Med Ed Videos

Question 1

what is the rule of 6s with antidepressants?

Answer 1

6 weeks on new med
6 months at max dose
6 week washout period

Question 2

what is buproprion used for?

Answer 2

antidepressant and smoking cessation

Question 3

name the two SNRIs

Answer 3

venlafaxine and duloxetine

Question 4

when should you not give buproprion?

Answer 4

bulimia…lowers seizure threshold

Question 5

what is antidepressant that helps with sleep?

Answer 5

trazodone

Question 6

name the TCA antidepressants

Answer 6

triptylines and imiprimine

Question 7

what are the the SEs of TCAs?

Answer 7

convulsions, coma and cardiac

Question 8

what are the MAOs?

Answer 8

selegelline and phenylzine

Question 9

what is the main risk with MAO?

Answer 9

HTN crisis

Question 10

name the two first line drugs for mood stabilization

Answer 10

lithium and valproate

Question 11

name the two second line drugs for mood stabilization

Answer 11

quitiapine and lamotrigine

Question 12

what are the side effects of valproate?

Answer 12

teratogen (spina bifida), pancreatitis and agrnulocytosis

Question 13

what are the sides effects of quitiapine?

Answer 13

somnolence and wt gain and long QT

Question 14

what is the third line mood stabilizer that is not used anymore?

Answer 14

carbamazapine

Question 15

do you give short or long acting benzos for alc withdrawal?

Answer 15

long acting

Question 16

what are the long acting benzos?

Answer 16

diazepam and chlordiazepoxide

Question 17

+sx of psychosis are from what issue?

Answer 17

agonism at D2c dopamine receptors

Question 18

-sx of psychosis are from what issue?

Answer 18

agonism at 5-Ht1 serotonin receptors

Question 19

name three general classes of SEs from typical antipsychotics?

Answer 19

Anti cholinergic
EPS
tubuloinfundibular issues

Question 20

name the typical antipsychotics

Answer 20

haloperidol
fluphenazine
thoridiozine
chlorpromazine

Question 21

what typical antipsychotics is most potent?

Answer 21

haloperidol

Question 22

what typical antipsychotics is second most potent?

Answer 22

fluphenazine

Question 23

what typical antipsychotics are lower potency?

Answer 23

thoridiozine

chlorpromazine

Question 24

second gen antipsychotics treat what symptoms/

Answer 24

+ and -

Question 25

name the second gen antipsychotics

Answer 25

quetipaine olanzapine risperidone aripiprazole

Question 26

what second gen antipsychotics is good for insomnia and mania?

Answer 26

quetiapine

Question 27

what are the SEs of olanzapine?

Answer 27

wt gain and diabetes

Question 28

what second gen antipsychotic is worst for EPS?

Answer 28

risperidone

Question 29

what is the best antipsychotic? why is it rarely used?

Answer 29

clozapine...risk for agranulocytosis

Question 30

what is akathesia?

Answer 30

restlessness

Question 31

how do you treat akathesia?

Answer 31

lower dose of antipsychotic

Question 32

what is acute dystonia?

Answer 32

usually movement of major muscle groups...repetitive

Question 33

name two common forms of acute dystonia?

Answer 33

torticolus and occulogyrus

Question 34

what is rx for acute dystonia?

Answer 34

anti ach agents like benztropine and diphenhydramine

Question 35

what is dyskinesia?

Answer 35

parkinsonism from EPS of antipsychotics

Question 36

what is rx for dyskinesia?

Answer 36

anti ach like benztropine or dophenhydramine

Question 37

what is tardive dyskinesia?

Answer 37

EPS symptoms of antipsychotics where you have facial movements

Question 38

what is rx for tardive dyskinesia?

Answer 38

trick question...it is irreversible so just stop meds

Question 39

what are the two diagnostic features of the generalized anxiety disorder?

Answer 39

6 mos of symptoms with 3 somatic features

Question 40

what are the somatic features of GAD?

Answer 40

sleep change, weight change, irritability, loss of concentration

Question 41

what is better for GAD< psychotherapy or meds?

Answer 41

psychotherapy

Question 42

what is better for panic attack, psychotherapy or meds?

Answer 42

benzos for acute and SSRI for chronic

Question 43

what are two types of therapy for phobias?

Answer 43

flooding and desensitization

Question 44

three common obsession areas in OCd

Answer 44

safety, contamination and symmetry

Question 45

what is muscle dysphoria?

Answer 45

preoccupation with muscle..tons of exercise and steroids

Question 46

what are two ocmpications of muscle dysphoria?

Answer 46

rhabdomyolysis and renal failure and testicular atrophy

Question 47

what can happen to people that have trichotillomania who eat the hair they pull out?

Answer 47

SBO

Question 48

what is the rx for reactive attachment disorder?

Answer 48

caregiver teaching

Question 49

what are kids at risk for when they have reactive attachment disorder?

Answer 49

MDD, anxiety and substance use

Question 50

what is the diagnostic rule of thumb for dysthymia?

Answer 50

2 years of down mood but no longer than 2 months ar a time

Question 51

what is first line therapy for anorexia outpatient if no comorbid diagnosis?

Answer 51

antipsychotics

Question 52

if patient has anorexia and has OCD or MDD then what do you rx with?

Answer 52

SSRI

Question 53

what is Rx for ODD?

Answer 53

parent management

Question 54

what are the three types of catatonia?

Answer 54

excited, retarted and malignant

Question 55

what is malignant catatonia similar to?

Answer 55

symptoms are just like NMS...lead pipe rigidity with autonomic instability

Question 56

is child has regressed to enueresis then what three things can we think about being the cause?

Answer 56

infection, abuse and anatomic

Question 57

what two test to work up regression to enuresis?

Answer 57

UA and US

Question 58

what age is it still normal to have bed wetting?

Answer 58

7yo

Question 59

what are the signs of excited catatonia

Answer 59

more active, stereotypy, agitation echolalia and echopraxia