MOC Exam#4 Flashcards
Most effective behavioral therapy for trichotillomania
Habit reversal training
BMI less than ____ is considered underweight
18.5
Which antidepressants are approved by the FDA for adolescents?
Fluoxetine and Lexapro
Are TCA’s effective for pediatric depression?
NO
Regarding antidepressant use in children, which are required: HIGHER or LOWER medication doses per pound?
HIGHER due to more rapid metabolism rates
What do these prevalence rates for schizophrenia mean? 1% 8% 12% 40% 47%
1%- rate in general population
8%- rate in non-twin sibling
12%- in children with 1 parent with schizophr
40%- in children with 2 parens with schizophr
12%- in dizygotic twins
47%- in monozygotic twins
What is AMOXAPINE?
Tetracyclic antipressant
7-hydroxyamoxapine metabolite has same activity as atypical antipsychotic
Risks of taking AMOXAPINE
- Neuroleptic Malignant Syndrome
- Tardive Dyskinesia
LSD intoxication can be mimicked by enough ingestion of:
- catnip
- morning glory seeds
Effects of EPHEDRA
- Sympathomimetic
- Stimulant
- Anorexogenic
Excessive intake of nutmeg can cause:
- derealization
- depersonalization
- sensation of heavy limbs
Ingestion of Betel nuts causes:
- Euphoria
- floating in space sensation
Diagnosis of Tourette’s Disorder
- symptom onset before age 18 y
- multiple motor AND one or more vocal tics at sometime since symptom onset lasting MORE THAN ONE YEAR
Diagnosis of Persistent (Chronic) motor or vocal tic disorder
-single OR multiple motor OR vocal tics with same age and time parameters as Tourettes
Difference between Tourette’s Disorder and Persistent (Chronic) motor or vocal tic disorder
motor AND vocal tics must be present
Three psychotropic medications that can cause agranulocytosis and associated rates.
- Clozapine 0.8%
- Chlorpromazine 0.13%
- Carbamazepine 0.5%
In 2016, age ranges with highest and second highest rates of suicide
- 45y -54y (19.72%)
- 85y or older (18.98%)
Personality disorder with highest prevalence rate among psychiatric populations and rate among the general population
Borderline Personality Disorder
- 20% in hospitalized psychiatric patients
- 1%-2% of the general population
%-age of white population that are poor 2D6 metabolizers
7%-10%
The occurrence of ultra-rapid 2D6 metabolizers is highest in which populations?
- Middle Eastern
- Northern African
Medication that increases slow wave (or delta sleep) and FDA approved to treat which 2 conditions.
- Sodium oxybate (salt of GHB)
- Narcolepsy & Cataplexy
TRUE or FALSE: Women are less likely than men to experience the common adverse effects of antipsychotics.
FALSE
Best psychotherapy for OCD
CBT- exposure with response prevention (inhibition)
Defense mechanisms used commly in pts with OCPD
- isolation of affect
- rationalization
- intellectualization
- reaction formation
- undoing
Acamprosate is associated with _______.
acute kidney failure
Differential diagnosis of excessive daytime sleepiness
- Obstructive sleep apnea
- Periodic limb movement disorder
- Narcolepsy
- Hypersomnias
Office screening tool for excessive daytime sleepiness
- Epsworth Sleepiness Scale
- score >10 refer for sleep study to include polysomnograpy and multiple sleep latency test
Medications to treat KLEPTOMANIA
SSRI’s
