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MRCPSYCH Paper B _ Mainly general Adult (mentor&more) > Meds_Guidlines > Flashcards

Meds_Guidlines Flashcards

1
Q

First line treatment in adults adhd

A

Lisdexamfetamine or methylphenidate

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2
Q

2nd line treatment in adults adhd

A

Atomoxetine

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3
Q

3rd line treatment in adult adhd

A

Guanfacine

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4
Q

Alternative Rx to methylphenidate/lisdexamfetamine induced tics in adult adhd?

A

Atomoxetine

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5
Q

Alternative Rx for methyl/disdexamfetamine resistance attention deficiet in adult adhd

A

Atomoxetine

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6
Q

SSRI S.E in baby when taken after 20 weeks of pregnancy

A

Persistent pulmonary hypertension

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7
Q

What needs monitoring in children treated with methylphenidate?

A

Height and weight

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8
Q

Lenght of therapeutic trial of methylphenidate /lisdexamfetamine in children

A

6 weeks

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9
Q

The only antipsychotic licensed in the UK to treat behavioural and psychological symptoms of dementia???

A

Risperidone

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10
Q

NICE guidline: Fist line treatment for adhd in children(pre school)?

A

pArEntal training PrOgrAmmes

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11
Q

When would you prefer atomoxetine to methylphenidate in adhd+conduct disorder in children?

A

When there is a chance of misuse or diversion

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12
Q

Very common s.e of stimulants in adhd

A

Appetite suppression

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13
Q

Stimulant associated with liver toxicity

A

Pemoline

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14
Q

The stimulant that is controlled drug due to abuse and addiction?

A

Methylphenidate

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15
Q

For hallucination associated with delirium tremens(alcohol withdrawal), what psychotropics are preferred?

A

first oral lorazepam, if not applicable or not worked then parenteral lorazepam and Haluperidol

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16
Q

First line opiod detoxifixation drug (NICE)

A

buprenorphine (partial opiod agonist)

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17
Q

What drug that is used to help alcohol abstinence can cause dizziness and abduminal pain?

A

Disulfiram

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18
Q

Mechanism of acamprosate

A

Glutamatergic NMDA antagonist

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19
Q

NICE 1st line treatment to prevent replase in alcohol dependence

A

Naltrexone

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20
Q

NICE recommends it to use to support prevention of replase in alcoholism!!!

A

Nalmefene

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21
Q

Contradicted to be used in myocardial disease or psychosis + alcoholism

A

Disulfiram

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22
Q

Interferes with conversion of aldehyde to acetic acid in alcoholism

A

Disulfiram

23
Q

Not to be used with patients who could be having alcohol withdrawals

A

IV glucose (may precipitate wernick’s encephalopathy)!

24
Q

a hypnotic that is generally avoided in alcohol withdrawal

A

Clomethiazole ( may cause respiratory depression)

25
Q

First line treatment for alcohol withdrawal

A

Chlordiazepoxide

26
Q

Should be offered to pts with alcohol withdrawal

A

Thiamine parenteral

27
Q

First line treatment for depression

28
Q

NNT for for SSRI in moderate depression

29
Q

Assoc. with liver injury when used as antidepressant in elderly

A

Agomelatine

30
Q

SSRI in elderly increase risk of…

31
Q

Continue antidepressants in elderly after remission for how long?

A

12 months (higher chance of relapse)

32
Q

Increases the level of theophylline

A

Fluvoxamine

33
Q

How long should antidepressant trial last to decide its effectiveness?

34
Q

Causes steven johnson syndrome

A

Carbamazepine

35
Q

Causes visual impairment

A

Vigabatrin (assess visual every 3 months)

36
Q

Increases lamotrigine 2 folds

37
Q

Causes angle closure glucoma

A

Topiramate (red, painful eye with vision loss)

38
Q

Causes aggression when used in epilepsy

A

Levetiracetam
Perampanel

39
Q

Can cause cleft palate and floppy baby syndrome in baby

A

Benzodiazepines

40
Q

Very rare occasion in which bezodiazepine can be used in pregnancy

A

Extreme anxiety and agitation (when benefits outweigh risks)

41
Q

Contraindicated in patients with uncontrolled epilepsy

42
Q

Most associated with increase in hypertention, hence needs regular monitoring

43
Q

Indicated in schizophrenia +diabetes

A

Amisulpride 😎

44
Q

Most likely to cause dyslipidemia

45
Q

What percentage of non compliance is due to forgeting it

46
Q

What scales are used to check compliance

A

DAI - Drug Attitude Inventory
MARS - Medication Adherence Rating scale

47
Q

% of patients with schizo who become non-compliance after 24 months

48
Q

1st line treatment of body dysmorphic disorder

49
Q

How long to continue ssri in body dismorphic sybdrome after symtoms reduced

50
Q

1st line of medical treatment for OCD

A

ssri (like citalopram)

51
Q

First line treatment for OCD in children

A

CBT including exposure response prevension

52
Q

How long antidepressant therapy should continue in child ocd

A

6 months after remission

53
Q

Rx licenced for OCD in young people in UK

A

fluvoxamine

54
Q

which one is faster in detox buprenorphine or methadone?

A

buprenorphine

MRCPSYCH Paper B _ Mainly general Adult (mentor&more) (80 decks)

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