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AANP Exam > Psych > Flashcards

Psych Flashcards

1
Q

Atomoxetine is indicated in what diagnosis?
What class of med is it?

A

ADHD

SNRI

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2
Q

Neuroleptic malignant syndrome is caused by what type of medication

A

Antipsychotics

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3
Q

What condition presents with hyperthermia, tachycardia, hypertension, rigidity and altered mental status

A

Neuroleptic malignant syndrome

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4
Q

Immobility, mutism, negativism, echolalia

A

Catatonia

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5
Q

Personality disorder cluster traits
A-
B-
C-

A

A- odd/ eccentric
B- dramatic/ erratic
C- anxious fearful

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6
Q

High fever, muscular rigidity, mental status changes, hyper reflexia/ clonus, shivering, dilated pupils.
Caused by what?

A

Serotonin syndrome- often from mixing meds working on seratonergic system

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7
Q

Sudden onset high fever, muscular rigidity, mental status change, fluctuating BP, urinary incontinence.

Called?
Caused by ?

A

Neuroleptic malignant syndrome

Typical and atypical antipsychotics

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8
Q

Name 3 atypical antipsychotics

Major side effects

A

Olanzepine, risperidone, quetiapine

Weight gain and assoc risks ie diabetes- monitor q 3 months

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9
Q

Haloperidol and chlorpromazine are what class of meds?

S/E?
Black box-

A

Typical antipsychotics

Elevated triglycerides/ lipids

Avoid in elderly- risk of death

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10
Q

Main s/e of lamotrigine

A

SJS

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11
Q

Pt on an SSRI has ED- what med would you add?

A

Wellbutrin

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12
Q

Contraindications for bupropion

A

Eating disorders, seizures

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13
Q

Venlafaxine and duloxetine are of what class?

S/E

A

SNRI

Avoid in narrow angle glaucoma

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14
Q

Amitriptyline and nortriptyline are what class?
S/E
Pregnancy?

A

TCA’s
- anticholinergics
Preg cat X

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15
Q

Epstein anomaly is caused by what medication?

A

Lithium

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16
Q

Difference between minor and major depression?

A

Minor is minimum 2 but less than symptoms

17
Q

What med class interacts with high tyramine foods?

A

MAOI’s

18
Q

Phenelzine & tranylcypromine are what class?

A

MAOI’s

19
Q

Aged cheese, beer, fermented foods are all high in what?

A

Tyramine

20
Q

St. John’s wart is used for what?
3 main drug interactions

A

Depression/ sleep disturbance

  1. Increased risk of serotonin syndrome with SSRI’s
  2. Decreases effectiveness of digoxin
  3. Causes break through bleeding and decreased effectiveness of birth control
21
Q

High dose of omega 3 fatty acids are used for depression and can increase the risk of what?

A

Bleeding

22
Q

Transient vs short-term vs chronic insomnia

A

Transient- <1 wk
Short-term- 2-3 wks
Chronic- >3 wks

23
Q

Varenicline is used for what?
Course?
Consideration?

A

Smoking cessation
12 weeks
May impair ability to operate heavy machinery/ not allowed for pilots

24
Q

Hypotension, visual impairment, ataxia, stupor, coma- secondary to what

A

Korsakoff’s syndrome- chronic alcohol abuse/ thiamine deficiency

25
Q

Can a patient smoke while on nicotine patches/

A

Not for exam

26
Q

Kava kava and valerian route are used for treatment of what

A

Insomnia

27
Q

Daily drink limits w & m

A

W- 1
M- 2

28
Q

Considerations for prescribing paroxetine

A

Must be weaned
Causes ED

29
Q

Idea med for older adult with depression

A

Citalopram

30
Q

What med is used for treatment of major depression, seasonal affective, and smoking cessation and has high risk for seizures

A

Bupropion

31
Q

Buspirone is used for treatment of?

A

GAD

32
Q

What med has negative outcomes when mixed with- thiazides, ACEs, tetracyclines, metronidazole, nsaid

A

Lithium
Increased risk for lithium toxicity

33
Q

Triad of serotonin syndrome

A

Mental status change
Autonomic dysregulation
Neuromuscular hyperactivity ie. hyperreflexia

34
Q

Major depression diagnosis requires-
How many symptoms?
How long for?

A

5/9 symptoms-
2 of which must include persistent depressed mood + anhedonia
> 2 weeks

35
Q

Persistent depressive disorder / dysthymia diagnostic criteria

A

> 2 symptoms / 9
Lasting >2 years
No symptom free period for longer than 2 months

36
Q

PMDD occurs during what phase of menstrual cycle

A

Luteal phase
2 weeks pre menses

AANP Exam (11 decks)

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