Deck 2 Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

what antipsychotic can you use for anorexia trtment

A

olanzapine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

treatment of PTSD

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

even if a patient denies a suicide attempt but they seemly had an attempt what do you do

A

you must commit them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

treatment of sleep terrors

A

reassurance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

do children remember their dreams in sleep terrors

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

if a patient is tolerating an SSRI but isnt getting full symptom relief whats next

A

augment their therapy with an antidepressant of another class like bupropion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is considered a pathologic score on the MOCA

A

<24

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

signs of korsakoff syndrome

A

retro and anterograde amnesia, lack of insight, apathy, confabulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the best way to handle a concerned parent

A

first address their concerns outright

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does PTSD put you at increased risk of

A

suicidal ideation and attempts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what do patients who experience sexual assault often get dx with alter on

A

PTSD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

if a patient has signs of depression in an interview what should you inquire about in the current visit

A

suicidality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

how do you treat tourettes

A

antidopaminergic and alpha-2 antagonits medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what drug class is phenelzine

A

it is an MAO inhibitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

signs of tourettes

A

vocal and motor tics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

vocal tics examples

A

grunting, throat clearings, shouting swear words, barking, yelling etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

motor tic examples

A

facial grimacing, blinking, shoulder shruggin, tongue protrusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is schizoaffective disorder

A

this is when you have concaminant psychosis and mood disorder (mania or depression) and then other periods of time with psychotic symtoms in the absense of mood symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

schizophreniform disorder

A

this is when you have psychosis and schizophrenic like symptoms for <6months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

schizoid vs. schizotypal

A

schizoid is just a loaner schizotypal is weird and uncomfortable in social situations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

if a patient is on hospice care, what do you do in terms of pain

A

you can keep increasing their morphine despite respiratory rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

signs of antidepressant discontinuation syndrome

A

flu like symptoms, insomnia, nausea, imbalance, electric shock like feeling, hyperarousal, dysphoria, irritability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

most common psychiatric complication of MS

A

depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

how long do you have to have an adequate trial of SSRI

A

4-6 weeks at a therapeutic dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

mechanism of buprenorphine

A

partial mu-opioid agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

benefits and disadvantages of buprenorphine

A

patients dont have to have undergone complete withdrawal, lower risk of overdose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

mechanism of methadone

A

full mu agonist, very long acting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

benefits and disadvantages of methadone

A

more instances of overdose, better patient retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

for a patient with premenstrual syndrome whats the best first step

A

do a menstrual diary to see when their symtoms start

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

treatment of severe PMS/PMDD

A

SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

if a patient is stable on lithium do you switch them

A

noooo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

signs of PCP ingestion

A

violence and nystagmus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

diagnosis of postpartum depression

A

same as MDD = SIGECAPS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

if a patient has new onset rash after new med what is it

A

lamotragineeee

35
Q

withdrawal symptoms of benzo use

A

diaphoresis, hypertension, tachycardia, seizures, AMS, tremors, anxiety, insomnia depressed mood

36
Q

benzo AE after stopping abruptly

A

seizures

37
Q

how do you treat delusional disorder

A

antipsychotic

38
Q

difference between delusional disorder and schizophrenia

A

delusional disorder is when everything else in life is giong great except for the fact that they have this delusion

39
Q

types of delusional disorder

A

percusatory, erotomanic, grandiose, jealous, somatic (body)

40
Q

symptoms of alcohol withdrawal

A

tremors, anxiety, agitation, diaphoresis, seizures, tachycardia

41
Q

syptoms of opioid withdrawal

A

nausea, vomiting, cramping, muscle aches, yawning, piloerection, lacrimation, hyperactive bowel sounds

42
Q

symptoms of stimulant withdrawal

A

psychomotor slowing, increased appetite, hypersomnia, acute depression (crash)

43
Q

nicotine withdrawal symtoms

A

dysphoria, irritability, increased appetite, anxiety

44
Q

cannabis withdrawal symptoms

A

irritability, depression, anxiety, weightloss, stomach pain, headache, shakiness, fevers, chills etc.

