BEHAVIORAL Flashcards
What is the characteristics of projection defense mechanism?
Attributing owns feelings on the others
In the opiced treatment what’s the first thing you have to evaluate in the opiced abuse situation?
Misusing drugs, take drugs from diferent doctors , explore reasons for escaling.
What is the first-line therapy for generalized anxiety disorder?
SNRIs
What are the long acting benzodiazepines?
Diazepam, clorodiaxipoxide,flurozepam.
What are the short and intermediate acting benzodiazepines and good for hepatic disfunction?
Lorazepam,tenazepam, oxazepam .
What are the Benzodiazepines contraindicated in hepatic disfunction?
(Intermediate acting) lorazepam,clonazepam. (Short acting) triazolam
Drug of election in neuroleptic malignant syndrome and malign hypertemia ?
Dantrolen
What is neuroleptic malignant syndrome?
Diffuse muscle rigidity, high fever,automatic inestabylity (hypertension, tachycardia) altered sensorium.
What is paranoid personality disorder?
Suspiciousness or alistrust with not specific dellutions
What is delusional disorder?
Specific delutions are present
What is the Protocol for delivering bad news?
SPIKES. Set the stage, Perception, Invitation,Knowledge,Empathy,Sumary strategy.
How much time takes SSRIs and NE to work ?
4 to 8 weeks
If you are not agree with your professor about a patient treatment, what can you do?
Respectfully bring the issue up to your professor and discuss it?
What is the first-line therapy for depression?
Sertaline
What are the side effects of antidepressants?
Diminished need for sleep, restlessness,grandiosity
Side effect of lamotrigene
Rash , Steven Johnson
How to prevent clinical errors In the medical staff?
Use standardized patient hand-offs
What is the first-line to panic disorder?
SSRIs (1). IMAO (2)
Buspirone farmacodinamic
Slow onset of action
What is the treatment of generalized anxiety disorder?
Buspirine
What is the drug adherence problem In adolescent?
Not prefrontal cortex development, need to fit in a peer group
What are psychotic disorders?
Delusions, hallucinations,disorganized speech,negative symptoms
What are the psychotic disorders diferentials?
Brief psychotic disorder, schizophreniform, schizophrenic, schizoafective,
How is the Assessment of decision making capacity ?
Comunnicates a choice, understands information, appreciate concern , rationale give decision.
What is atypical depression?
Mood reactivity ( felling better whit positive situations) ,paralysis, more sleep, more appetite .
When use IMAO?
Depression resistant to drugs and atypical depression
Which antidepressants cause sexual side-effects?
Bupropion and mirtazapine
Treatment for resistant schizophrenia?
Clozapine ( agranulocytosis)
Who can go to Medicare?
> 65 years who paid taxes U.S. Citizens,disability people, end stage renal disease, ELA.
Who can go to Medicaid?
Homeless, undocumented migrants, pregnant woman , low income people,
Treatment for bulimia nervosa?
Fluoxetine
Treatment for anorexia nervosa?
Olanzapine
Treatment for bipolar maintenance
Lito, valproate, quetiapine.
What substances are NMDA receptor agonists?
Glutamate, aspartate, D-cycloserine.
What is schizoafective disorder?
- Major depressive or maniac episode concurrent with schizophrenia
- At least 2 weeks of delusions or hallucinations with out depression or maniac