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27 Cards in this Set
- Front
- Back
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First line pharmacotherapy for depression
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SSRIs
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Antidepressant associated w/ hypertensive crisis
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MAOi
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Galactorrhea, impotence, mentraul dsyfunction and decreased libido
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Pt on dopamine antagonist
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A 17 y.o. girl has left arm paralysis after her boyfriend dies in a car crash. No medical cause is foun.
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Conversion disorder
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A mother who is angry at her husband yells at her child. Defense mech?
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Displacement
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A pedophile enters a monastery. Defense mech
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Reaction formation
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A woman calmly describes a grisly murder
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Isolation
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A hospitalized child begins to wet the bed. Defense mech?
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Regression
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Life threatening muscle rigidity, fever, and rhabdomyolysis
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Neuoleptic malignant syndrome
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Amenorrhea, bradycardia, and abnormal body image ina young female
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Anorexia
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A 35 year old man has episodes of palpitations, diaphoresis, and fear of going crazy
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Panic disorder
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The most serious side effect of clozapine
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agranulocytosis
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A 21 yr old man has 3 months of social withdrawl, worsening grades, flattened affect, and concrete thinking
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Schizophreniform disorder (dx of schizophrenia requires at least 6 months of symptoms)
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Key side effects of atypical anyipsychotics
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Weight gain, type 2 DM, QT prolongation
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A young weightlifted receives haldol and complains that his eyes are deviated sideways. Dx? Tx?
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Acute dystonia (oculogyric crisis). Treat w/ benztropine or diphenhydramine
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Medication to avoid in pts w/ a history of alcohol withdrawl seizures
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Neuroleptics
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A 13 yr old boy w/ a history of theft, vandalism, and violence toward pets
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conduct disorder
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A five month old girl has decreased head growthm truncal dyscoorination, and decreased social interaction
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Rett's disorder
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A pt hasn't slept for days, lost $20,000 gambling, is agitated, and has pressured speech. Dx? Tx?
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Acute mania. Mood stabilizer (ie lithium)
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After a minor fender bender, a man wears a neck brace and requests permanent disability
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Malingering
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A nurse presents w/ severe hypoglycemia; blood analysis shows no elevation in C-peptide
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Facticious disorder (Munchausen syndrome)
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A pt continues to use cocaine after being in jail, losing his job, and not paying child support.
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Substance abuse
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A violent patient has vertical and horizontal nystagmus
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PCP
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A woman who was abused as a child frequently feels outside of or detached from her body
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Depersonalization disorder
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A man has repeated, intense urges to rub his body against unsuspecting passengers on a bus
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Frotteurism (a paraphillia)
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A schizophrenic pt takes haldo for one year and develops uncontrollable tongue movements? Dx? Tx?
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Tardive dyskinesia. Stop or decrease haldo and consider another antipsychotic (risperdal, clozapine)
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A man unexpectedly flies across the country, takes a new name, and has no memory of his prior life
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Dissociative fugue
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