45
Q

characteristic feature of binge eating disorder

A

feelings of losing self control

46
Q

how do you treat drug induced parkinsonism

A

benztropine and amantadine

47
Q

differentiation between PCP and canthinone intoxication

A

PCP has nystagmus and is shorter acting

48
Q

treatment of MDD with psychotic features

A

SSRI with antipsychotic OR electroconvulsive therapy

49
Q

features of GAD in children

A

perfectionism, irritability, difficulty concentrating

50
Q

signs of PTSD

A

hypervigilant, nightmares, emotional detachment, avoidant behavior, derealization

51
Q

what is a common history finding of people with PTSD

A

trauma

52
Q

treatment of specific phobia

A

exposure therapy

53
Q

what drug can cause hyperparathyroidism

A

lithium

54
Q

what drug can cause hypercalcemia

A

lithium via hyperparathyroid I

55
Q

differentiation between narcissistic PD and OC personality disorder

A

OCpd is more preoccupied iwth order and diong things a certain way because of order and efficiency. narcissistic wants to do things a certain way because they are motivated by praise and attention

56
Q

what do you use bromocriptine for

A

NMS

57
Q

signs of lithium toxicity

A

tremors, AMS, confusion, hyperreflexia,

58
Q

how long do you treat someone with schizophrenia

A

forever

59
Q

what is schizoaffective disorder

A

this is when you have schizophrenic like symptoms during a major depressive or manic episode but you ALSO have schizophrenic symptoms by themselves for >2 weeks without depressive symptoms

60
Q

if a patient continues to have hallucinations after a depressive or manic episode what is the dx

A

schizoaffective

61
Q

what is the major qualifiying symptom of bipolar disorder

A

abnormally elevated moood

62
Q

signs of OCD

A

persistant intrusive anxiety provoking thoughts, urges or images, responses to the obsessions that are unrealistic

63
Q

how do you treat acute panic episode

A

benzo

64
Q

what do you do if an SSRI precipitates a manic episode

A

D/C the SSRI, if the sx persist then you can add an antipsychotic

65
Q

signs of cushing syndrome

A

central obesity, depression, proximal muscle weakness, purple striae

66
Q

how long is the “normal” grief reaction

A

12 months great than that is persistant complex bereavement disorder

67
Q

treatment of persistant complex bereavement

A

psychotherapy

68
Q

at what point does grief become PCBD

A

> 12 months of dysfunction

69
Q

benzo and opioid prescribed together

A

NO

70
Q

what else should patients be prescribed if they are on long term opioid therapy for chronic pain

A

naloxone

71
Q

naloxone vs. naltrexone

A

naloxone is short acting used for OD’s, naltrexone is for long acting alcohol and opioid use disorder

72
Q

oculogyric crisis

A

sustained upward contraction of the eyes due to acute dystonia

73
Q

parent management training

A

used when a child has ADHD symptoms but is only impulsive at home

74
Q

what is does solitary play indicate

A

autism spectrum disorder

75
Q

signs of antisocial PD

A

violates the rights of others, impulsive, consistently irresponsible

76
Q

what must you have to have antisocial PD

A

must have hx of conduct disorder in children

77
Q

what antidepressant do you use if you have sexual dysfunction

A

bupropion

78
Q

difference between bupropion and buspirone

A

bupropion is for MDD and smoking cessation, buspirone is an anxiolytic

79
Q

side effects of buporpion

A

no weight gain, no sexual dysfunction, does lower seizure threshold in bulemic people

80
Q

acute stress disorder vs. adjustment disorder

A

adjustment is due to a life event and the person is signifantly impacted, acute stress disorder is like mini PTSD where you have flashbacks

81
Q

histrionic PD

A

excessive emotionality, sexually seductive, dramatic emotions

82
Q

which antipsychotic do you use for parkinsons trtment induced psychosis

A

quetiapine or clozapine

83
Q

which mood stabilizer can cause liver damage

A

valproate