Psych 10 Flashcards

1
Q

What psychotic disorders can Carbamazepine be used for

A

Mania with mixed features

Rapid cycling bipolar disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

MOA of Carbamazepine

A

Blocks sodium channels, inhibiting action potentials

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What psychotic disorders can Valproic acid treat?

A

Acute mania, mania with mixed features, rapid cycling bipolar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Valium

A

Diazepam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Klonopin

A

Clonazepam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Xanax

A

Alprazolam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is Ativan

A

Lorazepam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the 3 non-benzo hypnotics

A

Zolpidem/Ambien
Zaleplon/Sonata
Eszoplicone/Lunesta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Rank the non-benzo hypnotics based on half-life, shortest to longest

A

Zaleplon < Zolpidem < Eszoplicone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the other non-benzo sedatives

A

♣ Diphenhydramine/Benadryl = Antihistamine with anticholinergic effects

♣ Ramelteon/Rozerem = Selective melatonin agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MOA and uses of Buspirone

A

Non-benzo anxiolytic
• Partial agonist at 5HT receptor
• Slower onset and not as effective
• Low potential for abuse/addiction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

MOA and uses of Hydroxyzine

A

Non-benzo anxiolytic

Antihistamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What psych issues is Propranolol used for

A

Non-selective beta antagonist
• Useful in treating the autonomic effects of panic attacks or social phobia, such as palpitations, sweating, and tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

3 drugs used for ADHD

A
♣	Dextroamphetamine and Amphetemine
•	Drug = Adderall
♣	Methylphenidate 
•	Drug = Ritalin, Concerta 
♣	Atomoxetine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Drug used for narcolepsy

A

Modafinil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Drugs used for cognitive enhancement (e.g. dementia)

A

♣ Donepezil
♣ Galantamine
♣ Rivastigmine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Tx for sleep walking

A

No cure. Maintain safe environment and monitory patient’s symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What medication may be used to treat hypersexuality

A

SSRI because they decrease libido

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is transvestic disorder

A

Patient’s experience recurrent and intense sexual arousal when cross-dressing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What drug is effexor?

A

Venlafaxine

21
Q

Clinical features of fetal alcohol syndrome

A

Growth retardation, microphthalmia (small eyes), short palpebral fissures, midface hypoplasia, thin upper lip, microcephaly

22
Q

Describe opiate intoxication

A

Slurred speech, drowsiness, impaired memory or attention, constricted pupils, respiratory depression, stupor, coma

23
Q

Tx of hallucinogen (acid) intoxication for:

  • Mild sx
  • Severe sx
A

Mild = reassurance and quite environment

Severe = Benzos

24
Q

Blood alcohol levels that show first signs of intoxication in a non-tolerant person (e.g. decrease in fine motor control)

A

20-30 mg/dL can start to shoe behavioral changes, slowing of motor performance, and decrease in the ability to think clearly

25
Q

Blood alcohol level with significant impairment of motor and mental performance

A

100-200 mg/dl

26
Q

BAL with memory impairment (blackout and amnesia)

A

200-300 mg/dl

27
Q

BAL that can lead to coma and death in a non-tolerant person

A

400 mg/dl

28
Q

How many days does marijuana stay in your system

A

2-7 days after single use

4 weeks in chronic user

29
Q

How many days does alcohol stay in your system

A

Few hours

30
Q

How many days does cocaine stay in your system

A

2-4 days urine screen

31
Q

How many days do Amphetamines stay in your system

A

1-3 days urine screen

32
Q

How many days does PCP stay in your system

A

4-7 days urine screen

33
Q

How many days do benzos in your system

A

Short acting = 5 days

Long acting = 30 days

34
Q

How many days do barbs stay in your system

A

Short acting = 24 hours

Long acting = 3 weeks

35
Q

How long do opioids stay in your system

A

1-3 days urine

36
Q

MOA of cocaine

A

Inhibits NET and DAT, allowing catecholamines to remain in the synapse

37
Q

What can be used for tx of heroin withdrawal sx

A

Clonidine (a2 agonist) to treat autonomic signs and symptoms of withdrawal

Methadone or Buprenoprhine to cause detox

38
Q

Is it appropriate to give antipsychotics to a patient in delirium tremens

A

No - they lower seizure threshold

39
Q

MOA of amphetamines

A

Release of stored monamines in the synaptic cleft

40
Q

MOA of PCP

A

activation of NMDA receptors

41
Q

More severe presentation of cocaine intoxication

A

Cocaine-induced delrium; visual and tactile hallucinations, coronary spasm, MI, intracranial hemorrhage, seizure

42
Q

MOA of Methadone

A

Long acting opioid agonist used for withdrawal and opioid addiction

43
Q

MOA of Buprenorphine

A

Long acting partial opiod agonist used for withdrawal symptoms

44
Q

What drugs can be used to treat nicotine dependence

A

Varenicline
Bupropion
Nicotine replacement therapy

45
Q

MOA of Varenicline

A

Nicotinic receptor partial agonist that mimics the action of nicotine, reducing the reward aspects and preventing withdrawal symptoms

46
Q

Presentation of inhalant intoxication

A

Perceptual disturbances, paranoia, lethargy, dizziness, N/V, HA nystagmus, tremor, muscle weakness, ataxia, slurred speech

47
Q

What makes something classify as a substance use disorder

A

Exhibition of maladaptive behavioral pattern characterized by recurrent use in spite of academic, social, or work problems; use in situations in which changes in mental status may be dangerous (driving); recurrent substance-related legal problems

48
Q

What is potentiation

A

E.g. giving 2 drugs that enhance the effects of each other