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23 Cards in this Set
- Front
- Back
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What is the tx of choice for a psychotic patient with negative symptoms?
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Negative: atypicals, like respiradone
(Positive: typical) |
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What is the treatment of choice for bipolar disorder in a pt with renal failure?
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Valproic acid or carbamazepine bc they are both metabolized by the liver. Lithium is normally the DOC but it is contraindicated in pts with renal failure
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A pt being treated with Haloperidol develops sustained contraction of the neck muscles, what is the tx of choice?
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Use a an anticholinergic like Diphenhydromine or Benztropine. This is Acute distonia.
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What is the tx of choice for OCD?
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SSRI. 2nd line is clomipramine
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Pt on haloperidol develops fever, muscle rigidity, confuision and diaphoresis. What is the DOC and the pt’s condition?
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Neuroleptic malignant syndrome; dantroline
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What is the most problematic fetal birth defect associated with Lithium use?
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Ebsteins anomaly
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What is the most common s/e of Olanzapine?
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Weight gain. Co-morbid is diabetes and dka
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What is the TOC for mania with psychosis?
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Atypicals. Or haloperidol
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What are the symptoms of TCA overdose?
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Cardiotoxic: CNS toxicity: anticholinergic
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What are the symptoms of serotonin syndrome?
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Autonomic excitation, altered mental status, neuromuscular hyperactivity, ocular clonus
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What happens if you ingest tyramine while one MOAI’s?
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HTN crisis
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Which antidepressant matches the following statements?
s/e of priapism= lowers the seizure threshold = used for bed wetting = works well with SSRI’s and increases REM sleep = appetite stimulant that is likely to result in weight gain = can be used for smoking cessation = |
Which antidepressant matches the following statements?
s/e = priapism (trazodone) lowers the seizure threshold = bupropion used for bed wetting = imipramine works well with SSRI’s and increases REM sleep = trazodone appetite stimulant that is likely to result in weight gain = mertazepine can be used for smoking cessation = bupropion |
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which neuroleptics are known for their Extra Pyramidal s/e
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high potency antipsychotics = haloperidol, fluphenazine, thiofexine
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What are the different tx’s for acute distonia, tardive dyskinesia, and neuroleptic malignant syndrome?
Acute distonia = Tardive dyskinesia = Neuroleptic malignant syndrome = |
Acute distonia = diphenhdromine, benztropine
Tardive dyskinesia = stop the meds Neuroleptic malignant syndrome = dantrolene |
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What are the tx options for GAD?
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SSRI, busparone, venlafaxine
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How does adjustment disorder with depressed mood differ from MDD?
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Stressor is removed. The stressor has to be something other than bereavement
Adjustment disorder aries within 3 mo of the stressor and is gone within 6 mo after the |
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Female patient with recent weight loss and deviation of the nasal septum is suspicious for…
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Cocaine abuse
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What is the downside of adding bupropion to nicotine replacement in a pt trying to quit smoking?
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You can combine the two, but you need to monitor blood pressure for HTN
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What is the DOC for etoh withdrawal
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Chlordiazepoxide (Librium)
Alcoholics Annonmyous is the way to go to quit, but for withdrawal you need to use benzos like Chlordiazepoxide |
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DOC for terrets syndrome?
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Fluphenazine, pemizide, or tetrabenazine
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Which childhood psychiatric syndrome matches the following statements
Females only, unexplained loss of previously learned skills = Impairments in social interactions, repetitive behavior = Impairment is social interaction w/o language delay = Sterotyped midline hand movements = Ignoring the basic rights of others = 7 year hold who avoids going to school to stay at home with a parent = |
Females only, unexplained loss of previously learned skills = rett’s
Impairments in social interactions, repetitive behavior = autisim Impairment is social interaction w/o language delay = asperger’s Sterotyped midline hand movements = retts Ignoring the basic rights of others = conduct disorder 7 year hold who avoids going to school to stay at home with a parent = Seperation anxiety disorder |
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What are the components of the CAGE questionnaire
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C = cut down
A= aggravating when ppl tell you to quit G= guilt for habit E= eye opener, need one in the AM to get going |
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What features are unique to PCP intoxication, that allow you to distinguish it from LSD intoxication?
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PCP has agitation and aggression, and nystagmus
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