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18 Cards in this Set

  • Front
  • Back
What is the feared complication of clozapine, and how is it screened for?
Agranulocytosis. patients receive weekly CBCs for the first 6 months, then less frequently.
What class of antidepressants have dietary restrictions for tyramine containing foods, and why?
MAOIs. Tyramine containing foods can lead to neuroleptic malignant syndrome.
What can precipitate serotonergic syndrome?
Usually a combination of SSRIs and MAOIs. For this reason, patients usually have a couple weeks of "drug holiday" when switching from one agent to another.
How is lithium metabolized?
Lithium is NOT metabolized. it is excreted unchanged by the kidney in the proximal tubule. The kidney treats it the same way as sodium.
True or false: Neuroleptic malignant syndrome only occurs with "typical" neuroleptic medications.
False. it can occur with any agent that has dopaminergic antagonism, or even with withdrawal from domine agonists, as with parkinson's medications.
What is the triad of neuroleptic malignant syndrome?
Hyperthermia, altered mental status, and muscle rigidity
Which antipsychotics, high or low potency, have a higher incidence of anticholinergic side effects?
Low potency, such as thorazine
What life-threatening conditions are associated with anorexia nervosa?
electrolyte imbalance, bradycardia/dysrhythmias, rhabdomyolysis
What agents used by people with eating disorders can cause cardiomyopathy?
ipecac, ephedra
what condition is associated with binge eating after a period of starvation and has a 10% associated mortality?
post-binge pancreatitis
Which of the following are typical symptoms of a panic attack?
A. Fear of dying.
B. Chest tightness.
C. Dizziness.
D. Paresthesias.
E. All of the above.
e. all of the above
What is the best long-term therapy for panic disorder?
A. MAOI's.
B. Cognitive-Behavioral therapy.
D. All of the above.
E. B and C.
e. b and c only
How long until patients feel results from SSRI's?
A. About 15 minutes.
B. About 1 day.
C. About 1 week.
D. About 1 month.
E. About 3 months
d. about 1 month
What is FALSE about panic disorder?
A. It is a progressive disorder.
B. It is usually caused by a traumatic event.
C. The only acute pharmacologic treatments are benzodiazepines.
D. Lifetime risk is about 4%.
E. It is associated with mitral valve prolapse.
b. panic disorder is usually not caused by a traumatic event.
Panic attacks
A. Typically last about an hour.
B. Are common around menopause.
C. Will rarely stop spontaneously.
D Are more common in men.
E. Are treated effectively in the ED with SSRI's.
a. panic attacks typically last about an hour
Pick the FASLE statement about the physical exam, distinguishing organic disease from somatic disorders or malingering:
A. Pseudoseizures typically display rigid abdominal muscles.
B. With organic abdominal pain, patients will typically watch the examiner's hand during the abdominal examination.
C. Cup the patient's heels in both hands, ask the patient to lift one leg. If there is no downward pressure on the other heel, the patient may be mallingering.
D. In true coma, eyes remain midline when the lids are retracted.
E. The opticonkinetic drum should produce nystagmus if used properly and if vision is truly intact.
a. patients with pseudoseizure typically do not have rigid abdominal musculature
A 26-year-old medical student with no medical problems loses sight on match day. This is probably:
B. Hypochondriasis.
C. Conversion disorder.
D. Somatiziation disorder.
E. Schizophrenia.
c. conversion disorder
Pick the TRUE statement about conversion disorders:
A. Symptoms tend to last about one week.
B. Benzodiazepines are not helpful in conversion disorder.
C. Motor complaints are rare.
D. Symptoms can evolve to permanent dysfunction.
E. Indifference to one's own symptoms is more typical of conversion disorder than of organic disease.
d. symptoms can evolve to permanent dysfunction.