Grand Rounds Flashcards
10 Experiences that Affect ACE Scores
Physical abuse Emotional abuse Sexual abuse Physical neglect Emotional neglect Depression Drugs Divorce/separation Domestic violence Delinquency
Which of the following is an SSRI? Buproprion Fluoxetine Duloxetine Citalopram
Citalopram
What medication would be best with a patient with Major Depression & wants to quit smoking
Buproprion
Define Malingering
Feigning medical illness motivated by secondary gain
First Line Medication for OCD
Paroxetine (Prozac)
Symptoms of Nicotine Withdrawal
Intense craving for nicotine Tension Irritability Difficulty concentrating Drowsiness Decreased HR & BP Increased appetite Decreased motor performance
Pupils of an Opioid Intoxication
Constricted
Clinical Effects of Opioids
Euphoria Analgesia Respiratory depression Constipation Sedation Psychomotor retardation Decrease pulse Decreased BP
Symptoms of Amphetamine Abuse
Paranoia Agitation Visual hallucinations "Meth mouth" Bruxism Dental erosion from acidity of meth fumes
What medication lowers the threshold for seizure activity and should not be used in the treatment of bulimia?
Wellbutrin
Which of the following personality disorders fall into cluster A? Schizoid Antisocial Borderline Narcissistic
Schizoid
Psychopharmacology of ASD & PTSD
SSRIs
TCAs
MOAIs
Benzodiazipines
Psychotherapy for ASD & PTSD
CBT
EMDR
Treatment of OCD
SSRIs
CBT
Drugs not to provide for Anorexia Nervosa Patients
Buproprion
TCAs
MAOIs
Treatment of Bulimia
Fluoxetine
Which medication is not used to treat bipolar disorder? Lithium Valproate Quetiapine Escitalopram Carbamazapine
Escitalopram
Signs/Symptoms of Mania
D: distractibility I: indiscretion G: grandiosity F: flight of ideas A: activity (increased) S: sleep deficit T: talkativeness
Positive Symptoms of Schizophrenia
Delusions
Hallucinations
Negative Symptoms of Schizophrenia
Affective flattening Poverty of speech Blocking Poor grooming Lack of motivation Anhedonia Social withdrawal
True or False
The patient with schizoaffective disorder will only have psychotic symptoms during mood symptoms.
False
True or False
By definition, a bipolar patient who has hallucinations must be given a co-diagnosis of schizophrenia.
False
If schizophrenia is associated with elevated levels of dopamine, then what might be a common adverse effect of giving a medication that antagonizes the effects of dopamine? Tremors Agitation Grandiosity Hallucination
Tremors
