Thomas Day 4 Dit

Front 1

extreme form of ego defense can result in multiple personality disorder

Back 1

dissociation

Front 2

atomextine can be used for what condition?

Back 2

ADHD (is a NSRI, inhibits NE reuptake, is only nonstimulant treatment of ADHD)

Front 3

3 current drugs to treat Tourettes

Back 3

anti-dopamine agents

fluphenazine
pimozidine
tetrabenazine

Front 4

Binge-Eating vs Compulsive eating disorder

Back 4

don't purge in either diorder

Binge- expression of deeper psychological problem, neg. feelings toward food

Compulsive- type of obsessive compulsive disorder, much time thinking about food

Front 5

2 most common causes of delirium

Back 5

anti-cholinergic drugs

UTIs

Front 6

pseudodementia

Back 6

depression in elderly (but know you are having problems with memory)

Front 7

dementia with visual hallucinations, falls, syncope

Back 7

Lewy Body dementia

Front 8

difference between typical and atypical neuroleptics for relieving what type of symptoms for schizophrenia?

differences in side effects of atypicals?

Back 8

typicals- positive symptoms

atypicals- positive AND negative symptoms

atypicals have LESS ANTICHOLINERGIC AND EPS symptoms, but still have histimine (sedation and weight gain) and alpha (hypotension) blocking

Front 9

person with dystonic reaction from neuroleptic, rx?

Back 9

diphenhydramine (H1 antagonist, think about trying to increased non EPS side effects to counterbalance EPS side effects)

Front 10

Dantrolene treats what 3 problems caused by what 4 drug classes?

what is defect causing?

Back 10

NMS/malignant hyperthermia, serotonin syndrome

succinylcholine
inhaled anesthetics
neuroleptics
Serotonin drugs

RYR1 defect - ryanodine receptor defect

Front 11

olanzapine, clozapine, quietapine can cause

Back 11

large weight gain, diabetes

Front 12

what is relationship for psychotic and parkinson's drugs

Back 12

can use parkinson's drugs to counteract EPS side effects,

and can use antipsychotics for parkinson-induced psychosis

Front 13

what are the 3 high potency typical antipsychotics?

haloperidol, trifluoperazine, chlorpromazine, thioidazine, flufenazine

Back 13

high- haloperidol, trifluoperazine, flufenazine

low- chlorpromazine, thioidazine

Front 14

first treatment for serotonin syndrome (2)

Back 14

cooling and benzos

Front 15

most common side effect of venlafaxine, duloxetine

Back 15

SNRIs (increase NE and serotonin)

increased BP

Front 16

selegeline mech and use

Back 16

MAO-B inhibitor, used for parkinsons

Front 17

MAOI washout period

Back 17

2 weeks, to avoid overlap with other drugs (for serotonin syndrome)

Front 18

go over neuropharm

Back 18

in flashcard exchange

Front 19

which drug is a NE and dopamine reuptake inhibitor?

Back 19

Buproprion

Front 20

drug that works well with SSRIs and increases REM sleep?

Back 20

trazadone

Front 21

what is first line for panic disorder?

Back 21

cognitive behavioral therapy

(then anxiety drugs)

Front 22

to have PTSD, need to have for how long?

Back 22

more than 1 month

(otherwise acute stress disorder)

Front 23

drug for generalized anxiety

Back 23

buspirone

5-HT receptor stimulator

if anxious on the bus, take buspirone

Front 24

pseudocyesis is

Back 24

false belief you are pregnant

Front 25

know abuse, withdrawal, and intoxications

Back 25

from psych farm

Front 26

withdrawal from what drugs can be life-threatening and cause cardiovascular collapse?

Back 26

benzos,
barbs,
EtOH
(think of them as same cause all work at same location)

Front 27

with cocaine overdose, can use what 2 drugs? PCP?

Back 27

if just agitation- benzos

if hallucinating- haloperidol

PCP same

Front 28

3 non-obvious complications of long-term alcoholism

Back 28

-testicular atrophy
-peripheral neuropathy
-low Mg2+ (need to replace, especially if have MI/arrhythmia)

Front 29

what is dry beriberi?

Back 29

polyneuritis and symmetric muscle wasting

Front 30

DT treatment drug

Back 30

benzodiazepines

Front 31

conjugate vertical gaze paralysis is what lesion?

conjugate horizontal gaze is what lesion?

