High Yield - Emma Holliday Flashcards
Meds to avoid in someone with mania and why?
SSRIs and TCAs because they can trigger mania
NSAIDS can precipitate what toxicity?
Lithium
What is a complication of lithium in pregnancy ladies?
Ebstein anomaly
Preferred treatment for bipolar in a pregnant lady?
Clonazepam
Two drugs causing steven Johnson syndrome?
Lamotrigine and carbamazepine less likely
What is the most common complication of carbamazepine?
A second complication?
Rash
Agranulocytosis
Best treatment for adjustment disorder?
Psychotherapy
First line treatment for MDD?
SSRI with fewest drug to drug interactions?
What med to give for old, skinny sad lady?
What antidepressant to avoid in hypertensive patients?
What med was given if there is an erection not going away?
SSRI Citalopram Mirtazapine Venlafaxine Trazodone
EKG finding of TCAs?
Widened QRS and prolonged QT
7 year old complains fo frequent abdominal pain resulting in many missed school days. He never gets the pain on the weekends or in the summer? What are we thinking?
Separation anxiety disorder
Two types of meds that can cause mania?
SSRI and TCAs
What med was given if the following was going on?
Bipolar and now elevated LFT and hepatitis?
Bipolar and Steven Johnson?
Bipolar and agranulocytosis?
Valproate
Lamotrigine
Carbamazepine
Besides increased appetite and sleep, what are 3 other identifiers of atypical depression?
Leaden paralysis in the morning
Sensitivity to rejection
Interpersonal skills suck
What SNRI should not be given to HTN patients?
Venlafaxine
Widened QRS, what did the pt take and how to treat?
TCA, some kind of arrhythmia
Sodium bicarb and activated charcoal
What kind of symptoms are made worse by atypical antipsychotics?
Negative because there is already decreased dopamine in prefrontal cortex
What is the side effect of thioridazine?
Pigmentary retinopathy
Top 2 side effects of Olanzapine?
Sedation and weight gain
Which drug causes orthostasis and cataracts?
Quetiapine
How to best treat GAD?
SSRI or buspirone but need to give benzo for a few weeks before it kicks in
Big difference between adjustment disorder and acute stress disorder?
Acute stress is more serious or life threatening event
Adjustment is not life threatening
Criteria for insomnia?
Problems falling asleep or staying asleep that is causing functional problems over 1 month
How do we diagnose normal pressure hydro?
CT or MRI
MOA of atomoxetine and what is it used for?
NE reuptake blocker
ADHD
What disease?
Cafe UA lait spots, seizures, big head?
Neurofribromatosis
Coarse facies, short, cloudy cornea?
Hurler syndrome
Hypotonia, hypogonadism, deletion on paternal chr 15?
Prader willli
Deletion on maternal chr 15, inappropriate laughing, seizures?
Angel man
Small head, smooth philtrum, mentally retarded?
Fetal alcohol
Most common infection causing congenital hearing loss?
CMV
What is reactive attachment disorder?
Kids are neglected when young and don’t have an emotional attachment to their parents
