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41 Cards in this Set
- Front
- Back
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Which antipsychotic will NOT cause increase prolactin resulting in amennorhea?
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Abilify (aripiprazole)
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five things that cause delirium?
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illness, medication (MC), intoxication, withdrawl, or combination of the above
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which waves predominate in delirium?
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theta waves (slow)
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six risk factors for delirium?
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young or old, polypharmacy, structural abnormalities, AIDS, major sx., burn pts.
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possible first sign of HIV?
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delirium
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which type of drugs need to be avoided in delirious patients?
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anti-cholinergics
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4 criteria of amnestic syndrome?
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1)impaired memory
2)social and functional dysfunction 3)memory disturbance not related to dementia or delirium 4)possible physiological cause from H and P |
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which art. infarc can cause amnestic syndrome?
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post. cerebral art.
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two infections that can cause amnestic syndrome?
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TB and herpes
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three chemical agents that can cause amnestic syndrome?
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benzo, heavy metal, anticholinergic
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time period required to dx. MDD?
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two weeks of depressed mood or anhedonia
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time period required for dysthymic disorder?
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two years
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bipolar I requirements?
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one manic episode that can develop over days and may last for 3 mo.
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first episode in women with bipolar I will most likely be?
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depression
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Bipolar II requirements?
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MDD and at least one hypomanic episode
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time requirement for cyclothymic disorder?
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at least 2 years of frequent hypomanic and depressive symptoms
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symptoms that must be present for dementia?
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memory def. and one of the following: aphasia, apraxia, agnosia, or problems with executive functioning
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first and second most common cause of dementia?
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first-alzheimer
second-vascular |
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worse time of MDD during the day?
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mornings are the worse and gradually get better, one reason why suicide is common in the morning
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alzheimer's with visual hallucinations and parkinsonism?
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lewy body dementia
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important dx. tool for creutzfeldt-Jakob disease?
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EEG
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which anti-alzheimer drug can cause muscle cramp, dizziness, and rhinitis?
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aricept(donepezil)
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what are some significant histories (4) that need to be thought about before prescribing anti-alzheimer?
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COPD, asthma, cardiac arrythmia, untreated GI bleeding
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which anti-alzheimer drug dosage is increased after 4-6 wks.?
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aricept (donepezil)
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standard feature of psychosis?
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impaired reality testing
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how many months of identifiable signs must be present for dx. of schizo?
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6 mo.
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time period for schizophreniform?
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greater than 1 mo., less than 6 mo.
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time period for brief psychotic?
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longer than 1 day, less than 1 mo.
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two types of sensory hallucinations prominent in substance induced psychosis?
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olfactory and visual
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major side effect of SSRI?
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anorgasmia
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time frame for rum fits?
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first 24 hrs.
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initial time frame for alcohol withdrawal delirium?
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within the first 24-72 hrs.
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two DOC to prevent seizures in EtOH withdrawal?
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librium and aqtivan(less toxic to liver)
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lithium metabolism?
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none; excreted solely by kidney
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absolute contraindications for ECT?
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none
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minimum time of seizure activity required in ECT?
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at least 25 sec.
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max. dosage of lithium before toxicity?
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2.5 mg
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only mood stabilizer known to decrease suicide rate?
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lithium
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lithium side effects?
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polydypsia, nephrogenic diabetes insipidus, teratogen(cardiac anomalies)
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relative contraindications of ECT?
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inc. ICP, MI, pregnancy,
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NMDA receptor inhibitor used in alzheimer?
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namenda (memantine); resensitizes brain to NMDA
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