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45 Cards in this Set

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What are characteristics of schizoprenia?
Odd, Social withdrawl
Well oriented to time, place, time
Intact memory
Psychotic phase
Residual phase
How do you diagnose schizophrenia?
Sx for at least 6 months
At least one psychotic event within 6 months
Impairment of occupational of social functioning during this period
What are the residual signs aftera psychotic event?
Flat affect
Peculiar behavior
What are the most common hallucinations during a psychotic phase?
Hearing voices
Visual
Tactile
Taste
Smell
Viscous (intestinal movement)
What are the 5 types of schizophrenia?
Disorganized
Catatonic
Paranoid
Undifferentiated (Most common)
Residual
Which type of schizophrenia presents before age 25, poor appearance/grooming, disinhibited
Disorganized
Which type of schizophrenia presents with bizarre posture and extreme excitability
Catatonic
What are the DOC for the negative symptoms?
Atypical antipsychotics
What are the DOC for the positive symptoms?
Typical antipsychotics
Which antipsychotic drugs cause agranulocytosis?
Atypicals
How do you treat Parkinsonian effects?
Reduce dose and add cogentin or benadryl
What are some Neurologic side effects of antipsychotics?
Pardinsonian effects
Dystonias
Tardive dyskenisia
Neuroleptic malignant syndrome
Neuroleptic malignant syndrome
F - Fever
E - Encephalopathy
V - Vitals unstable
E - Elevated enzymes (elevated CPK)
R - Rigidity of muscles
What are some drugs used to treat NMS?
Dantrolene
Bromocriptine
Apomorphine
Electroconvulsive therapy (ECT) if medication fails.
What are some conditions that make the prognosis of schizophrenia better?
Mood symptoms
Older at onset
Female
Married
Positive symtoms
History of employment
disorder common in immigrants, hearing impaired, >40 y/o; presents with fixed non-bizarre delusional symptoms
Delusional disorder
How do you characterize Brief psychotic disorder
At least 1 episode lasting 1 day but < 1 month
Follows stressful event
How do you characterize Schizophreniform psychotic disorder
2 or more symptoms lasting at least 1 month but < 6 months
Suddden onset and termination
How do you characterize Schizoeffective psychotic disorder
Chronic impairment in functioning between episodes
Meets criteria for mood disoder, mania and schizophrenia
What is the treatment for delusional disorder with somatization symptoms?
Orap (Pimozide)
An example of this disoder is a wife who accepts the delusional ideas of her husbad
Shared psychotic disorder

Tx: Separation
Name the 4 types of mood disoders
Major Depressive
Bipolar I and II
Dysthymic
Cyclothymic
Tx for depression with insomnia
Amytriptyline
Tx for OCD
Clomipramine
Tx for depression in the elderly, anorexia, or bulimia
Desipramine
Drug used in panic disorder with agoraphobia, enuresis, anorexia, and bulimia
Imipramine
Drugs used for OCD, premature ejaculation
SSRIs
Drugs used for Atypical depression, panic disorder, eating disorder, and pain disorder
MAOIs
Tx for Anxiety with depression
Xanax
Tx for depression with psychotic features
Amoxapine
Tx for elderly and smoking
Bupropion
Last resort drug
Nefazodone
What are the four major side effects of heterocyclics
Cardiovascular effects (orthostatic hypotension)
Sedation
Anticholinergic effects
Weight gain
What are the side effects of SSRIs?
Sexual dysfunction
Delayed orgasm
Insomnia
Mild Weight gain
Anticholanergic effects
Cardiovascular
What is the major side effects of MAOIs?
Hypertensive crisis when taken with Tyramine products (Beer, wine, aged cheese)
What is the idication for using ECT?
Major depressive disorder
When rapid resolution is needed to prevent suicide
What is the side effects of ECT?
Amnesia
Headache
Dizziness
What are the Contra-indications of using ECT?
> ICP
Recent MI
Drug of choice for the manic phase of Bipolar disorder
Lithium
Mild depression most of the time with no discrete episodes
Dysthymic
Episode of hypomania as well as mild depression
Cyclothymic
30 year-old man seems unusually energetic and optimistic for the last three months. Previously, he had been described as glum and moody
Cyclothymic
What is the difference between major depressive and dysthymia?
Major Depressive: Episodic and severe

Dysthymia: Non-episodic, chronic, No psychosis

For both, symptoms must be present for at least two years
What is the treatment for Dysthymic and cyclothymic disorders?
Dysthymic: Cognictive therapy, SSRIs

Cyclothymic: Lithium
Differentiate between bipolar I, bipolar II, and hypomania
Bipolar I: Mania and major depression
Bipolar II: Hypomania and major depression
Hypomania: Mania without severe impairment or psychotic features