MOC Exam#1 Flashcards

1
Q

Effects of Tranylcypromine

A
  • MAOI
  • is an MAOI, SNRI, amphetamine all in one
  • therefore very activating
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2
Q

Effects of Phenelzine

A
  • MAOI
  • H1 histamine receptor blocker
  • increased GABA
  • therefore more sedating
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3
Q

Characteristics of Paranoid Personality Disorder

A
  • litigious
  • suspiscious
  • inability to accept responsibility for their own feelings
  • projection
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4
Q

What percentage of patients with Borderline Personality Disorder do not report history of abuse?

A
  • About 1/3

- Suggesting that 50-70% of pts with BPD have abuse as part of their history NOT 100%

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5
Q

Management of PHENOBARBITOL overdose

A
  • Activated charcoal

- ALKALINIZATION of urine

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6
Q

Which medication when taken in overdose requires alkalinization of urine as part of acute management?

A

-PHENOBARBITOL

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7
Q

Which medication used for treatment of bipolar disorder can lead to photosensitivity

A
  • LAMICTAL

- it binds melanin in the eye

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8
Q

Risk of relapse in 6 months after quitting cigarette smoking

A
  • 90-95% if quitting on your own; that pretty much 100%
  • so that means that only 5-10% of quitters who do it on their own do not relapse at 6 months
  • relapse risk goes down to 60% if quitting as part of a program
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9
Q

What is Marchiafava-Bignami Syndrome

A

-demyelination of the corpus callosum

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10
Q

What is Whipple’s Disease

A
  • Caused by bacteria T. Whippelei
  • cognitive changes with arthritis, fatty diarrhea, dermatitis
  • treated with doxycycline or hydroxychloroquine
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11
Q

What is utilization behavior?

A

-disinhibition of frontal lobe executive function that results in inability to resist impulse to operate or manipulate objects within reach

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12
Q

The most common form of inherited intellectual disability is?

A

-Fragile X syndrome

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13
Q

How is the thematic apperception test useful?

A
  • screens for interpersonal function

- Ability to read/pick up personality cues

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14
Q

Is TRAZODONE FDA approved for insomnia?

A
  • NO!!

- and it can cause cardiac arrhythmias

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15
Q

Benzo with longest half life?

A
  • FLURAZEPAM

- 100 hrs

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16
Q

Most effective medication for OCD?

A
  • Clomipramine

- better efficacy than any of the SSRI’s

17
Q

Characteristics of IQ testing/Score

A
  • IQ is normally distributed around a median score of 100

- IQ score= (IQ/Age) x 100