General psych

Question 1

Medical terms for uncontrollable excessive talking

Answer 1

logorrhea

Question 2

TCA side effects

Answer 2

constipation, dry mouth, blurry vision, sweating, orthostatic hypotension, sedation, lethargy, agitation, tremor, slowed cardiac conduction (prolonged PR and QRS intervals) and tachycardia

Question 3

Symptoms of Wernicke’s Encephalopathy

Answer 3

mental confusion, opthalmoplegia, gait ataxia

Question 4

MAO A neurotransmitters

MAO B neurotransmitter

Answer 4

-serotonin, neuroepinephrine dopamine

dopamine

Question 5

Clozapine is metabolized by which cyp

Answer 5

cyp 1a2

Question 6

List the secondary amines

Answer 6

desipramines, nortriptyline, protriptyline

Question 7

TCAs are metabolized by which CYP and which drugs either inhibit or are substrate for this cyp

Answer 7

CYP 2D6

inhibitor - cimeditine, fluoxetine, paroxetine, buproprion, sertraline,

Question 8

Which drugs are eliminated by 2d6?

Answer 8

amitriptyline, clozapine, deisipramine, flecainide, nortriptyline, risperidone, valbenazine

Question 9

Least sedating TCAs are…

Answer 9

desimpramine, protriptyline

Question 10

Moderately sedating TCAs

Answer 10

imipramine, amoxapine, nortriptyline, & maprotilline

Question 11

most sedating tcas?

Answer 11

amitriptyline, trimipramine, and doxepin

Question 12

How long does pcp stay in the urine for?

Answer 12

8 days after use

Question 13

What are the dangerous side effects of carbamazepine?

Answer 13

decreased WBC, agranulocytosis, pancytopenia, aplastic anemia. It can also cause hyponatremia

Question 14

eye finding found in schizophrenia

Answer 14

abnormal smooth pursuit saccades

Question 15

Rapid cycling specifier in bipolar type I criteria

Answer 15

4 mood episodes (meets criteria for MDD< mania, mixed, or hypomania) over past 12 months

Question 16

Characteristics of sleep architecture in those over 65

Answer 16

More REM episodes but that are shorter in duration, so less total REM
Decreased amplitude of delta waves
More N1 and N2 and less N3

Question 17

Lithium toxicity requires dialysis when..

Answer 17

levels above 4
or
serious signs of lithium toxicity - nephrotoxicity, convulsions, coma

Question 18

Habit reversal therapy is used for which 2 issues

Answer 18

trichotillomania and tics in TS

Question 19

an immobile position that is constantly maintained is called

Answer 19

catalepsy

Question 20

How long is heroin found in urine?

Answer 20

72 hours!

Question 21

Which TCA is the least anticholinergic?

Answer 21

Desimpramine