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Psychiatry > Pre-Test 2 > Flashcards

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Delusion in which patient believes that familiar people have been replaced by imposters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

Unique MDD with seasonal pattern features

A

Hypersomnia and hyperphagia

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26
Q

Cyclothymia timing

A

2 years of patterns of mild depression and alternating hypomania (with no more than 2 months symptom free)

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27
Q

Most common complaints after ECT

A

Headaches, nausea, and muscle soreness

28
Q

What to monitor on lithium

A

Lithium leven, TFTs, Creatinine, and UA

29
Q

Things that make bereavement abnormal

A

Things that would be normal in bereavement but not about the person or lost loved one, marked psychomotor retardation, prolonged functional impairment

30
Q

What can you add in refractory depression if SSRI not working

A

Lithium

31
Q

ECT contras

A

MI w/in the pat 4 weeks

Any brain stuff

32
Q

PET scan of depressed patients

A

Decrease in blood flow and metabolism to frontal lobe

33
Q

REM of MDD

A

Shortened REM latency

34
Q

What is double depression

A

When MDD episode develops in a dysthymic patient

35
Q

What is illness anxiety disorder based on

A

Patient’s distorted interpretation of normal physical sensations or signs

36
Q

Good GAD drug

A

Buspirone

37
Q

Panic disorder drug regimen

A

Benzo and SSRI

38
Q

Antidepressant that doesn’t slow erections

A

Mirtazapine

39
Q

Antipsychotic that slows ejaculation

A

Perphenazine

40
Q

Drugs for hypersexuality

A

SSRIs

41
Q

Drug for narcolepsy

A

Modafinil

42
Q

What is it called if someone kicks a lot in their sleep

A

Periodic limb movement disorder

43
Q

Drug for rapid relief of severe hallucinogen intoxication

A

Benzos

44
Q

Most commonly used benzos for alcohol withdrawal

A

Diazepam and Chlordiazepoxide

45
Q

Drug for mild opiod withdrawal

A

Clonidine

46
Q

What is bruxism

A

grinding of the teeth

47
Q

What is it when someone takes drugs but loses friends, and wants to stop but can’t and all that

A

Substance use disorder (addiction refers to physiologic symptoms)

48
Q

OCD drug class

A

SSRIs

49
Q

What WBC should make you stop clozapine

A

2-3k

50
Q

What is Ramelteon

A

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
Q

Appearance of a rash with what antipsychotic

A

Carbamezapine

52
Q

Antidepressant that can cause weight loss rather than weight gain

A

Bupropion

53
Q

Drug you can give besides diphenhydramine for dystonia

A

Benztropine

54
Q

Drug to switch a patient with tardive dyskinesia on

A

Clozapine

55
Q

Akathisia tx

A

Propranolol

56
Q

Drug to give before ECT

A

Methohexital

57
Q

Urinary retention, blurred vision, and constipation with what ant-depressents

A

Tricyclics (Amitriptyline)

58
Q

Only drug approved for shift work sleep disorder

A

Modafinil

59
Q

OTC drug that can precipitate disulfiram reactions when on disulfiram but not drinking

A

Cough drops (they can have EtOH)

60
Q

Preferred treatment for psychotic symptoms in patients with Parkinsons dz? why?

A

Quetapine

Sedative qualities and lack of EPS

61
Q

How long to Li steady state? half life?

A

Steady state around 4-7 days

half life is 20 hours

62
Q

First choice drug for mild Alzheimers

A

Donepezil (cholinesterase inhibitor)

63
Q

What antipsychotic lowers seizure threshold? what to do for seizures there

A

Clozapine

Stop the clozapine and switch to valproate

64
Q

Drugs for hyeperarousal of PTSD

A

Alpha-2 agonists (clonidine) or b-blockers

65
Q

Best antipsychotics to avoid postural hypotension

A

High potency first gens (haloperidol and fluphenazine)

66
Q

Sleep effects of SSRIs

A

suppress REM sleep

67
Q

Most important AE w/ slidenafil

A

MI (increased stress on heart from sex)

Psychiatry (6 decks)

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