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60 Cards in this Set
- Front
- Back
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What is the best treatment for a manic patient with agitation and violence in the ACUTE setting?
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Haloperidol
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Why is Haloperidol useful in acute settings?
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It has an onset in 20-30 min and can be given PO, IM, or IV
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Why aren't Lithium, Carbamazepine, an Valproic acid useful in acute settings?
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They take DAYS to work
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What is the drug of choice for maintainence of bipolar disorder in a patient with hx of agranulocytosis?
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Lithium
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What sex is more likely to have somatization disorder and by how much?
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Females - 20X
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What can exacerbate the subtle disconnect from reality in schizotypal patients and how can it be managed?
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Stress
Manage with NEUROLEPTICS |
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What is the best initial treatment for PANIC disorder?
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SSRI
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What are 4 adverse side effects associated with Clozapine?
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-Tachycardia
-Hypotension -Weight gain -Seizures |
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What med is associated with Gingival hyperplasia?
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Phenytoin (dilantin)
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What is the % chance for familial transmission of schizophrenia?
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10%
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What is the best treatment for a manic patient with agitation and violence in the ACUTE setting?
|
Haloperidol
|
|
|
Why is Haloperidol useful in acute settings?
|
It has an onset in 20-30 min and can be given PO, IM, or IV
|
|
|
Why aren't Lithium, Carbamazepine, an Valproic acid useful in acute settings?
|
They take DAYS to work
|
|
|
What is the drug of choice for maintainence of bipolar disorder in a patient with hx of agranulocytosis?
|
Lithium
|
|
|
What sex is more likely to have somatization disorder and by how much?
|
Females - 20X
|
|
|
What can exacerbate the subtle disconnect from reality in schizotypal patients and how can it be managed?
|
Stress
Manage with NEUROLEPTICS |
|
|
What is the best initial treatment for PANIC disorder?
|
SSRI
|
|
|
What are 4 adverse side effects associated with Clozapine?
|
-Tachycardia
-Hypotension -Weight gain -Seizures |
|
|
What med is associated with Gingival hyperplasia?
|
Phenytoin (dilantin)
|
|
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What is the % chance for familial transmission of schizophrenia?
|
10%
|
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How is ATTENTION assessed during the MSE?
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Digit recall
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What condition in an 18yo girl is most associated with euphoria, grandiose delusions, decreased need for sleep, and paranoia?
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Cocaine intoxication
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What is the syndrome where a patient responds by giving approximate or outright ridiculous answers?
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Ganser syndrome
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What is dissociative identity disorder?
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Multiple personality disorder
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What is loxapine?
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A TYPICAL antipsychotic
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What would you prescribe for a patient with Schizophrenia, on haloperidol, who complains of muscle stiffness in back and neck?
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Benztropine; an anticholinergic
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What would you suspect if the patient then came in a week later with agitation, confusion, dilated pupils, tachycardia, and flushed skin?
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Anticholinergic crisis
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What should you do for a patient on haloperidol, benztropine, with anticholinergic crisis?
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STop the benztropine and prescribe Amantadine
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What is Amantadine?
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An antiviral that helps alleviate EPS and replaces benztropine
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What kind of defense mechanism is denial?
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Narcissistic
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How is ATTENTION assessed during the MSE?
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Digit recall
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|
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What condition in an 18yo girl is most associated with euphoria, grandiose delusions, decreased need for sleep, and paranoia?
|
Cocaine intoxication
|
|
|
What is the syndrome where a patient responds by giving approximate or outright ridiculous answers?
|
Ganser syndrome
|
|
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What is dissociative identity disorder?
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Multiple personality disorder
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|
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What is loxapine?
|
A TYPICAL antipsychotic
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|
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What would you prescribe for a patient with Schizophrenia, on haloperidol, who complains of muscle stiffness in back and neck?
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Benztropine; an anticholinergic
|
|
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What would you suspect if the patient then came in a week later with agitation, confusion, dilated pupils, tachycardia, and flushed skin?
|
Anticholinergic crisis
|
|
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What should you do for a patient on haloperidol, benztropine, with anticholinergic crisis?
|
STop the benztropine and prescribe Amantadine
|
|
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What is Amantadine?
|
An antiviral that helps alleviate EPS and replaces benztropine
|
|
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What kind of defense mechanism is denial?
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Narcissistic
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What are 4 ways to delineate psychogenic unresponsiveness from coma?
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1. EEG - normal
2. DTR's - may be suppressed 3. Cold-caloric induced nystagmus |
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With what other diagnosis is Ganser syndrome most often confused, and in what population is it most found?
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-Malingering
-Prison populations |
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What is Capgras syndrome?
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Content-specific delusion that a patient's significant other/family has been replaced by an imposter
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What is it called when a patient maintains a limb in the position in which you place it?
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Catalepsy
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What is Cataplexy?
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Sudden, brief loss of muscle tone
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What pain medication can cause a fatal drug interaction with an MAOI?
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Meperidine - Demerol
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What is a common lab finding in NMS?
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Elevated CPK
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What is a urine tox screen capable vs not capable of?
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-Can diagnose substance ABUSE
-not dependence! |
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What are the top 2 most common types of dementia?
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1. Alzheimers 50-60%
2. Vascular 10-20% |
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What is the treatment for Anticholinergic toxicity when too much benztropine is given?
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AnticholinesterASE medication - somethign to inhibit the breakdown of ACh so that it overcomes the toxic anticholinergic agent.
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What are 4 ways to delineate psychogenic unresponsiveness from coma?
|
1. EEG - normal
2. DTR's - may be suppressed 3. Cold-caloric induced nystagmus |
|
|
With what other diagnosis is Ganser syndrome most often confused, and in what population is it most found?
|
-Malingering
-Prison populations |
|
|
What is Capgras syndrome?
|
Content-specific delusion that a patient's significant other/family has been replaced by an imposter
|
|
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What is it called when a patient maintains a limb in the position in which you place it?
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Catalepsy
|
|
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What is Cataplexy?
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Sudden, brief loss of muscle tone
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|
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What pain medication can cause a fatal drug interaction with an MAOI?
|
Meperidine - Demerol
|
|
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What is a common lab finding in NMS?
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Elevated CPK
|
|
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What is a urine tox screen capable vs not capable of?
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-Can diagnose substance ABUSE
-not dependence! |
|
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What are the top 2 most common types of dementia?
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1. Alzheimers 50-60%
2. Vascular 10-20% |
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What is the treatment for Anticholinergic toxicity when too much benztropine is given?
|
AnticholinesterASE medication - somethign to inhibit the breakdown of ACh so that it overcomes the toxic anticholinergic agent.
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