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Step 2 Big Time Study Deck > Deck 2 COPY COPY > Flashcards

Deck 2 COPY COPY Flashcards

1
Q

what antipsychotic can you use for anorexia trtment

A

olanzapine

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2
Q

treatment of PTSD

A

SSRI

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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

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4
Q

treatment of sleep terrors

A

reassurance

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5
Q

do children remember their dreams in sleep terrors

A

no

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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

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7
Q

what is considered a pathologic score on the MOCA

A

<24

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8
Q

signs of korsakoff syndrome

A

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

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9
Q

what is the best way to handle a concerned parent

A

first address their concerns outright

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10
Q

what does PTSD put you at increased risk of

A

suicidal ideation and attempts

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11
Q

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

A

PTSD

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12
Q

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

A

suicidality

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13
Q

how do you treat tourettes

A

antidopaminergic and alpha-2 antagonits medications

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14
Q

what drug class is phenelzine

A

it is an MAO inhibitor

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15
Q

signs of tourettes

A

vocal and motor tics

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16
Q

vocal tics examples

A

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

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17
Q

motor tic examples

A

facial grimacing, blinking, shoulder shruggin, tongue protrusion

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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

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19
Q

schizophreniform disorder

A

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

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20
Q

schizoid vs. schizotypal

A

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

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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

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22
Q

signs of antidepressant discontinuation syndrome

A

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

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23
Q

most common psychiatric complication of MS

A

depression

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24
Q

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

A

4-6 weeks at a therapeutic dose

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25
Q

mechanism of buprenorphine

A

partial mu-opioid agonist

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26
Q

benefits and disadvantages of buprenorphine

A

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

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27
Q

mechanism of methadone

A

full mu agonist, very long acting

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28
Q

benefits and disadvantages of methadone

A

more instances of overdose, better patient retention

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29
Q

for a patient with premenstrual syndrome whats the best first step

A

do a menstrual diary to see when their symtoms start

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30
Q

treatment of severe PMS/PMDD

A

SSRI

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31
Q

if a patient is stable on lithium do you switch them

A

noooo

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32
Q

signs of PCP ingestion

A

violence and nystagmus

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33
Q

diagnosis of postpartum depression

A

same as MDD = SIGECAPS

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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

Step 2 Big Time Study Deck (29 decks)

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