Psych Flashcards

1
Q

First line tx for ADHD?

A

Stimulants (Methylphenidate, Amphetamines)

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2
Q

Do Stimulants for ADHD increase the risk for Substance Use Disorder?

A

No!

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3
Q

How do ADHD s/s tend to present in adulthood?

A

Inattentive, impulsivity > hyperactivity

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4
Q

What are the tx options for ADHD (3 categories)?

A

-Stimulants (Methylphenidate, Amphetamines)
-Non stimulants (Atomoxetine)
-A2 agonists (Clonidine, Guaneficine)

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5
Q

How to deal with appetite suppression SE in stimulant use? (2)

A

Give after nutritious meal and consider switching if weight loss continues

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6
Q

Mania tx in pregnancy (3)

A

-1st gen antipsychotics
-2nd gen antipsychotics
-Lamotrigine

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7
Q

SE of Mania tx options in pregnancy?

A

-1st gen antipsychotics = TD, Akathisia, Acute dystonia
-2nd gen antipsychotics = Metabolic s/s
-Lamotrigine = Cleft lip/palate

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8
Q

How to tx acute dystonia (oculogyric crisis, dystonia, torticollosis) (2)

A

-Benztropine
-Diphenhydramine

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9
Q

How to tx akathisia (3)

A

-Beta blockers
-Benztropine
-Benzos

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10
Q

How to tx Tardive Dyskenisia (4)

A

-Valbenazine
-Deutrabenazine
-Botulinum injections
-Benzos

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11
Q

How to tx Parkinsonism (2)

A

-Amantadine
-Benztropine

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12
Q

Managing mania with agitation?

A

Give IM antipsychotic

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13
Q

Managing psychosis in Parkinson’s Disease?

A

-Reduce or discontinue use of drugs from least to most potent
-Anticholinergics, Amantadine, Dopamine +, MAO-B -, Carbi-Levodopa

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14
Q

1st line tx for Borderline PD

A

Dialectical behavior therapy

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15
Q

How to deal with HIV patient who doesn’t want to disclose dx

A

-Encourage them to do it

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16
Q

Which dept do you have to disclose a positive HIV diagnosis in a patient?

A

Dept. of public health