diminished	None reliable	Ankle jerk diminished

Sciatic Nerve involvement: more diffuse (L4-S3 involved)

Peroneal N (branch of Sciatic N): Loss of dorsiflexion (Foot drop)

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

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.

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

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