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68 Cards in this Set
- Front
- Back
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rx for narcolepsy
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methylphenidate
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other disorders associated with panic disorder
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depression, agoraphobia, GAD, substance abuse
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rx for acute dystonia with haldol use?
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benztropine or diphenhydramine
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rx for tourette's
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haldol, primozide, clonidine
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definition of hypomania
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manic sx for <1 wk
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abrupt cessation of what benzo can precipitate seizures
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alprazolam
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antipsychotic associated with pimentary retinopathy
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thoridiazine
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antipsychotic associated with cataracts
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quetiapine
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generic name for librium
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chlordiazepoxide
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pathophys of intermittent explosive disorder
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abnormalities of serotonergic pathways of limbic system
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detached personality, not bizarre
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schizoid
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domamine's effect on prolactin
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inhibits it
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antipsychotic effect on dopamine
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inhibit it
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pregnancy-related complications of anorexia
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miscarriage, IUGR, hyperemesis, prematurity, C/S, postpartum depression
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risk of bipolar if first degree relative has it
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10%
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CT finding in schizophrenia
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increased size of ventricles
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depot antipsychotics
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fluphenazine, haldol (for non-compliant pts)
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rx for catatonic schizophrenia
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benzos
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class of drugs to avoid in PTSD
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benzos
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what sometimes improves conversion disorder?
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sodium amytal
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if pt is on buproprion and nicotine replacement, what do you do?
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frequent BP checks
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recurrent involuntary spasm of perineal muscles surrounding vagina
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vaginismus
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tx for adjustment disorder
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psychotherapy or CBT
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tx for social phobia
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assertiveness training and SSRI
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first line rx for PTSD
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SSRI
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avoid what class of drugs in dementia
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benzos - can worsen confusion
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bipolar I
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at least one manic or mixed episode
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bipolar II
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at least one MDE and one hypomanic episode
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serotonin syndrome
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if SSRI given with MAOI - fever, myoclonus, MS changes, CV collapse
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MAOIs
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tranycyclopromine, phenelzine
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side effect of venlafaxine
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diastolic HTN
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side effects of mirtazapine
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weight gain, sedation
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side effects of trazodone
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highly sedating, priapism
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side effects of nefazodone
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sedation, headache, dry mouth
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side effects of TCAS
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lethal with overdose secondary to arrhythmia, anticholinergic effects (dry mouth, constipation, urinary retention)
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side effects of typical antipsychotics
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extrapyramidal sx, hyperprolactinemia, anticholinergic effects, neuroleptic malignant syndrome
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side effect of clozapine
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agranulocytosis
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side effects of atypical antipsychoitics
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weight gain, type 2 DM QT prolongation
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what is clozapine used for?
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treatment resistance and severe tardive dyskinesia
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side effects of carbamazepine
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nausea, skin rask, AV block, respiratory depression, rarely aplastic anemia, stevens johnson syndrome
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side effects of valproic acid
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alopecia, pancreatitis, thrombocytopenia, hepatotoxicity, agranulocytosis
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side effects of lamotrigine
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ataxia, blurry vision, stevens-johnson syndrome
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isolated, detached loner
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schizoid
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what percentage of pts with schizophrenia commit suicide?
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10%
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sx of schizophrenia for <6 mos
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schizophreniform
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sx of schizophrenia with MDD or bipolar
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schizoaffective
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treatment for akathisia associated with antipsychotics
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decrease and try B blocker
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rx for dyskinesia/pseudoparkinsonism associated wtih antipsychotics
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anticholinergic - benztropine or dopamine agonist (amantadine)
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if pt has tardive dyskinesia, what can giveing anticholinergics or decreasing neuroleptic do?
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may initially worsen TD
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definition of MR
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IQ <70
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opiod withdrawal
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anxiety, insomnia, diaphoresis, dilated pupils, N/D, yawning
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belligerence, psychosis, impulsiveness, nystagmus, ataxia
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PCP intoxication
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drug for severe PCP intoxication
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benzos
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pupils in opiod intoxication
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constricted
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patient intentionally causes/feigns symptoms for secondary gain of financial benefit or housing
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malingering
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patietns fabricate sx or cause self-injury to assume sick role
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factitious disorder
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in what season are most people with schizophrenia born?
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winter
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treatment for akathisia
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try beta blockers
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when pt develops TD what should be tried
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switch to second generation antipsychotic, e.g. clozapine, risperidone
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side effects of chlorpromazine
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jaundice and photosensitivity
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side effects of lithium
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DI, thyroid dysfunction, tremor, CNS effects at toxic levels
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what is cyclothymia
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at least 2 years of hypomania alternating with depressed mood but no full blown episodes of either
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at what age is the risk of suicide highest
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over 65
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treatment for GAD
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buspirone, SSRIs, benzos
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what is dissociative/psychogenic fugue?
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pt develops amnesia, travels, assumes new identity
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non-amphetamine stimulant for narcolepsy
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modafinil
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what are the 3 leading causes of death in adolescents?
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accidents, homicide, suicide
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euphoria, dizziness, slurred speech, feeling of floating, ataxia, sense of heightened power
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inhalant intoxication
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