Back 31

vertical- superior colliculi (Parinaud syndrome, pinealoma probably)

horizontal - PPRF

Front 32

acid-fast stain seeing "red snappers"

Back 32

TB

on histo, will see "horseshoe kidneys"

Front 33

what exactly is a ghon focus?

how different than ghon complex?

Back 33

a calcified scar from primary tuberculosis infection

ghon complex- focus plus lobar and perihilar lymph node involvement

Front 34

infection bacteria that can cause jaundice

Back 34

Leptospira

Front 35

Pott's disease

Back 35

TB that has invaded the vertebral bodies

Front 36

Mycobacteria kansasii, what patient population gets this?

Back 36

those with COPD (chronic bronchitis)

Front 37

2 indications for dapsone

Back 37

PCP pneumonia
leprosy

Front 38

which leprosy can be spread:
Tuberculoid or lepromatous?

Back 38

lepromatous (the diffuse one, pt has weak T-cell mediated immunity

Front 39

Lyme disease, what can happen in 3 stages?

what is drug treatment for stages?

Back 39

stage 1 - erythema migratorum, flu-like

stage 2 - Cardiac block and/or myopericarditis, bilateral Bell's Palsy, meningitis

stage 3 - migratory arthritis (likes knee, can be monoarticular or multiple). also can get encephalopathy

first 2 stages- doxycycline

last stage- ceftriaxone

Front 40

tree-barking of aorta indicates?

what are 2 other possible findings?

Back 40

tertiary syphilis (aoritis of vasa recta)

neurosyphilis, gummas

Front 41

many treponema are present in primary chancre of syphilis. what other lesion are they present in?

Back 41

2ndary white lesions (condylomata lata)

Front 42

anterior bowing of tibias, deafness, flat nose bridge indicate what neonatal infection? what is early sign?

Back 42

saber shins, deafness, saddle nose = congenital syphilis

blood tinged nasal secretions

Front 43

VDRL, FTA-ABS for syphilis, which for screening?

Back 43

VDRL

because can be positive with: Drugs, Mono, hepatitis, SLE, leprosy, rheumatic fever

Front 44

Rickettsia symptom triad

Back 44

fever, headache, rash

Front 45

2 conditions that can cause desquamation of palms and soles:

Back 45

Mercury poisoning

Kawasaki's disease

Front 46

Coxiella Burneti:
bug class?
causes what, and how unique?

Back 46

rickettsiae

causes Q fever, but Queer because it makes SPORE, does not show up on weil-felix, and has no vector

Front 47

Ixodes tick carries (2)

Back 47

lyme disease, babesia

Front 48

difference in rashes between rickettsia typhi and rickettsii?

Back 48

typhi has fever, headache, rash on trunk that moves outward (but doesn't involve hands/feet)

rickettsii starts with hands/feet and moves in

Front 49

Weil Felix tests for what bugs, what is antigen?

Back 49

tests for abs against rickettsii, use Proteus antigens

Front 50

pt has a severe pneumonia with a pet parrot at home, think about

Back 50

chlamydia psittaci

Front 51

chlamydia pneumonia:
-causes what?
-spread how?

Back 51

causes intersitial (atypical/walking) pneumonia

aerosolized spread

Front 52

chlamydia trichomonas
D-K do what
L1-L3 do what

Back 52

D-K- like gonorrhea, can cause PID, neonatal meningitis

L1-L3- Lymphogranuloma venereum

Front 53

lymphogranuloma venereum presents in what two stages

Back 53

first- ulcer on penis

then inguinal lymphadenopathy

Front 54

what is a haematologic complication of mycoplasma pneumoniae?

Back 54

cold agglutination

(IgM lysing of RBCs in cold)

Front 55

only bacterial membrane that has cholesterol

Back 55

mycoplasma pneumoniae

Front 56

TB prophylaxis? treatment?

Back 56

prophylaxis- INH

treatment- rifampin, isoniazid, pyrazinamide, ethambutol

Front 57

CD4 below 100, start prophylaxis with

Back 57

azithromycin for Mycobacterium avium

Front 58

gonorrhea prophylaxis

Back 58

ceftriaxone