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ADPY 7500 > Lange Q/A > Flashcards

Lange Q/A Flashcards

(83 cards)

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1
Q

What stage of sleep do sleep terrors occur?

A

Deep sleep. Stages 3&4

Sleep walking also occurs during stages 3/4

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2
Q

What stage of sleep do nightmares occur?

A

REM

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3
Q

Expressive language disorder

A

Markedly limited vocabulary
Making errors in tense
Having difficulty recalling words or producing sentences with developmentally appropriate length or complexity

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4
Q

Most effective treatment for bulimia nervosa

A

Cognitive-behavioral therapy

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5
Q

Most common method children use when attempting suicide

A

Substance ingestion

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6
Q

Side effects associated with Desmopressin

A

Headaches

Nausea

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7
Q

What is the percentage of comorbid child anxiety disorders and MDD?

A

50 %

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8
Q

Most common adverse effects of fluoxetine

A

Nausea (GI upset)
Insomnia
Agitation
Headaches

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9
Q

Rett disorder

A

Between 5 months and 48 months there is a deceleration of head growth, loss of hand skills with development of stereotyped hand movements such as hand wringing, loss of social interaction, appearance of poorly coordinated gait or trunk movements, severely impaired expressive and receptive language development with severe psychomotor retardation

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10
Q

Monozygotic twin concordance for Rett syndrome?

A

100 %

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11
Q

Following a diagnosis of Type I Diabetes, what percentage of children develop Adjustment Disorder?

A

33 %

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12
Q

First-line treatment for Tourette disorder

A

Clonidine

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13
Q

Most common comorbid disorder associated with Tourette’s?

A

Obsessive-compulsive disorder

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14
Q

Requirements for dx of Tourettes?

A

Both multiple motor tics and at least one vocal tic

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15
Q

Potential risk with taking stimulant

A

Tics

*Can exacerbate tics

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16
Q

What percent of children with learning disorders have a comorbid psychiatric disorder?

A

50 %

*Most commonly ADHD, anxiety, and depressive disorders

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17
Q

Likelihood that child with persistent enuresis will have a comorbid mental disorder

A

20 %

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18
Q

Common adverse effects of stimulants

A 
Insomnia
Decreased appetite
Weight loss
Dysphoria
Irritability
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19
Q

Stimulants are effective in treating ADHD in what percent of people?

A

70 %

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20
Q

nonstimulant treatment of both child and adult ADHD

A

Atomoxetine

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21
Q

Common lab finding in anorexia nervosa

A

Hypercholesterolemia

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22
Q

This finding alone justifies inpatient admission for anorexia nervosa

A

cardiac arrhythmia

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23
Q

How old are children when the begin to understand the irreversibility of death?

