Psych Substance/drugs - Ms3 Part 4

Front 1

If a pt is in alcohol WD, always give BENZO’s, even if agitated;

Back 1

NOT antipsychotics - symps will go away with tx by benzo’s fd

Front 2

Do NOT use Flumazenil unless you know:

Back 2

they OD’d on Benzo’s – it can lower sez threshold

Front 3

realationship with current OR former pt is:

Back 3

ALWAYS a no-go

Front 4

informed consent ~~

Back 4

VOLUNTARY, ADEQUATE UNDERSTANDING OF RATIONALE, RISKS, BENEFITS, AND ALTERNATE TX OPTIONS

Front 5

benztropine mechanism =

Back 5

anticholinergic

Front 6

remember that adjustment disorder doesn’t meet:

Back 6

the full depression criteria

Front 7

when presented with a kid/teen, always look for:

Back 7

MDD

- ignore distractors like ODD, ADHD

- remember that it can manifest as irritability

Front 8

MRI findings in Tourettes =

Back 8

frontal lobe, possible BG or hippocampus atrophy

(if in doubt, go with frontal lobe)

Front 9

treatment for aspirin OD =

Back 9

activated charcoal

- do NOT induce vomiting

- stomach pump only if w/in hour of ingestion

Front 10

treatment for Li2+ toxicity =

(3)

Back 10

1. decrease dose

2. Propranolol

3. fluids

Front 11

features of trisomy 21:

(4)

Back 11

1. flat face

2. upslanting eyes

3. small, arched palate

4. short nose

Front 12

BiPD: MZ twins have a >___% chance of both having it, while DZ ~~

Back 12

MZ ~~ >50% in twin

DZ ~~ 25%

Front 13

4 drugs that can cause delirium

Back 13

1. thioridazine, other antipsychotics

2. TCA's

3. diuretics

4. Li2+

Front 14

8 drugs that can cause dementia:

Back 14

* antidepressants (esp. TCA's)
* antiHIST
* anti-Parkinson drugs
* anxiolytics (esp benzo's)
* CV drugs
* AED's
* corticosteroids
* opioids

Front 15

5 medical causes of dementia:

Back 15

1. B12 def.

2. tumors

3. subdural hematomas

4. thyroid (either)

5. alcohol

Front 16

when in doubt, go with:

Back 16

Haldol

Front 17

papilledema ~~

Back 17

inc. intraocular pressure

Front 18

Tx SIADH =

(3)

Back 18

1. water restriction

2. loop diuretics

3. NS to solve hyponatremia

Front 19

acute stress disorder timing =

Back 19

<1 mth

- o/w, PTSD

Front 20

Tx PKU =

Back 20

diet low in protein

Front 21

make sure to read the question

Back 21

at the end of the stem first

- try it out for the first few questions

Front 22

conjunctiva - ALWAYS:

Back 22

MJ intoxication

Front 23

Tx Li2+ toxicity =

Back 23

*fluids*

Front 24

4 SE's of TCA's:

Back 24

1. wt gain

2. sedation

3. arrythmias

4. OH

Front 25

Buproprion mechanism =

Back 25

NDRI

Front 26

don't ignore lab values;

Back 26

check lab values

Front 27

**READ THE QUESTIONS FAST;

Back 27

TRUST YOUR GUT**

Front 28

Flumazenil =

Back 28

benzo antidote

Front 29

"intrusive thought" =

Back 29

OCD until proven o/w

Front 30

Tx alcohol WD is ALWAYS:

Back 30

benzo,

NOT antipsychotic - doesn't matter if they're agitated

Front 31

3 doses of benzo + respiratory depression =

Back 31

benzo OD => Flumazenil

Front 32

sez in bulimia or binge-eating ~~

Back 32

improperly given bupropion

Front 33

CSF 5-HIAA is low in:

Back 33

suicides

Front 34

ppl with narcolepsy enter REM ______________________________

Back 34

almost immediately

- sleep to REM latency is DECREASED

Front 35

OSA also ~~

Back 35

decreased sleep latency

(take less time to fall asleep, cus they're tired all the time)

Front 36

Hallucinogens are really the only substance of abuse that can't be r/o with a tox screen.

Back 36

watch out for hallucinogens

Front 37

CBT is almost always:

Back 37

the right answer,

because it has way more evidence to support its use that other types of therapy.

Front 38

schizophrenics have ___________________________ on brain imaging

Back 38

diffuse corticol atrophy later in life

Front 39

Vitamin B1 =

Back 39

thiamine

Front 40

Social anxiety disorder has panic attacks in:

Back 40

specific social situations - the gestalt is someone afraid of looking nervous when they meet new people.

Front 41

CBT for:

Back 41

phobias, including flying

Front 42

DiGeorge features:

(2)

Back 42

1. long, smooth philtrum

2. wide mouth w/ full lips

Front 43

Fragile X features:

(5)

mc form of inherited MR

Back 43

1. autistic characteristics

2. delayed speech

3. delayed motor

4. sensory deficits

5. large tests in males

Front 44

Prader-Willi features:

(4)

Back 44

1. MR

2. obesity

3. hypogonadism

4. almond-shaped eyes

Front 45

Williams syndrome features:

(2)

Back 45

1. excessively friendly

2. MR

Front 46

Angelman features:

(3)

Back 46

1. inappropriate laughter +/- hand flapping

2. speech deficit

3. MR

Front 47

drugs that can cause depression:

(9)

Back 47

1. Accutane: This drug treats severe acne.

2. AED’s

3. Benzo’s/barb’s

4. B-blockers

5. CCB

6. INF-a

7. Opioids:

8. Statins:

9. Varenicline

Front 48

drugs that can induce mania:

(6)

Back 48

1. antidepressants

2. steroids

3. Levodopa

4. methylphenidate/amph

5. synthroid

6. certain abx

Front 49

6 drugs that can induce mania:

Back 49

1. antidepressants

2. corticosteroids

3. Levodopa

4. methylphenidate/amph

5. synthroid

6. certain abx

Front 50

drugs that can cause psychosis:

(3)

Back 50

1. Dopa agonists (amantadine, pramipexole)

2. anti-cholinergics (benztropine, diphenhydramine)

3. MJ, cocaine, PCP, LSD

Front 51

encoporesis is dx'd when child is:

Back 51

**>4 y/o but had previously already been potty-trained**

Front 52

enuresis is dx'd when child is:

Back 52

>age 4

- always involuntary

- majority of cases remit by age 7, o/w behavior modification

Front 53

Tx separation anxiety =

(3)

Back 53

1. FT

2. CBT

3. antidepressant

Front 54

separation anxiety timeline =

Back 54

>1 mth

- parents often have anxiety themselves

Front 55

autism dx =

Back 55

2 social impairments, 1 communication, 1 repetitive behavior/stereotypy

Front 56

difference b/w autism and Asperger's =

Back 56

no problem with language or cognitive development

Front 57

Tx autism =

Back 57

intensive remedial education, BT, and antipsychotics to control mood lability

Front 58

highest cognitive development of Rett disorder =

Back 58

1 year

Front 59

AED's are ________________

Back 59

teratogenic