Comquest Q 1 Flashcards
Two approved drug classes for slowing down dementia?
Cholinesterase blockers
NMDA blockers
What will be specific to the vignette to to differentiate between carbamazepine and clozapine?
Clozapine is only used when everything else fails.
Carbamazepine would be used in a newly diagnosed patient with bipolar
What is intellectualization?
Focuses on the intellectual part of an event to avoid the emotional part
What is thought blocking?
Schizo patients stop mid sentence and go blank
How do we define recurrent brief depressive episode?
Depression at least 2 days but less than 2 weeks. For at least a year.
What combinations of meds can cause serotonin syndrome?
SSRIs, SNRIs, MAOI, St. John warts
What is the most common physical manifestation of anxiety? What are the other 5 criteria?
Insomnia
Restless, tired, concentration sucks, irritable, muscle tension
What is the NT of the reward system stimulated by addiction?
Dopamine
4 steps of PTSD?
Re experience, avoid, disassociate and hyperarousal
How is atypical depression different?
Treatment?
Increased sleep and appetite
MAOI
PCP works through which NT?
Glutamate
Very common side affect of topiramate for migraines?
Cognitive suppression
What is neologism?
Schizo pts. Creating new words to refer to something we already have a word for.
When is therapy good for anorexia in a vignette?
When the patient admits to the problem and wants help.
4 complications/side effects to remember about Lithium?
No pregnancy
Causes diabetes insipidus
Renal damage
Hypothyroid
Best class of meds for OCD and what specific med is mentioned?
SSRI
Clomipramine
Simple way to define delirium?
Fluctuating levels of consciousness
Common side effect of levetiracetam?
Psychiatric, especially anxiety
what type of electrolyte disturbances do the following drugs cause?
Lithium?
Carbamazepine?
What about pts with dementia, mania, and schizo?
Diabetes insipidus
SIADH
Psychogenic polydipsia
What is the difference between psychogenic polydipsia and SIADH?
Dilute urine in psychogenic and concentrated in SIADH
When people experience steroid induced mood disorders, like from prednisone, what is the primary reason for severity?
Dose dependent
What is the MAO of aripiprazole and what do we use it for?
Partial dopamine agonist, so it can be less antipsychotic.
Used to augment depression meds.
Big difference between dementia and peudodementia?
In pseudo the patient has insight into it and dementia they don’t have insight into their cognitive struggle.
If I see a patient and they are psychotic and epistaxis is part of the vignette, what am I thinking?
Cocaine, substance abuse psychosis
What is happening with the eyes in opiate intoxication and withdrawal?
Common side effect of opiate withdrawal to know that is weird?
Miosis
Mydriasis
Runny nose
