Pre-Test 2 Flashcards

1
Q

Two meds for NMS

A

Dantroline and Bromocriptine

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2
Q

Schizophrenia poor prognostic indicators

A
Early/insidious onset
Lack of obvious precipitating factors
Poor premorbid functioning
Neurological signs and symptoms
Social isolation, family hx,
Presence of neg symptoms
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3
Q

Benzo given with haloperidol in acute psychosis why?

A

Reduces amount of antipsychotic needed and protects against dystonic reactions

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4
Q

Next step if patient doesn’t respond to typical antipsychotic

A

Switch to atypical

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5
Q

What is Capers syndrome

A

Delusion in which patient believes that familiar people have been replaced by imposters

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6
Q

Long acting antipsychotic forms available with what drugs

A

Haloperidol

Fluphenazine

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7
Q

Brief psychotic disorder timing

A

Lasts 1 day up to 1 month and spontaneously resolves

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8
Q

What drug can look like acute schizophrenia

A

Amphetamine intoxication

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9
Q

Mean family of schizophrenia can lead to

A

Increased relapse rates

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10
Q

% of terminally ill patients who get delerium

A

90%

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11
Q

What is Autoscopic psychosis

A

Visual hallucination of a transparent phantom of one’s own body

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12
Q

Schizophrenia timing

A

Prodromal symptoms of at least 6 months with at least 1 week of acute psychosis

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13
Q

Treatment of choice for patients undergoing acute life crisis and feeling overwhelmed

A

Supportive psychotherapy

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14
Q

What is universalization

A

The awareness that the patient is not alone or unique in his or her suffering

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15
Q

Introjection

A

Internalization of the qualities of an object

can blur line between subject and object

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16
Q

What is it called when the victim of child abuse grows up to be an abuser

A

Identification with the aggressor

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17
Q

What is projective identification? who gets it

A

Aspect of self projected to someone else, projector tries to coerce the person to be that, and then the person kind of feels that way
Usually seen in borderline individuals

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18
Q

What does behavioral therapy focus on

A

Decreasing or ameliorating peoples maladaptive behavior without theorizing about their inner conflict
(just make it easier)

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19
Q

Cognitive treatment of panic disorder

A

Focuses on the patient’s tendency to make catastrophic interpretations about body sensations or state of mind
tell them panic attacks won’t kill them

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20
Q

How long can normal bereavement last

A

Up to 2 months

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21
Q

First line for acute bipolar mania? AE

A

Valproic acid now apparently?

AE: Hepatotoxic, pancreatitis

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22
Q

Drugs for dysthymic disorder

A

Venflaxine and buproprion

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23
Q

When does postpartum depression start

A

3-6 months after having baby

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24
Q

When does stroke depression start

A

Within first 6 months of having stroke

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25
Unique MDD with seasonal pattern features
Hypersomnia and hyperphagia
26
Cyclothymia timing
2 years of patterns of mild depression and alternating hypomania (with no more than 2 months symptom free)
27
Most common complaints after ECT
Headaches, nausea, and muscle soreness
28
What to monitor on lithium
Lithium leven, TFTs, Creatinine, and UA
29
Things that make bereavement abnormal
Things that would be normal in bereavement but not about the person or lost loved one, marked psychomotor retardation, prolonged functional impairment
30
What can you add in refractory depression if SSRI not working
Lithium
31
ECT contras
MI w/in the pat 4 weeks | Any brain stuff
32
PET scan of depressed patients
Decrease in blood flow and metabolism to frontal lobe
33
REM of MDD
Shortened REM latency
34
What is double depression
When MDD episode develops in a dysthymic patient
35
What is illness anxiety disorder based on
Patient's distorted interpretation of normal physical sensations or signs
36
Good GAD drug
Buspirone
37
Panic disorder drug regimen
Benzo and SSRI
38
Antidepressant that doesn't slow erections
Mirtazapine
39
Antipsychotic that slows ejaculation
Perphenazine
40
Drugs for hypersexuality
SSRIs
41
Drug for narcolepsy
Modafinil
42
What is it called if someone kicks a lot in their sleep
Periodic limb movement disorder
43
Drug for rapid relief of severe hallucinogen intoxication
Benzos
44
Most commonly used benzos for alcohol withdrawal
Diazepam and Chlordiazepoxide
45
Drug for mild opiod withdrawal
Clonidine
46
What is bruxism
grinding of the teeth
47
What is it when someone takes drugs but loses friends, and wants to stop but can't and all that
Substance use disorder (addiction refers to physiologic symptoms)
48
OCD drug class
SSRIs
49
What WBC should make you stop clozapine
2-3k
50
What is Ramelteon
Mimics melatonin - binds MT1 and MT2 receptors in the brain | *No use in COPD, severe sleep apnea, or severe hepatic impairment, most common AE is HA*
51
Appearance of a rash with what antipsychotic
Carbamezapine
52
Antidepressant that can cause weight loss rather than weight gain
Bupropion
53
Drug you can give besides diphenhydramine for dystonia
Benztropine
54
Drug to switch a patient with tardive dyskinesia on
Clozapine
55
Akathisia tx
Propranolol
56
Drug to give before ECT
Methohexital
57
Urinary retention, blurred vision, and constipation with what ant-depressents
Tricyclics (Amitriptyline)
58
Only drug approved for shift work sleep disorder
Modafinil
59
OTC drug that can precipitate disulfiram reactions when on disulfiram but not drinking
Cough drops (they can have EtOH)
60
Preferred treatment for psychotic symptoms in patients with Parkinsons dz? why?
Quetapine | Sedative qualities and lack of EPS
61
How long to Li steady state? half life?
Steady state around 4-7 days | half life is 20 hours
62
First choice drug for mild Alzheimers
Donepezil (cholinesterase inhibitor)
63
What antipsychotic lowers seizure threshold? what to do for seizures there
Clozapine | Stop the clozapine and switch to valproate
64
Drugs for hyeperarousal of PTSD
Alpha-2 agonists (clonidine) or b-blockers
65
Best antipsychotics to avoid postural hypotension
High potency first gens (haloperidol and fluphenazine)
66
Sleep effects of SSRIs
suppress REM sleep
67
Most important AE w/ slidenafil
MI (increased stress on heart from sex)