MTB Notes Flashcards
Brain findings in OCD pts?
Increased frontal lobe metabolism
Increased size of caudate
What med to treat binge eating disorder?
Topiramate
Ziprasidone major SE?
Prolongation of QTc
SEs of buspirone?
HA, N, dizziness
What meds to use in bipolar patient that has acute mania with SEVERE symptoms?
Why?
Atypical antipsychotics - olanzapine
Shorter onset of action
What CT findings in schizophrenia?
Lateral and 3rd ventricle enlargement
Decreased cortical volume
Best TCA to treat OCD if no SSRI listed?
Clomipramine
Adjustment disorder symptoms must occur in what timeline?
Must remit when?
Within 3 months
Within 6 months of removal of the stressor
What describes chronic, severe, persistent irritability w/temper outbursts and angry, irritable or sad moods between the outbursts, occur almost every day, MC in boys 6-10?
Disruptive mood dysregulation disorder
What 3 drugs used to treat alcohol use disorder?
Disulfiram
Naltrexone
Acamprosate
What is rubbing oneself against a non consensual person for sexual gratification called?
Frotteurism
ADHD is associated with what neurotransmitter?
What is chosen as the preferred treatment?
What symptom goes away 1st?
Low levels of dopamine
Atomoxetine
Hyperactivity
What med is used to reverse serotonin syndrome?
Cyproheptadine
What med is used to maintain alertness in narcolepsy?
Modafinil
What meds can be used to treat aggressive ASD kids?
Risperidone or Aripiprzole
Only ones FDA approved
What is the MC test used by PCPs to screen for personality disorders?
Minnesota multiphase personality inventory
Key features of schizotypal peeps?
Magical thinking, brief psychotic episodes
What PET scan finings in schizophrenia?
Hypo Active frontal lobes, hyperactivity in basal ganglion
SE of Risperidone?
High incidence of EPS - movement disorders
How do you treat MDD w/atypical features?
MAOIs —> MC for this type of disorder
Or
SSRI
What is involuntary constriction of the outer third of the vagina preventing penile insertion called?
Treatment?
Penetration disorder (vaginismus)
Psychotherapy, dilator
What is the key feature of Binge Eating Disorder?
Recurrent episodes of binge eating that occur at least 3 times/wk for more than 3 months
What neurotransmitter is messed up in insomnia?
30% decrease in GABA
What is cyclothymic disorder?
Treat how?
Hypomanic episodes and mild depression for more than 2 years
Li, Valproic acid, antipsychotic
Suicide is associated with what neurotransmitter?
What ethnic group at highest risk?
Decreases levels of serotonin
Native Americans
MC cause of intellectual disability?
MC genetic cause?
Fetal alcohol syndrome
Down, Fragile X
Key features of schizoid people?
CHOOSE solitary activities, emotional coldness
