Exam Guru 3 Flashcards
What labs for pt on olanzepine who says they have gained weight?
Weight, lipid levels, fasting glucose
think metabolic syndrome
Single, fixed idea that is wrong but that does not impair function or other areas of his life?
Delusional disorder
Cardiomyopathies commonly cause symptoms of what psych disorder?
Panic disorder
Would be anxiety disorder due to another medical condition
Why is paroxetine a bad SSRI for pt’s with poor med adherence?
Most likely to cause SSRI discontinuation syndrome
- causes distress
Reaction formation is…
anxiety provoking thought is counteracted by asserting an incompatible or opposite thought
(take polar opposite)
Splitting is often seen in what PD?
Borderline PD
- see multiple apparent suicide attempts
(often followed by cry for attention)
Use motivational interviewing to help with?
Drug and alcohol cessation
Predominant signs of ADHD in adults?
Impulsivity & inattentiveness
What drug can affect AS drugs, especially olanzapine?
- how?
Nicotine
- induces metabolism of drugs via P450 system
Depression can cause what in terms of tests?
Blunted response to:
- dexamethasone suppression test
- infusion of thyrotropin releasing hormone
If a patient has a seizure with a positive urine tox screen for alcohol, what is diagnosis?
Alcohol withdrawal
- overactivity of CNS
When choose generalized social phobia over avoidant personality disorder?
If see somatic symptoms
- blushing, trembling (panic attacks)
Rationalization vs. Intellectualization?
Ration: shift blame w/ alternate explanation (obese and got MI, dad had one so it was genetics and unavoidable).
Intel: avoid emotional and focus on inanimate details; man has MI does extensive research on pathophys of CV rather than address modifiable risk factors
Irritable when things don’t go according to plan and when others don’t meet their high expectations. Rigidity + stubbornness?
Obsessive compulsive personality disorder - and pt does not think anything is wrong in their thinking
Which is a long-acting BDZ?
- Chlordiazepoxide
- Lorazepam
Chlordiazepoxide = long lasting, slow onset
Lorazepam = rapid acting and intermediate
Fastest three BDZ’s?
Midazolam - fast onset, shortest half-life
Diazepam - fast acting
Alprazolam - fast acting
Do OCD patients feel a sense of relief when their compulsive actions are completed?
Not really, or only partially
Patient sleeping 9 hours a night, tired during the day, at least 3 months. No apnea, appropriate BMI. Naps at desk at work but still not feel rested. What next step?
Modafinil
Primary hypersomnia (sleep hygiene has NO effect)
Lamotrigine - safe in preggers?
- SE you want to know?
Safe in preggers=yes
- remember Stevens-Johnson
Two times to use assertiveness training?
Avoidant personality disorder
Dependent personality disorder
Delusions, hallucinations, incoherent speech
Grossly disorganized behavior
Catatonic behavior
AS A RESULT OF drug use
Substance-induced psychotic disorder
Major use for clonidine?
- type of drug?
Acute heroin withdrawal
- alpha-2 selective agonist
**suppresses overall adrenergic activity!
(so deals with diaphoresis, tachycardia, palpitations, emotional hyperarousal)
QT prolongation has to do with what channels?
Cardiac potassium channels
Haloperidol
Citalopram
Methadone . . . in the elderly?
All can cause QT prolongation
What does Carbamazepine do to P450?
Induces
- so reducing active drug levels
