GENERAL QUESTIONS Flashcards

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1
Q

What’s the timeline for brief psychotic?

A

1 day → 1 month

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2
Q

What’s the timeline for Schizophreniform?

A

1 mo → 6 mo

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3
Q

At what point do you diagnose someone with Schizophrenia?

A

Symptoms greater than 6mo +

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4
Q

What meds end in -done’s or -pine’s? What S/E go with each?

A

2nd generation anti-psychotics

Done’s = are watered down typicals thus → neuro side effects

Pine’s = metabolic s/e (weight gain, T2DM, BP)

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5
Q

If it ends in -pam or -lam, what med is it?

A

benzo; alprazolam (short term);

clonazepam (long term)

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6
Q

What happens if an MAOI is stopped abruptly?

A

Will NOT cause a seizure, but a HIGH dose will cause a seizure

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7
Q

Imipramine, amitriptyline, and nortriptyline are what type of medications?

A

Tricyclic antidepressant

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8
Q

In what ways can EPS symptoms present?

A

Acute dystonia
Psuedo parkinsonism
Akathisia = internal restlessness (treated with propranolol)

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9
Q

What are Hypnagogic hallucinations

A

nightmares = when you’re GOing to sleep

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10
Q

What are Hyponopompic hallucinations?

A

when you’re waking up

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11
Q

In general how do you treat bipolar disorder? How long does that medication take to kick in?

A

Lithium – 7 days

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12
Q

What if a person is having a manic episode with their bipolar, how do you treat that?

A

You can add a second generation anti-psychotic (then taper them off, or do a combo)

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13
Q

What are SSRI’s used for?

A

MDD

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14
Q

Which SSRI is best if the person can’t get out of bed? What about if the person has too much energy?

A

Can’t get out of bed → give an activating SSRI = Fluoxetine

Too much energy → give a sedating SSRI = Paroxetine

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15
Q

Which SSRI can only be treated for depression because of its histamine activity?

A

Citalopram

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16
Q

What are some of the general side effects we should remember about SSRI’s?

A

LONG half-life (~10 days so titrate); sexual problems; and INSOMNIA

Almost all will lower seizure threshold!!

17
Q

Which SSRI can be used to treat SAD, but has anticholinergic S/E, and withdrawal symptoms if used for a long time?

A

Paroxetine

18
Q

What medication is not a great anti-depressant but is VERY sedating, thus is sometimes used for insomnia?

A

Trazadone

19
Q

If we have a young patient we want to treat their GAD, but we don’t want them to have the sexual problems with an SSRI, what med?

A

SNERI

20
Q

What meds are the SNERI’s?

A

Venlafaxine & Duloxetine

21
Q

What must we always remember about SNERI’s?

A

Don’t stop abruptly

22
Q

What do we have to avoid with MAOI’s? What med is an MAOI?

A

Meds = Phenelzine

Avoid Tyramine (breads, beers, wine, and cheese)

23
Q

How long does it typically take to see full impact of anti-depressant/anxiety meds?

A

6-8 weeks

24
Q

What medication has a more rapid onset than 6 weeks?

A

Vortioxetine

25
Q

Which 2nd generation antipsychotic will cause an increase in prolactin?

A

Risperidone

26
Q

What 2 meds do we have to treat ADHD? Which one is a stimulant

A

Stimulant = Methylphenidate (Ritalin)

Non-stimulant = Atomoxetine

27
Q

When given the choice of venlofexine or fluoxetine to treat OCD, what do you choose?

A

Fluoxetine!

28
Q

What are the symptoms of depression?

A

SIGECAPS

Suicide; Interests; Guilt; Energy; Concentration; Appetite; Psychomotor; Sleep/Sex

29
Q

How long must a patient have depressive symptoms to be diagnosed?

A

> 2 weeks & at least 4 of the SIGECAPS

30
Q

If it’s a patient’s first time being depressed how long do we treat for?

A

6 months – 1 year

31
Q

What is serotonin syndrome?

A

Hyperthermia, hypertension, myoclonus (involuntary muscle twitching), rigidity, autonomic instability, and mental status changes (delirium)

32
Q

What’s our drug of choice for SHORT TERM prn tx of GAD?

A

benzo’s

33
Q

What combination of meds works the fastest in decreasing psychotic aggression & acute mania? What the other name for it?

A

Combo of benzo’s & antipsychotics = B52

34
Q

What are the symptoms of Bipolar disorder?

A

DIGFAST

Distractibility;
Insomnia (decreased need for sleep); Grandiosity (self-importance);
Flight of Ideas (cannot follow conversations); Agitation/Activities (multiple incomplete projects);
Sexual (spending sprees, promiscuity);
Talkative (pressured speech)