Behavioral Medicine and Substance Abuse Flashcards
What is the most likely complication of androgenic steroid use?
hepatic abnormalities (elevated liver enzymes, cholestatic jaundice, drug induced hepatitis)
What substance is likely to cause patient to be unconscious, hyperthermic, decreased respiratory rate, hyponatremia, hyperkalemia, hypoglycemia and elevated creatinine kinase (rhabdomyolysis)?
MDMA (Ecstasy)
…. is the phenomenon in which children of parents with disabilities or chronic illnesses are obligated to take on adult responsibilities to the detriment of their own development
Parentification
What is the next step in management of a patient who is on stimulant for ADHD but develops worsening disruptive tics?
continue stimulant (if helping with ADHD symptoms) and started clonidine (alpha agonist)
What is the treatment for trichotillomania (hair pulling excessively)?
behavior modification and SSRIs
What is the most likely diagnosis for patient present with decreasing rates of cranial growth, regression in developmental milestones, hypotonia, expressive language dysfunction, stereotypic hand gestures and seizures starting around 6-18 months of age?
Rett syndrome
What is the inheritance pattern for Rett syndrome?
X-linked dominant
males generally die at or before birth, so predominantly seen in females
Which ADHD medication carries a warning regarding increased risk of suicidal ideation?
Atomoxetine
What medication is usually used for aggressive behavior and irritability associated with Autism?
Risperidone
can also use Aripiprazole
What is the most likely diagnosis for patient presenting with perioral and perinasal eczematous rash, nosebleeds, cough, wheezing, SOB, excessive lacrimation, rhinorrhea, salivation and benzene like odor?
Inhalant use
What is the FDA warning for adolescents on SSRIs?
Suicidality
What is a side effect of Risperidone?
Galactorrhea (elevated prolactin levels)
… is characterized by multiple motor and vocal tics lasting more than 1 year.
Tourette Syndrome
Onset usually begins prior to 7 years old
What is the most likely substance misuse associated with hypotension, generalized hypotonia, ataxia, nystagmus and respiratory depression in patient with family/ personal history of anxiety?
Benzodiazepine overdose
What is the most likely diagnosis for patient presenting with sleep problems, nightmares that revolve around separation from family, decreased appetite, physical complaints and refusal to go to school?
Separation Anxiety Disorder
What is the first step in management for adolescent found to be sexting?
alert authorities of any potentially unlawful behavior by the recipients of the patient’s photos/ videos
(criminal charges of child porn)
What is the CRAFFT screening test used for?
assess drug and alcohol abuse
What is a respiratory complication associated with Rett syndrome?
episodes of hyperventilaion followed by hypoventilation and periods of apnea during wakefulness
What is the next best step in management for patient presenting with nonsuicidal self-injury (behaviors that harm without the intent to die)?
refer to mental health and reassess in 1 week
What is the most likely diagnosis for child age 3-12 who has abrupt awakening from sleep with loud scream, appears agitated/ frightened/ confused, has facial flushing/ sweating/ tachycardia, does not respond to parental efforts at calming and does not recall the episode in the morning?
Night Terrors
usually during 1st 1/3 of sleep
What is the best treatment for psychomotor agitation associated with Bath Salt ingestion?
Lorazepam (or diazepam)
What is the first line medication treatment for OCD?
SSRI
What substance is referred to as “downers”, “blue footballs”, “tranks”, “totem poles”?
Benzodiazepine
What is a complication of benzodiazepine withdrawal?
Seizures
