Bowers add

Question 1

MDD + Psychosis treatment

Answer 1

antidepressant + antipsychotic

can use ECT

Question 2

MDD + Psychosis

Answer 2

depression + delusions/hallucinations

Question 3

cycle of substance abuse

Answer 3

binge/intoxication
withdrawal/negative affect
preoccupation/anticipation

Question 4

symptoms of opioid OD

Answer 4

constricted pupils
coma
slurred speech

given naloxone or narcan

Question 5

what drug is given to opioid withdrawal patients

Answer 5

buprenorphine - have to wait 6-12 hrs/24hrs before injection

must tell them that their tolerance is lowered so will die with usual amount

Question 6

alcohol withdrawal drug

Answer 6

disulfriram/antabuse

interactions with alcohol causes you to throw up

be cautious of lotions, perfumes, cologne

Question 7

alcohol withdrawal 6-12 hrs

Answer 7

typical w/d symptoms

anxiety, tachycardia, GI upset, tremor

Question 8

alcohol withdrawal 12-24hrs

Answer 8

hallucinations

visual, auditory, tactile

Question 9

alcohol withdrawal 24-48

Answer 9

seizures

Question 10

alcohol withdrawal 48-72

Answer 10

delirium tremens

can be as late as 96

Question 11

which medication is a good treatment for mania

Answer 11

mood stabilizers

lithium, valproate, carbamazepine

Question 12

medications NOT good for mania

Answer 12

SSIR

clozapine (s.e.)

Question 13

t or f neurobiological effects of drugs persist while drugs are being used only

Answer 13

FALSE

Question 14

symptoms of cannabis withdrawal

Answer 14

angry, anxious, sleep difficulties, depressed mood

occurs for more than 3 days after prolonged use

Question 15

specific phobias

Answer 15

fear or anxiety of a specific thing or situation

6+months, persistent

often out of proportion to actual danger

Question 16

PTSD initial treatment

Answer 16

CBT + SSRI

Question 17

OCD treatment

Answer 17

CBT + SSRI

esp. Zoloft (“i like Zoloft), Fluvoxamine

Question 18

true regarding antidepressants

Answer 18

MAOis are reserved for patients who have been unsuccessful on other antidepressants

Question 19

fear of enclosed spaces

Answer 19

claustrophobia

Question 20

what is often used to augment SSRI in resistant depression

Answer 20

SGA- esp. Abilify

Question 21

lab test that often confirms anorexia

Answer 21

elevated BUN
due to dehydration

also look for leg swelling

Question 22

PICA

Answer 22

eating non nutritive, non food substance for 1+ month

Question 23

rumination

Answer 23

released regurgitation of semi-digested food

typically re-chewed, re-swallowed or spit out

Question 24

restrictive food intake

Answer 24

picky eating

avoiding eating of certain foods bc of texture, taste, experience

Question 25

SCOFF

Answer 25

5 questions used to asses eating disorders

1. make your self Sick because of eating?
2. unable to Control yourself during eating?
3. lost more than One stone in last month?
4. do you see yourself as Fat despite what others say?
5. does Food dominate your life?

if 2+ are yes- positive test

Question 26

potential causes of brief psychotic disorder

Answer 26

typically due to drug intoxication or withdrawal

delusions, hallucinations, disorganized speech for at least 1 day but less than 30 days