Lange Q + A Flashcards
Fregoli delusion
Familiar people assume the guise of strangers (opposite of capgras)
Cotard Syndrome
Where people think they are losing things, as well as blood, intestines, or meaning in the world.
Common symptom of prodrome for schizophrenia
Progressive social withdrawal.
Features of schizophrenia presentation that portend good prognosis?
Acute onset of symptoms, predominantly positive symptoms, later age at presentation, female gender
How to treat catatonia?
Benzodiazepines.
Relative contraindication to ECT?
Space occupying mass in the skull which can cause increased ICP, also recent MI (within 3 months).
How to treat alcohol withdrawal?
Benzos:
Oxazepam and lorazepam because they don’t require metabolism in the liver.
Mortality of DT?
30%
Hypomania vs mania
Hypo mania doesn’t result in hospitalization or cause work dysfunction.
What stroke will cause depression? Mania?
Obsessive compulsive symptoms??
Left frontal for depression, right frontal for mania, diffuse frontal for OCD.
Which NT is depleted in CSF of suicide victims?
5HT metabolites
Which treatment of depression has the HIGHEST rates of causing mania?
Tricyclic antidepressants. Slightly higher than SSRI.
How to best treat atypical depression?
Phenelzine and other MAOIs.
How to treat DT?
IV benzodiazepines
Thioridizine side effect?
Retinal pigmentation, can lead to permanent blindness
Strongest benzodiazepine?
Klonopin
How to treat panic disorder?
SSRI.
Buspirone can only be used to treat GAD.
How does NSAID use affect lithium levels?
NSAID use can increase lithium levels, but aspirin does not.
If patient has NO response to SSRI, what should you do?
Switch to another SSRI
If patient has partial response to SSRI, what should you do?
Switch or augment with T3 or Lithium.
How to reverse or slow tardive dyskinesia?
Clozapine.
What does giving a pregnant woman an SSRI do to the baby?
Persistent pulmonary hypertension of the newborn.
Treatment of anorexia vs bulimia?
Anorexia shouldn’t be treated with anything, bulimia responds well to SSRI.
Discontinuation syndrome strongest with what SSRI?
Paroxetine.
