Erik Psych

Question 1

Bipolar II disorder is marked by?

Answer 1

at least 1 hypomanic episode, at least 1 major depressive episode, and the absence of manic episodes.

Question 2

Major depression s/s

Answer 2

Must have depression/ anhedonia and 5/9 of:

sleep 
interest 
guilt/ low self esteem
energy 
concentration 
appetite 
psychomotor 
suicidality 

*>2 week

Question 3

What would immediately dismiss a ddx of depression with all sigecaps fulfilled?

Answer 3

manic episodes

Question 4

Depression >2 years

Answer 4

Persistent depressive disorder

only needs 2

Question 5

Bipolar 1 mnemonic

Answer 5

DIGFAST- 3 required

distractible
irritable
grandiose
FOA
actions (reckless)
sleep 
talkative

Question 6

depression ddx criteria not met, but still lots of s/s present

Answer 6

hypo-depression

Question 7

hypo depression + hypomania

Answer 7

cyclothymia

Question 8

General SSRI s/e

Answer 8

wt gain
sexual dysfx

Also withdrawal (flu)

Question 9

Serotonin syndrome s/s

Answer 9

rigid muscle
hyperreflexia
Flushed skin and diaphoresis

vital sign: tachycardia, hypertension, severe may develop hyperthermia

Question 10

Neuro-epileptic vs serotonin syndrome

Answer 10

SS will have hyperreflexia

Question 11

Serotonin syndrome rx

Answer 11

d/c serotonin drugs
benzos
cyproheptadine

majority of cases of serotonin syndrome present within 24 hours, and most within six hours, of a change or initiation of a drug

Question 12

antibiotic that might cause serotonin syndrome

Answer 12

linezolid

Question 13

Anticonvulsant depression augmentation

Answer 13

lamotrigine

valproate

Question 14

Li s/e

Answer 14

hypothyroid
nephrogenic DI
tremor
ataxia

Question 15

Li is great because

Answer 15

it decreases suicide a bunch

best treatment for mania and depression (bipolar 1 and 2)

Question 16

How long can you walk around with a vial of haloperidol

Answer 16

Very stable formula
1 shot/ month
popular for act teams to go give on the go

Question 17

Super general, what anti-crazys come injectable?

Answer 17

pretty much most come IM

Clozapine= NOT injectable

Question 18

neuroepileptic s/s and rx

Answer 18

dantrolene

Fever
Encephalopathy
Vitals unstable
Enzymes 
Rigidity of muscles

Question 19

High potency neuroleptics

Answer 19

High potency: Trifluoperazine
Fluphenazine
Haloperidol

(Try to Fly High)—neurologic s/e EPS

Question 20

Chlorpromazine unique s/e

Answer 20

Corneal deposits

Question 21

Thioridazine s/e

Answer 21

reTinal deposits