1 Psych T

Question 1

Bupropion risk and contraindication

Answer 1

seizures; Hx of seizures

Question 2

Low potency 1st gen antipsychotics cause

Answer 2

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

Question 3

High potency 1st gen antipsychotics cause

Answer 3

Neuro/EPS side effects (Haloperidol, Fluphenazine)

Question 4

Dissociative amnesia; Dissociative identity disorder; Depersonalization/Derealization Disorder

Answer 4

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

Question 5

Left vs Right frontal lobe lesions

Answer 5

L - apathy and depression; R - disinhibited behavior

Question 6

Right vs Left parietal lobe lesions

Answer 6

R - hemineglect; L - Gerstmann

Question 7

neuroleptic malignant syndrome: what is it and Tx

Answer 7

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

Question 8

Common antipsychotic side effects and Tx

Answer 8

Parkinson-like syndrome; Tx benztropine

Question 9

Side effects of lithium

Answer 9

hypothyroid -> bradycardia, hair loss, dry skin,

Question 10

What is paroxetine

Answer 10

SSRI

Question 11

What is buproprione

Answer 11

NE D2 reuptake inhibitor

Question 12

selegine, phenelzine, tranylcypromine are examples of

Answer 12

MOAi; used in Tx resistant depression,

Question 13

most dangerous side effect os TCA’s

Answer 13

inhibition of Na Channel; heart conduction problems causing sudden death

Question 14

methadone vs buprenorphene

Answer 14

long half life vs partial agonist

Question 15

best Rx for seizure and mood stabilizing

Answer 15

valproate

Question 16

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

Answer 16

tardive dyskinesia

Question 17

1st line for narcolepsy

Answer 17

modenafil

Question 18

modenafil is what type of drug

Answer 18

non-amphetatime stimulant

Question 19

Explain Rhett syndrome

Answer 19

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

Question 20

What type of drug is chlordiazepoxide

Answer 20

Benzo

Question 21

Alcohol withdrawal Tx

Answer 21

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

Question 22

Citalopram is what type of drug

Answer 22

SSRI

Question 23

1st line Tx for GAD

Answer 23

SSRI/SNRI

Question 24

OCD treatment targets what NT

Answer 24

serotonin

Question 25

ziprasidone; class and side effects

Answer 25

atypical antidepressent; long QT

Question 26

olanzapine and clozapine side effects

Answer 26

metabolic syndrome; (clozapine - agranulocytosis)

Question 27

risperidone side effects

Answer 27

hyperprolactin (D2 antagonist)

Question 28

Parotid gland hypertrophy in an extremely thing person

Answer 28

anorexia (also see amenorrhea, lanugo, osteoporosis)

Question 29

Tourette's vs chronic tic disorder

Answer 29

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

Question 30

PCP symptoms

Answer 30

ataxia, nystagmus, violent behavior, hallucinations

Question 31

sertraline is what kind of Rx

Answer 31

SSRI

Question 32

Trazodone use and side effect

Answer 32

serotonin modulator; priapism

Question 33

Phenylzine is what type of drug

Answer 33

TCA

Question 34

Serotoning syndrome vs NMS

Answer 34

nausea vomiting diarrhea vs hyperpyrexia and rigidity

Question 35

What drug can block tyrosine hydroxylase?

Answer 35

metyrosine

Question 36

MOA of dobutamine and uses

Answer 36

Beta agonist; CHF (+ionotropy/chronotropy)

Question 37

Order of symptom appearance in OH withdrawl

Answer 37

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

Question 38

Antibiotic with MAOi activity

Answer 38

Linezolid (risk of serotonin syndrome w/ SSRI)

Question 39

PCP mechanism of action

Answer 39

NMDA antagonist

Question 40

Buspirone in GAD vs Panic Disorder

Answer 40

GAD bc long onset of action

Question 41

Short acting benzos (preferred in hepatic disease)

Answer 41

LOT: lorazepam, oxazepam, temazepam

Question 42

Long acting Benzos

Answer 42

Chlordiazepam, diazepam, fluazepam

Question 43

Oppositional Defiant Disorder explanation

Answer 43

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

Question 44

Heroin withdrawal symptoms

Answer 44

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

Question 45

What type of drug is doxepin

Answer 45

TCA; anticholinergic side effects

Question 46

When to use clozapin

Answer 46

treatment refractory schizophrenia