Comquest Q 2 Flashcards
What are two conditions associated with synthetic cannabinoids?
Mania and psychosis
What is the outlook of brief psychotic disorder?
Most patients will experience full resolution of the illness
First line treatment for bulimia?
Fluoxetine and CBT
What lobe of the brain is associated with seizures and psychosis?
Temporal lobe
Cocaine withdrawal causes what to happen to sleep?
Increased or hyper, meaning too much
What anti epileptic or anti convulsant drug can cause depression, anxiety and psychosis?
Levetiracetam
What is the Capgras delusion and what condition is it part of?
Patient believes hat an imposter has replaced a family member
Schizo
Best anti psychotic for TICS and why?
Aripiprazole because it is a partial D2 agonist, so less likely to cause EPS for the kid
What is the lab test to distinguish between epileptic and psychogenic seizures?
Prolactin
A prolactin level will be elevated immediately after an epileptic seizure and normal after a psychogenic seizure
MOA of buspirone?
Partial agonist of serotonin
What med do we not give to patients with dementia and why?
Benadryl because its anticholinergic effects make the cognitive symptoms worse
What substance when abused caused memory loss or what they call black outs?
Alcohol
What do we use for acute pain relief for patients who have opioid dependence and are in withdrawal?
NSAIDS, ketorolac and dicofenac
Good definition of cyclothymic disorder?
At least 2 years of depressive symptoms and manic symptoms but neither one qualify for major depression or full mania
What is a risk for using anticholinergics like benzotropine for parkinson symptoms of antipsychotics?
Toxicity causing delirium
What is synesthesia and give an example?
Sensory modalities are confused for one another, like hearing colors or seeing tastes
In depression, what is the concentration of 5 HIAA in CSF?
Low
What effect does tobacco have on antipsychotics?
Increases the metabolism and effectiveness of antipsychotic medication
Depression causes what axis dysfunction?
Hypothalamic
MOA of tetrabenazine?
Decreases release of dopamine into synaptic cleft
Two things to always think about with separation anxiety?
Kid is sick so he doesn’t have to go to school
Doesn’t want to sleep alone
What is the only condition that Busprione is indicated for?
GAD
What is an alternative treatment for depression in patients who do not want prescriptions?
St. John’s wort
First line treatment for OCD?
Second line treatment?
SSRI
Clomipramine
