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24 Cards in this Set
- Front
- Back
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first line pharmacotherapy for depression
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SSRI
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antidepressants associated with hypertensive crisis
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MAOI
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preferred antidepressant for patients with comorbid medical conditions
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citalopram (few drug interactions)
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benzos to use in patients with liver dysfunction
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lorazepam, oxazepam, temazepam (non-P450 metabolizers)
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A mother who is angry at her husband yells at her child
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displacement
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a pedophile enters a monastery.
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Reaction formation
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a woman calmly describes a grisly murder
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isolation
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a hospitalized 10 y/o begins to wet her bed
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regression
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most serious side effect of clozapine
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agranulocytosis
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21 y/o male has 3 months of social withdrawl, worsening grades, flattened affect, and concrete thinking
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schizophreniform disorder (dx of schizophrenia requires >6 months of symptoms)
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key side effects of atypical antipsychotics
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weight gain, type 2 DM, QT prolongation
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young weight lifter recieves IV haloperidol and complains that his eyes are deviated sideways. Dx? Rx?
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acute dystonia (oculogyric crisis)
Rx - benztropine, diphenhydramine |
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medication to avoid in pts with a hx of alcohol withdrawl seizures
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neuroleptics
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13 y/o male has hx of theft, vandalism, and violence towards family pets
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conduct disorder
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5 month old girl has decreasing head growth, truncal dyscoordination, and decreased social interaction
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Rett's disorder
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common therapy for phobias, OCD, and panic disorder
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CBT
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pt hasn't slept for days, lost $20000 gambling, is aggitated, and has pressured speech
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Acute mania
Start a mood stabilizer |
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after a minor fender bender a man wears a neck brace and requests permanent disability
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malingering
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nurse presents with severe hypoglycemia; blood peptide analysis reveals no elevation in C peptide
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factidious disorder
(Munchausen syndrome) |
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violent pt has vertical and horizontal nystagmus
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PCP intoxication
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woman who was abused as a child frequently feels outside or or detached from her body
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depersonalization disorder
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man has repeated, intense urges to rub his body again unsuspecting passengers on a bus
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Frotteurism (a parphilia)
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schizophrenic pt takes haloperidol for one year and develops uncontrollable tongue movements
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tardive dyskinesia
decrease/stop haloperidol and consider other antipsychotic |
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man unexpectedly flies across country, takes a new name, and has no memory of his prior life
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dissociative fugue
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