A

7 to 8 years old

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24
Q

Frequent adverse effect of clonidine

A

Sedation

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25
Identification
Process of adopting other people's characteristics
26
Displacement
Defense mechanism in which emotions are shifted from one idea or object to another that resembles the original but evokes less distress.
27
Reaction formation
Defense mechanism. An unacceptable impulse is transformed into its opposite
28
Most common outcome of abuse
Major depressive disorder
29
Alexia
Inability to read
30
Agnosia
Inability to recognize objects despite intact senses
31
Anomia
Inability to name objects even though the object is recognizable and can be described by the patient
32
Nonpharm treatment for OCD
CBT
33
Chapped hands
Common in OCD due to extensive hand washing
34
MAOIs
Phenelzine Isocarboxazid Tranylcypromine
35
Treatment for severe serotonin syndrome
Cyproheptadine *5-HT2A antagonist
36
Serotonin syndrome features
Mental status changes Autonomic hyperactivity Neuromuscular abnormalities (tachycardia, flushing, fever, hypertension, ocular oscillations, myoclonic jerks)
37
Atypical features of depression, such as weight gain, hypersomnia, mood reactivity, respond best to which drug?
Phenelzine (MAOI)
38
Most patients who are going to have a response to antidepressants, do so in what time frame?
6 weeks | However, it can take 12 weeks to achieve a full response
39
Benzos that are metabolized by only glucoronidation and can be given to patients with elevated LFTs
LOT Lorazepam Oxazepam Temazepam
40
Lithium level of 1.2
Nausea Tremor Diarrhea Ataxia
41
Lithium level of 1.5 to 2
seizures
42
Lithium level of 2 or more
Acute renal failure
43
Li level greater than 2.5
Coma/death
44
If patient has akathisia and no other EPS, start what drug?
Propranolol
45
Treatment of dystonia, parkinsonism
Benztropine
46
First-line treatment options for Bipolar II
Lithium Lamotrigine Quetiapine
47
Most common dangerous complication of NMS
Rhabdomyolysis
48
Although there are no specific lab findings for NMS, what labs are often elevated
WBC | Creatine phosphokinase
49
What long term side effect can occur if patient takes high dose Thioridazine.
Retinal pigmentation | *It may not remit with thioridazine is discontinued and can lead to blindness
50
Labs that should be obtained before starting Lithium
Electrolytes Creatinine BUN Thyroid studies (Li inhibits synthesis of thyroid hormone and its release from the thyroid)
51
Don't use this drug for pain in a person on Lithium
Ibuprofen It can cause the Lithium level to become high *Aspirin is safe
52
2 most common side effects of methylphenidate
Difficulty falling asleep | Decreased appetite
53
Antidepressant with risk of causing hypertension
Venlafaxine
54
Medication that best improves the symptoms of tardive dyskinesia
Clozapine
55
Risk of Sertraline during pregnancy
Persistent pulmonary hypertension of the newborn
56
Treatment of bulimia nervosa
Fluoxetine,Topiramate, or psychotherapy *meds are not generally helpful in anorexia
57
Symptomrs of SSRI discontinuation syndrom
May occur 1 to 3 days after abruptly stopping SSRI. Dizziness, N/V, fatigue, lethargy, flu-like symptoms Anxiety, crying, irritability are not uncommon
58
Which SSRI does not require tapering due to its long half life?
Fluoxetine
59
Use of what medication concurrently with Lamotrigine will cause its levels to be low
Oral contraceptives *Lamotrigine may also induce the metabolism of OCPs potentially rendering them less effective
60
Most common EKG change in about 30 % of patients on Lithium
t wave inversion/depression
61
What class of drugs/drugs can increase lithium levels owing to decreased lithium clearance
``` Thiazide diuretics Ethacrynic acid Spironolactone Triamterine NSAIDs Metronidazole Tetracycline ```
62
Most effective treatment of OCD
Clomipramine
63
Patient with moderate response to SSRI for treatment of OCD...what is viable option for augmenting tx with SSRI?
Risperidone
64
Management for performance anxiety
Propranolol
65
Severe side effect of Lamotrigine
Rash that can turn into SJS
66
Opisthotonos
Spasm of neck and back that causes patient to arch forward
67
Oculogyric crisis
spasm of extraocular muscles, resulting in patient looking up and unable to look down.
68
Pleurothotonos (Pisa syndrome)
Leaning posture induced by spasm of torso muscles
69
torticollis
spasm of neck muscles that usually brings the neck to one side or another but may pull it forward or backward
70
Antidepressant approved for treatment of depression and neuropathic pain
Duloxetine
71
Antidepressants that do not cause sexual side effects
Mirtazapine | Buproprion
72
Patient on warfarin with anxiety...only class of drugs for anxiety treatment that won't interact with warfarin?
Benzodiazepines
73
Anticonvulsant used in treatment of bulimia and binge eating disorder
Topiramate
74
Risk of using topiramate
Renal stones | Cognitive impairment, word-find difficulty, short-term memory problems
75
Retrograde ejaculation
Thioridazine
76
Rabbit syndrome
Risperidone *Repetitive rapid movements of mouth but not tongue
77
Pigmented retinopathy
Thioridazine
78
Obstructive jaundice
Chlorpromazine
79
Orthostatic hypotension
Chlorpromazine | Clozapine
80
How long after last drink does delirium tremens usually develop?
3 days
81
Hyponatremia
Oxcarbazepine
82
Testamentary capacity
Level of competence required to make a legally valid will
83
Current basis for establishing an insanity defense
American Law Institute Test (Model Penal Code)

ADPY 7500 (17 decks)

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