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38 Cards in this Set
- Front
- Back
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drug tx for agoraphobia
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TCAs
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loss of 85 % of body weight for behavioral causes
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anorexia nervosa
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binge eating w/ maintaining body weight
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bulimia nervosa
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name 3 common appetite-suppresant meds
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exenatide (byetta)
sibutramine (meridia) orlistant (xenical) |
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drug essential for the prevention of bipolar disorder
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lithium (mood stabilizer)
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pt is emotionally detached, likes to be alone and is very close to a family member
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schizoid personality
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psychotic symptoms for less than 6 mo and no social withdrawal
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schizophreniform disorder
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how long to start seeing opioid withdrawal
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10 hrs
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pupillary constriction, hypotension, slurred speech, bradycardia and hypothermia
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opioid intoxication
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abused substance where frequent dosing its necessary due to its short half life
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cocaine
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dilated pupils, n/v, confusion, euphoria
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cocaine toxicity
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which condition is a contraindication to bupropion use
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seizures
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AE of risperidone (risperdal)
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hypotensive qt prolongation
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Side effects of this drug include orthostatic hypotension and wide QRS complex
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TCAs
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Side effect of antipsycotics causing involuntary movements of the head, tongue and lips
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TARDIVE DYSKINESIA
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What's REM stand for?
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RAPID EYE MOVEMENT
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Multi-organ system complaints from unexplained etiology suggests..
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SOMATIZATION DISORDER
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Criteria for the dx of somatization disorder
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1. Pain from 4 different locations
2. 2 GI sx other than pain (n/v) 3. 1 sexual sx (ed or dysparunia) 4. 1 pseudoneurologic sx (fainting, blindness) |
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Not feigned sensory or motor deficits (ataxia, dysphagia, blindness..) unexplained by a medical condition associated w/ a stressor or traumatic event
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CONVERSION DISORDER
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Five stages of grief or Kubler-Ross model
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1. DENIAL
2. ANGER 3. BARGAINING 4. DEPRESSION 5. ACCEPTANCE |
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Med used to prevent akathisia during tx w neuroleptics
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BENZOS (LORAZEPAM IV)
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Opioids toxicity (HEROIN mnemonic)
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H- HYPOTENSION
E- EUPHORIA R- RESPIRATORY ARREST O- COMA I- MIOSIS N- NAUSEA |
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Opioids withdrawal (OPIATES MNEMONIC)
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O- OUCH! MYALGIA/AB PAIN
P- PILOERECTION I- MIDRIASIS A- ANXIETY T-SHIT (DIARRHEA) E- EMESIS S- SWEATING |
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Cocaine toxicity (HYPER mnemonic)
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H- HYPERVIGILANCE
Y- CONFUSION (Y?) P- CHEST PAIN E- ENERGETIC R- |
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Cocaine withdrawal (CRASH mnemonic)
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C- CRAVINGS
R- RELAPSES A- ANERGETIC S- SOMNOLENCE H- HUNGER |
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Which of the atypical antipsychotics causes increased prolactin levels?
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RISPERIDONE
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Mention 3 of the most common typical antipsychotics
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1- HALDOPERIDOL (HALDOL)
2- CHLORPROMAZINE (THORAZINE) 3- TRIFLUPERAZINE (STELAZINE) |
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Mention the 4 most common side effects of typical antipsychotics
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1- EXTRAPYRAMIDAL SYMPTOMS (ACUTE DYSTONIA, PARKISONISM AND AKATHISIA)
2- ANTICHOLINERGIC SYMPTOMS 3- HOTN 4- QT SEGMENT PROLONGATION |
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Mnemonic for anticholinergic symptoms
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MAD AS A HATTER (ALTERED MENTAL STATUS)
RED AS A BEAT (SKIN FLUSHING) DRY AS A BONE (DRY MUCOUS MEMBRANES) BLIND AS A BAT (MYDRIASIS) HOT AS A HARE (HYPERTHERMIA) |
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Mention 6 common atypical antipsychotics and their main individual side effects
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1- CLOZAPINE (CLOZARIL)- SE: AGRANULOCYTOSIS/MYOCARDITIS/SEIZURES..c for heart, a for agran..and z for seizures
2- OLANZAPINE (ZYPREXA)- SE: WEIGHT GAIN..olanzapine makes an O of you 3- QUETIAPINE (SEROQUEL)- SE: CATARACTS..Q for cataracts 4- RISPERIDONE (RISPERDAL)- SE: HYPERPROLACTINEMIA..P for prolactin 5- ARIPRIPAZOLE (ABILIFY)- SE: SEIZURES..Z for seizures 6- ZIPRASIDONE (GEODON)- SE: SUDDEN DEATH 2/2 QT PROLONGATION |
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Mention 3 of the general side effects of atypical antipsychotics
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1- NEUROLEPTIC MALIGNANT SYNDROME
2- HYPERGLYCEMIA 3- HYPOTN |
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Antipsychotic which can be safely used in a pt with a h/o Neuroleptic Malignant Syndrome
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CLOZAPINE
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Pt w/ h/o schizophrenia p/w AMS, muscle rigidity, high temperature and involuntary movements. CK and WBC count are elevated. MLDx?
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NEUROLEPTIC MALIGNANT SYNDROME
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True or False. Sodium Bicarbonate is used in TCA overdose to alkalinize the urine and enhance excretion.
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FALSE. SODIUM BICARB IS USED TO STABILIZE ARTERIAL PH AND CORRECT QRS PROLONGATION BY INCREASING EXTRACELLULAR NA ++ CONCENTRATION
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Pt acts out on an aggressive dream to the point of hurting himself a couple times. MLDx, tx?
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REM BEHAVIOR DISORDER
TX: CLONAZEPAM |
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What neurologic disease pts w/ REM behavior disorder can develop aproximately 5 years w/ this condition?
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PARKINSON'S DISEASE
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What's the drug of choice for a pt w/ Bipolar Disorder who also has DM?
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VALPROIC ACID (DEPAKOTE)
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What's the tx of choice for Narcolepsy?
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CNS STIMULANT (METHYLPHENIDATE [RITALIN])
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