1 Psych T Flashcards

1
Q

Bupropion risk and contraindication

A

seizures; Hx of seizures

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2
Q

Low potency 1st gen antipsychotics cause

A

histaminergic - sedation, cholinergic - dry, noradrenergic - orthostatic hypotension, blockade (chlorpromazine, thioradizine)

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3
Q

High potency 1st gen antipsychotics cause

A

Neuro/EPS side effects (Haloperidol, Fluphenazine)

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4
Q

Dissociative amnesia; Dissociative identity disorder; Depersonalization/Derealization Disorder

A

forget info about yourself; two personality states; detached from yourself or surroundings

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5
Q

Left vs Right frontal lobe lesions

A

L - apathy and depression; R - disinhibited behavior

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6
Q

Right vs Left parietal lobe lesions

A

R - hemineglect; L - Gerstmann

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7
Q

neuroleptic malignant syndrome: what is it and Tx

A

mm rigidity, high fever, ANS dysfxn i.e. tachy, fever, HTN; Tx with Dantrolene

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8
Q

Common antipsychotic side effects and Tx

A

Parkinson-like syndrome; Tx benztropine

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9
Q

Side effects of lithium

A

hypothyroid -> bradycardia, hair loss, dry skin,

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10
Q

What is paroxetine

A

SSRI

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11
Q

What is buproprione

A

NE D2 reuptake inhibitor

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12
Q

selegine, phenelzine, tranylcypromine are examples of

A

MOAi; used in Tx resistant depression,

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13
Q

most dangerous side effect os TCA’s

A

inhibition of Na Channel; heart conduction problems causing sudden death

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14
Q

methadone vs buprenorphene

A

long half life vs partial agonist

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15
Q

best Rx for seizure and mood stabilizing

A

valproate

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16
Q

schizophrenics w/ chronic antipsychotic (D2 antagonist) can have what symptoms

A

tardive dyskinesia

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17
Q

1st line for narcolepsy

A

modenafil

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18
Q

modenafil is what type of drug

A

non-amphetatime stimulant

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19
Q

Explain Rhett syndrome

A

x-linked - MECP2 gene; girls; normal development until 18mo; halt language development, hand wringing, deceleration of head growth

20
Q

What type of drug is chlordiazepoxide

A

Benzo

21
Q

Alcohol withdrawal Tx

A

Benzo’s acute Tx, Naltrexone to lower craving, disulfiram for maintenance

22
Q

Citalopram is what type of drug

A

SSRI

23
Q

1st line Tx for GAD

A

SSRI/SNRI

24
Q

OCD treatment targets what NT

A

serotonin

25
Q

ziprasidone; class and side effects

A

atypical antidepressent; long QT

26
Q

olanzapine and clozapine side effects

A

metabolic syndrome; (clozapine - agranulocytosis)

27
Q

risperidone side effects

A

hyperprolactin (D2 antagonist)

28
Q

Parotid gland hypertrophy in an extremely thing person

A

anorexia (also see amenorrhea, lanugo, osteoporosis)

29
Q

Tourette’s vs chronic tic disorder

A

tourette’s - both motor and vocal tics; chronic - motor or vocal tics

30
Q

PCP symptoms

A

ataxia, nystagmus, violent behavior, hallucinations

31
Q

sertraline is what kind of Rx

A

SSRI

32
Q

Trazodone use and side effect

A

serotonin modulator; priapism

33
Q

Phenylzine is what type of drug

A

TCA

34
Q

Serotoning syndrome vs NMS

A

nausea vomiting diarrhea vs hyperpyrexia and rigidity

35
Q

What drug can block tyrosine hydroxylase?

A

metyrosine

36
Q

MOA of dobutamine and uses

A

Beta agonist; CHF (+ionotropy/chronotropy)

37
Q

Order of symptom appearance in OH withdrawl

A

tremors -> seizures -> hallucinations -> DT w/ confusion hyperthermia, etc

38
Q

Antibiotic with MAOi activity

A

Linezolid (risk of serotonin syndrome w/ SSRI)

39
Q

PCP mechanism of action

A

NMDA antagonist

40
Q

Buspirone in GAD vs Panic Disorder

A

GAD bc long onset of action

41
Q

Short acting benzos (preferred in hepatic disease)

A

LOT: lorazepam, oxazepam, temazepam

42
Q

Long acting Benzos

A

Chlordiazepam, diazepam, fluazepam

43
Q

Oppositional Defiant Disorder explanation

A

rebellious and opposes authority figures. No destruction of property (conduct disorder)

44
Q

Heroin withdrawal symptoms

A

dilated pupils, yawning, lacrimation, nausea, vomiting, abdominal pain

45
Q

What type of drug is doxepin

A

TCA; anticholinergic side effects

46
Q

When to use clozapin

A

treatment refractory schizophrenia