Psych

Question 1

First line tx for aud

Answer 1

Naltrexone - mu antag, decreases cravings, CI opioid use, liver disease

Acamprosate - glut modulator

Disulf only if abstinent

Buprop and varen for smoking

Question 2

Somatic symptom vs illness anxiety vs conversion disorders

Answer 2

Somatic actual sx cause worry
Illness anxiety min to no sx but worry about having illness
Conversion neuro sx

Question 3

Smoking cessation treatments that are most and least likely to cause weight gain

Answer 3

Varenicline more likely to cause wt gain than nicotine replacement or bupropion

Question 4

TCA overdose

Answer 4

• AMS or coma
• seizures - benzos or phenobarbital
• cardiac - prolonged qt, wide qrs, arrhythmia - give sodium bicarb
• hypotension - give fluids or pressors
• test for coingestants!
• give activated charcoal if within two hours or unknown

Question 5

Antipsychotics associated with more vs less weight gain

Answer 5

More - cloz and olanz
Less - aripip and zipras