PMHNP CC PART 2 Flashcards
What does CYP1A2 primarily metabolize?
Clozapine
CYP1A2 is an important enzyme in drug metabolism.
What are enzyme inducers?
Substances that decrease the serum levels of other drugs
Example: Smoking can be an inducer affecting olanzapine dosage.
What are enzyme inhibitors?
Substances that increase serum drug levels, potentially requiring dose adjustments
Example: Clarithromycin or erythromycin can inhibit other medications.
Name a medication that can cause mania.
Steroids
Other examples include disulfiram, isoniazid, and antidepressants in bipolar disorder.
What is the BMI threshold for admitting a patient with anorexia?
Less than 15
Admission is necessary for severe cases of anorexia.
What does the mnemonic FEAR stand for in anorexia symptoms?
Food restriction, Extreme fear of weight gain, Altered body image, Rapid weight loss
This mnemonic helps remember key symptoms of anorexia.
What behaviors characterize bulimia?
Eating large amounts of food followed by attempts to prevent weight gain
Behaviors include self-induced vomiting, laxative misuse, fasting, or excessive exercise.
What mnemonic can be used to remember bulimia symptoms?
BINGE
BINGE stands for Binging episodes, Inappropriate compensatory behavior, Normal weight or overweight, Guilt after binging, Excessive concern with body shape and weight.
What is a significant risk factor for bipolar disorder?
Family history across generations
Age should not be used as a discriminator for diagnosis.
What does DIG FAST stand for in relation to mania and hypomania?
Distractibility, Insomnia, Grandiosity, Flight of ideas, Activity increase, Speech pressure, Thoughtlessness
This mnemonic helps identify symptoms of mania.
At what age must a patient be to be diagnosed with personality disorders?
At least 18 years old
Age is a discriminator for personality disorder diagnoses.
What is the main goal of Dialectical Behavior Therapy (DBT) for borderline personality disorder?
To decrease suicidality in borderline patients
DBT was developed by Marsha Linehan.
What symptoms are associated with conversion disorder?
Neurological symptoms such as blindness, mutism, paralysis, paresthesia
Symptoms usually begin after a stressful event.
What differentiates malingering from factitious disorder?
Malingering is motivated by external incentives, while factitious disorder is driven by psychological needs
Factitious disorder involves intentionally producing symptoms without obvious external rewards.
What is the treatment of choice for conduct disorder?
Family therapy with management skills and medication targeting mood and aggression
Medications include SSRIs and alpha agonists.
What are the required tics for a diagnosis of Tourette’s disorder?
At least two motor tics and one vocal tic
Motor symptoms can be normal and may disappear independently.
What neurotransmitter is hyperactive in Tourette’s disorder?
Dopamine
Other neurotransmitters involved include serotonin and norepinephrine.
What differentiates Acute Stress Disorder from PTSD?
Acute Stress Disorder lasts less than one month
PTSD symptoms must persist for more than four weeks.
What are the phases of EMDR in PTSD treatment?
Desensitization, Installation, Body Scan
These phases help in processing traumatic memories.
What is the role of the dorsolateral prefrontal cortex?
Executive function, cognitive processes such as planning and working memory
It plays a crucial role in attention tasks.
What are common signs of stimulant abuse?
Insomnia, Tremors, Increased blood pressure and heart rate, Agitation, Anxiety, Irritability, Mood swings
These symptoms indicate potential stimulant misuse.
What characterizes OCD?
Presence of anxiety-provoking obsessions and compulsions that reduce anxiety
Compulsions can include behaviors like hand washing or tics.
What condition should be considered in children with sudden onset OCD symptoms?
Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal infection (PANDAS)
This condition can impact the onset of OCD symptoms.
