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45 Cards in this Set
- Front
- Back
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What are characteristics of schizoprenia?
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Odd, Social withdrawl
Well oriented to time, place, time Intact memory Psychotic phase Residual phase |
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How do you diagnose schizophrenia?
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Sx for at least 6 months
At least one psychotic event within 6 months Impairment of occupational of social functioning during this period |
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What are the residual signs aftera psychotic event?
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Flat affect
Peculiar behavior |
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What are the most common hallucinations during a psychotic phase?
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Hearing voices
Visual Tactile Taste Smell Viscous (intestinal movement) |
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What are the 5 types of schizophrenia?
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Disorganized
Catatonic Paranoid Undifferentiated (Most common) Residual |
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Which type of schizophrenia presents before age 25, poor appearance/grooming, disinhibited
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Disorganized
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Which type of schizophrenia presents with bizarre posture and extreme excitability
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Catatonic
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What are the DOC for the negative symptoms?
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Atypical antipsychotics
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What are the DOC for the positive symptoms?
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Typical antipsychotics
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Which antipsychotic drugs cause agranulocytosis?
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Atypicals
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How do you treat Parkinsonian effects?
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Reduce dose and add cogentin or benadryl
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What are some Neurologic side effects of antipsychotics?
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Pardinsonian effects
Dystonias Tardive dyskenisia Neuroleptic malignant syndrome |
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Neuroleptic malignant syndrome
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F - Fever
E - Encephalopathy V - Vitals unstable E - Elevated enzymes (elevated CPK) R - Rigidity of muscles |
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What are some drugs used to treat NMS?
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Dantrolene
Bromocriptine Apomorphine Electroconvulsive therapy (ECT) if medication fails. |
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What are some conditions that make the prognosis of schizophrenia better?
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Mood symptoms
Older at onset Female Married Positive symtoms History of employment |
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disorder common in immigrants, hearing impaired, >40 y/o; presents with fixed non-bizarre delusional symptoms
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Delusional disorder
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How do you characterize Brief psychotic disorder
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At least 1 episode lasting 1 day but < 1 month
Follows stressful event |
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How do you characterize Schizophreniform psychotic disorder
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2 or more symptoms lasting at least 1 month but < 6 months
Suddden onset and termination |
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How do you characterize Schizoeffective psychotic disorder
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Chronic impairment in functioning between episodes
Meets criteria for mood disoder, mania and schizophrenia |
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What is the treatment for delusional disorder with somatization symptoms?
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Orap (Pimozide)
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An example of this disoder is a wife who accepts the delusional ideas of her husbad
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Shared psychotic disorder
Tx: Separation |
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Name the 4 types of mood disoders
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Major Depressive
Bipolar I and II Dysthymic Cyclothymic |
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Tx for depression with insomnia
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Amytriptyline
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Tx for OCD
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Clomipramine
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Tx for depression in the elderly, anorexia, or bulimia
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Desipramine
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Drug used in panic disorder with agoraphobia, enuresis, anorexia, and bulimia
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Imipramine
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Drugs used for OCD, premature ejaculation
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SSRIs
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Drugs used for Atypical depression, panic disorder, eating disorder, and pain disorder
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MAOIs
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Tx for Anxiety with depression
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Xanax
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Tx for depression with psychotic features
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Amoxapine
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Tx for elderly and smoking
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Bupropion
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Last resort drug
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Nefazodone
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What are the four major side effects of heterocyclics
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Cardiovascular effects (orthostatic hypotension)
Sedation Anticholinergic effects Weight gain |
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What are the side effects of SSRIs?
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Sexual dysfunction
Delayed orgasm Insomnia Mild Weight gain Anticholanergic effects Cardiovascular |
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What is the major side effects of MAOIs?
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Hypertensive crisis when taken with Tyramine products (Beer, wine, aged cheese)
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What is the idication for using ECT?
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Major depressive disorder
When rapid resolution is needed to prevent suicide |
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What is the side effects of ECT?
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Amnesia
Headache Dizziness |
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What are the Contra-indications of using ECT?
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> ICP
Recent MI |
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Drug of choice for the manic phase of Bipolar disorder
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Lithium
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Mild depression most of the time with no discrete episodes
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Dysthymic
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Episode of hypomania as well as mild depression
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Cyclothymic
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30 year-old man seems unusually energetic and optimistic for the last three months. Previously, he had been described as glum and moody
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Cyclothymic
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What is the difference between major depressive and dysthymia?
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Major Depressive: Episodic and severe
Dysthymia: Non-episodic, chronic, No psychosis For both, symptoms must be present for at least two years |
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What is the treatment for Dysthymic and cyclothymic disorders?
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Dysthymic: Cognictive therapy, SSRIs
Cyclothymic: Lithium |
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Differentiate between bipolar I, bipolar II, and hypomania
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Bipolar I: Mania and major depression
Bipolar II: Hypomania and major depression Hypomania: Mania without severe impairment or psychotic features |
