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Psychiatry Block > Med Ed Videos > Flashcards

Med Ed Videos Flashcards

1
Q

what is the rule of 6s with antidepressants?

A

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

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2
Q

what is buproprion used for?

A

antidepressant and smoking cessation

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3
Q

name the two SNRIs

A

venlafaxine and duloxetine

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4
Q

when should you not give buproprion?

A

bulimia…lowers seizure threshold

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5
Q

what is antidepressant that helps with sleep?

A

trazodone

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6
Q

name the TCA antidepressants

A

triptylines and imiprimine

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7
Q

what are the the SEs of TCAs?

A

convulsions, coma and cardiac

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8
Q

what are the MAOs?

A

selegelline and phenylzine

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9
Q

what is the main risk with MAO?

A

HTN crisis

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10
Q

name the two first line drugs for mood stabilization

A

lithium and valproate

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11
Q

name the two second line drugs for mood stabilization

A

quitiapine and lamotrigine

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12
Q

what are the side effects of valproate?

A

teratogen (spina bifida), pancreatitis and agrnulocytosis

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13
Q

what are the sides effects of quitiapine?

A

somnolence and wt gain and long QT

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14
Q

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

A

carbamazapine

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15
Q

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

A

long acting

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16
Q

what are the long acting benzos?

A

diazepam and chlordiazepoxide

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17
Q

+sx of psychosis are from what issue?

A

agonism at D2c dopamine receptors

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18
Q

-sx of psychosis are from what issue?

A

agonism at 5-Ht1 serotonin receptors

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19
Q

name three general classes of SEs from typical antipsychotics?

A

Anti cholinergic
EPS
tubuloinfundibular issues

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20
Q

name the typical antipsychotics

A

haloperidol
fluphenazine
thoridiozine
chlorpromazine

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21
Q

what typical antipsychotics is most potent?

A

haloperidol

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22
Q

what typical antipsychotics is second most potent?

A

fluphenazine

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23
Q

what typical antipsychotics are lower potency?

A

thoridiozine

chlorpromazine

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24
Q

second gen antipsychotics treat what symptoms/

A

+ and -

25
Q

name the second gen antipsychotics

A

quetipaine
olanzapine
risperidone
aripiprazole

26
Q

what second gen antipsychotics is good for insomnia and mania?

A

quetiapine

27
Q

what are the SEs of olanzapine?

A

wt gain and diabetes

28
Q

what second gen antipsychotic is worst for EPS?

A

risperidone

29
Q

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

A

clozapine…risk for agranulocytosis

30
Q

what is akathesia?

A

restlessness

31
Q

how do you treat akathesia?

A

lower dose of antipsychotic

32
Q

what is acute dystonia?

A

usually movement of major muscle groups…repetitive

33
Q

name two common forms of acute dystonia?

A

torticolus and occulogyrus

34
Q

what is rx for acute dystonia?

A

anti ach agents like benztropine and diphenhydramine

35
Q

what is dyskinesia?

A

parkinsonism from EPS of antipsychotics

36
Q

what is rx for dyskinesia?

A

anti ach like benztropine or dophenhydramine

37
Q

what is tardive dyskinesia?

A

EPS symptoms of antipsychotics where you have facial movements

38
Q

what is rx for tardive dyskinesia?

A

trick question…it is irreversible so just stop meds

39
Q

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

A

6 mos of symptoms with 3 somatic features

40
Q

what are the somatic features of GAD?

A

sleep change, weight change, irritability, loss of concentration

41
Q

what is better for GAD< psychotherapy or meds?

A

psychotherapy

42
Q

what is better for panic attack, psychotherapy or meds?

A

benzos for acute and SSRI for chronic

43
Q

what are two types of therapy for phobias?

A

flooding and desensitization

44
Q

three common obsession areas in OCd

A

safety, contamination and symmetry

45
Q

what is muscle dysphoria?

A

preoccupation with muscle..tons of exercise and steroids

46
Q

what are two ocmpications of muscle dysphoria?

A

rhabdomyolysis and renal failure and testicular atrophy

47
Q

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

A

SBO

48
Q

what is the rx for reactive attachment disorder?

A

caregiver teaching

49
Q

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

A

MDD, anxiety and substance use

50
Q

what is the diagnostic rule of thumb for dysthymia?

A

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

51
Q

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

A

antipsychotics

52
Q

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

A

SSRI

53
Q

what is Rx for ODD?

A

parent management

54
Q

what are the three types of catatonia?

A

excited, retarted and malignant

55
Q

what is malignant catatonia similar to?

A

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

56
Q

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

A

infection, abuse and anatomic

57
Q

what two test to work up regression to enuresis?

A

UA and US

58
Q

what age is it still normal to have bed wetting?

A

7yo

59
Q

what are the signs of excited catatonia

A

more active, stereotypy, agitation echolalia and echopraxia

Psychiatry Block (3 decks)

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