1. What are assessed in the Thought Content of the MSE: SI/HI, Plan, Halluci-nations
2. • PNEUMOIC - Old Age Parents Love Grandchildren: • Oral (0-18
... [Show More] months),Anal (18 months - 3 years), Phallic (3 years to 6 years), Latent (6 to 12), Genital(12 +)
3. • FREUD's PSYCHOSOCIAL STAGES OF DEVELOPMENT - PHALLIC STAGE - 3-6 years old: • 3-year-old masturbates, play with self, says naughtythings
• This is NORMAL for children this age.
4. What do you do when a patient has an increased prolactin level?: • Stopprolactin (stop the agent that cause increase prolactin)
5. • ACUTE STRESS DISORDER: • A d/o resulting from exposure to a major stressor, with SX of ANX, depression, dissociation, recurring nightmares, sleep disturbances, problems in concentrations, reliving the event, dreams, flashbacks -UP to ONE MONTH
- Less than 1 month.
• If LONGER than 1 month = PTSD
- Symptoms that occur immediately after the event but resolve in less than 3 dayswould not meet criteria for acute stress disorder
6. What would you do if a 5-year-old tells you his brother sodomized him?: •Tell mom don't leave him alone with patient and call CPS implement crisis
7. If a child is playing with doll in a sexual way, what do you do first?: •
You SUSPECT sexual abuse - Perform FURTHER ASSESSMENT and GATHER ENOUGH INFO BEFORE Calling CPS to report suspected Sexual Abuse - You HAVE to report but you have to have something (assessment data) to report - Assess = FIRST
8. If a 13-year-old tells you he want to smoke, what would be an appropriate response?: • Ask him of his plan to stop smoking
9. If a 14-year-old girl clenching her teeth, what cranial nerve would you suspect?: • Cranial nerve V-Trigeminal nerve (FIVE)
10. What cranial nerve is responsible for Bells Palsy?: 7 = Facial Paralysis
11. What cranial nerves do you assess for corneal sensation: Nerves 5 & 7
12. What cranial nerves do you assess for papillary reaction to light and accommodation?: Nerves 3,4,& 6
13. What cranial nerves do you assess for 6 cardinal fields of gaze & extra-oc-ular movements?: Nerves 3, 4, & 6
14. What cranial nerves do you assess for corneal light reflex?: 3, 4, & 6
15. Cranial Nerve 1: Olfactory (smell)
16. Cranial Nerve 2: Optic - vision
17. Cranial Nerve 3: Oculomotor (eye movement): The occulomotor nerve is re- sponsible for motor enervation of upper eyelid muscle, extraocular muscle and pupillary muscle.
18. Cranial Nerve 4: Trochlear (eye movement): The trochlear nerve controls an extraocular muscle.
19. Cranial Nerve 5: Trigeminal: The trigeminal nerve is responsible for sensory enervation of the face and motor enervation to muscles of mastication (chewing).
20. Cranial Nerve 6: Abducens (motor): The abducent nerve enervates a muscle,which moves the eyeball.
21. Cranial Nerve 7: Facial nerve: The facial nerve enervates the muscles of theface (facial expression).
22. Cranial Nerve 8: Vestibulocochlear (hearing and balance): The vestibulo- cochlear nerve is responsible for the sense of hearing and balance (body positionsense).
23. Cranial Nerve 9: Glossopharyngeal: The glossopharyngeal nerve enervatesmuscles involved in swallowing and taste. Lesions of the ninth nerve result in difficulty swallowing and disturbance of taste.
24. Cranial Nerve 10: vagus nerve: The vagus nerve enervates the gut (gastroin-testinal tract), heart and larynx.
25. Cranial Nerve 11: accessory: The accessory nerve enervates the sternoclei- domastoid muscles and the trapezius muscles.
26. Cranial Nerve 12: Hypoglossal (tongue movement): The hypoglossal nerve enervates the muscles of the tongue.
27. What is the best action for a 16 y/o with conduct disorder that refuses tx?: • Send to psych specialist for acting out kids - Referrals - Have to see if you aregoing to refer the same patient to the same provider - Cannot refer the patient to another provider that is the same as you (ie psych) - you must refer to a neurologistor another specialist or PCP
28. What is a priority consideration for a 16-year-old that shows up with mother for first therapy?: • Confidentiality (ex. mom sits in lobby)
29. What is important to know about ACE inhibitors (Meds for Heart fail- ure/HTN): • This medication can cause increased lithium levels to toxic levels - must collaborate with PCP to determine whether to change ACE or change Lithium
- Can't use both [Show Less]