mar 17 Flashcards

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1
Q

how do you treat akathisia caused by an antipsychotic?

A

Reduce antipsychotic dose and administer beta blocker, benzodiazapene, or benztropine

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2
Q

what kind of symptoms occur in conversion disorder?

A

neurological

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3
Q

characteristics of somatic symptom disorder?

A

1 or more unexplained symptoms with excessive worry, thoughts/anxiety, and behaviours in response to symptoms

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4
Q

what is the first line medication for narcolepsy

A

modafenil

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5
Q

what is ziprasadone?

A

2nd gen antipsychotic

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6
Q

which of the 2nd generation antipsychotics has a low risk of metabolic side effects?

A

ziprasadone

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7
Q

which of the 2nd generation antipsychotics has the highest risk of metabolic side effects?

A

olanzapine

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8
Q

what is fluphenazine?

A

1st gen antipsychotic

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9
Q

what is phenelzine?

A

an MAOi

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10
Q

what is cosyntropin

A

synthetic form of ACTH

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11
Q

what test should you do in someone you suspect has addisons disease?

A

cosyntropin stimulation test - then measure cortisol

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12
Q

symptoms of antidepressant discontinuation syndrome?

A

flulike symptoms (myalgias, chills, headache, rinorrhea), insommnia, tremor, parasthesias, etc.

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13
Q

what is a functional tremor

A

a functional movement disorder - involuntary movements that are not consistent with a neurological cause

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14
Q

functional tremors improve with …

A

distraction

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15
Q

do functional tremors tend to come on gradually or abruptly?

A

abruptly

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16
Q

A drug rash is a common side effect of which bipolar treatment?

A

lamotragine

17
Q

Someone on lamotragine develops a rash, what should you do?

A

Discontinue lamotragine - dont risk it turning into SJS

18
Q

at what lithium level should a patient undergo hemodyalsis?

A

> 2.5 mEg/L with prominent signs of toxicity OR > 4 or creatine > 2 even with no symptoms

19
Q

is activated charcoal useful in treating lithium toxicity?

A

no

20
Q

A patient is being treated with an opioid drug. How can the physician decrease prescription misuse?

A
  • checking prescription drug monitoring data at each visit
  • random urine screening
  • and frequent follow-up
21
Q

do long acting forms of opioids help prevent misuse as compared to short acting?

A

no - also increased mortality

22
Q

low levels of 5-HIAA in the CSF are associated with…

A

suicidal behaviour

23
Q

5-HIAA is a metabolite of…

A

serotonin

24
Q

3Hz spikes on EEG is characteristic of…

A

absence seizures

25
Q

CSF 14-3-3 proteins =

A

creutzfeild jakob

26
Q

Generalized slowing with perioidic sharp wave complexes on EEG =

A

creutzfeild jakob

27
Q

low concentration of hypocretin (orexin) in the CSF is found in which conditions?

A

narcolepsy

28
Q

signs/symptoms of neuroleptic malignant syndrome?

A
  • fever
  • altered mental status
  • generalized muscle rigidity
  • autonomic instability
  • elevated CK and renal failure