Psychiatry

Front 1

signs of lithium toxicity

Back 1

coarse tremor, confusion, ataxia and diarrhea

Front 2

side effects of tricyclic antidepressants

Back 2

anticholinergic ie dry mouth, blurred vision, urinary retention, cognitive impairment and orthostatic hypotension from alpha adrenergic antagonism.

Front 3

NE and DA re-uptake inhibitors such as buproprion have what side effects?

Back 3

HA, nausea, GI distress, anxiety, anorexia.... most commonly = seizure

Front 4

fluvoxamine (Luvox) is a?

Back 4

SSRI

Front 5

Clomipramine is gold standard for what? What class is it?

Back 5

OCD, TCA ... along with SSRIs which has fewer tricyclic antidepressant side effects such as anticholinergic effects and orthostatic hypotension

Front 6

nortriptyline, imipramine, desipramine, clomipramine are all?

Back 6

TCA- block reuptake of serotonin and norepinephrine

Front 7

side effects of SSRIs like fluoxetine, paroxetine, fluvoxamine, escitalopram or escitalopram?

Back 7

HA, nausea, restlessness, insomnia, sedation, anorgasmia, delayed ejaculation. If combined with MAOI can cause serotonin syndrome

Front 8

carbamazepine. used for what? what are the side effects?

Back 8

used for mood stabilizing and s/e include bone marrow suppression and hypothyroidism

Front 9

lamotrigine (Lamictal) and oxycarbazepin are used for what? what is the scary side effect?

Back 9

mood stabilizers. watch for steven's johnson allergic rash.

Front 10

Initiative vs. guilt means

Back 10

age 3-5 baby exploring feelings of guilt that ensue when the child begins to have autonomy

Front 11

identity vs role confusion means

Back 11

adolescence, when individual wants to conform

Front 12

generativity vs. stagnation

Back 12

40-60 when individual views life as far as its commitment to society

Front 13

ego integrity vs. despair

Back 13

elderly looking for life acceptance in the world and finding peace looking at their life

Front 14

industry vs inferiority

Back 14

age 5-13 when children develop sense of self based on what they do or create.

Front 15

which of the following antipsychotics is atypical: fluphenazine, clopromazine, perphenazine, haloperidol, clozapine

Back 15

clozapine is an atypical... it's the wonder antipsychotic that made EPS symptoms less common

Front 16

Describe frontotemporal dementia

Back 16

loss of social skills, disinhibition, disorder of executive cognitive function. pick bodies noted on autopsy from tau protein. frontotemporal degeneration.

Front 17

triad of myoclonus, dementia and abnormal EEG points you toward the dx of?

Back 17

creutzfeldt-jakob's disease.

Front 18

movement disorder followed by emotional lability or depression and then dementia is seen in what AD disease?

Back 18

Huntington's Disease... due to CAG expanded trinucleotide repeat disorder on chromosome 4.

Front 19

resting tremor, cogwheel rigidity, bradykinesia and gait impairment with late dementia indicates?

Back 19

parkinson's disease

Front 20

vivid dreams from REM sleep intrusion, cataplexy (sudden loss of muscle tone), daytime sleepiness are all part of ?

Back 20

narcolepsy

Front 21

minimum amount of time for major depressive disorder?

Back 21

2 weeks.

Front 22

perphenazine =

Back 22

triliphon

Front 23

olanzapine =

Back 23

zyprexa

Front 24

atypical antipsychotics include

Back 24

aripipramazole (Abilify), Clozapine )(Clozaril), Risperidone, Olanzapine (Zyprexa), Quetiapine (Seroquel) ziprasidone (Geodon)

Front 25

what is dissociative amnesia?

Back 25

inability to recall important personal information usually of a traumatic or stresful nature. reversible memory impairment.

Front 26

what is dissociative fugue

Back 26

amnesia for one's identity coupled with sudden travel.

Front 27

what is depersonalization disorder?

Back 27

feeling of being detached outside from one's body.

Front 28

name a serotonin and neuroepinephrine reuptake inhibitor?

Back 28

effexor = venlafaxine
duloxetine = cymbalta

Front 29

name a norepinephrine and dopamine reuptake inhibitor?

Back 29

wellbutrin aka buproprion

Front 30

what length must normal bereavement extend to be identified as major depressive disorder

Back 30

greater then 2 months is an indication of major depression when grieving.

Front 31

interpersonal therapy evaluates what?

Back 31

current relationship issues.

Front 32

what is memantine (Namenda) used for and what is MOA?

Back 32

used for alzheimers works by NMDA receptor antagonist.

Front 33

what is the triad of normal pressure hydrocephalus?

Back 33

gait instability, incontinence and dementia indicate normal pressure hydrocephalus.

Front 34

dementia due to intermittent confusion, hallucinations and psychotic behavior with unusual sensitivity to EPS of neuroleptic drugs is most likely?

Back 34

Lewy body disease.

Front 35

what is reaction formation?

Back 35

the conversion of distressing emotions into the opposite sentiment

Front 36

benzotropine is used for?

Back 36

treatment of EPS symptoms, works as an anticholinergic antihistaminenic. OD results in confusion, dry mouth, fixed large pupils, tahycardia, fever, urinary retention.

Front 37

in opioid intoxication the pupils do what?

Back 37

constrict = pin point pupils.

Front 38

in opioid withdrawal the pupils?

Back 38

widen, salivation, lacrimation, diarrhea, urination SLUD