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VIA > Psych > Flashcards

Psych Flashcards

1
Q

Confabulation

A

Making stuff up without conscious intention to deceive

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2
Q

Tramadol + SSRI

A

Serotonin syndrome -
Cognitive - headache, confusion, hallucinations
Autonomic - shivering, sweating, vasoconstriction
Somatic - myoclonus, hyperreflexia, tremor

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3
Q

Dementia of Alzheimers Type

Slow the decline

A

Cholinesterase inhibitors (e.g. Donezepil)

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4
Q

Alzheimers

Mild MMSE

A

20-24

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5
Q

Alzheimers

Moderate MMSE

A

13-20

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6
Q

Alzheimers

Severe MMSE

A

<12

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7
Q

Dementia with Lewy Bodies

Management

A

Benzodiazepines (behavioural disturbances)
Anticholinergics (Parkinsonisms)
Risperidone or Olanzapine for psychosis - DO NOT GIVE TYPICAL ANTIPSYCHOTICS

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8
Q

Typical antipsychotics

A

Chlorpromazine, Haloperidol, Zuclopenthixol

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9
Q

Typical antipsychotic

Side effects

A

EPSEs, elevated prolactin, neuroleptic malignant syndrome, prolonged QT, arrhythmias

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10
Q

Chlorpromazine

S/E

A

Increases sun sensitivity

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11
Q

Zuclopenthixol

A

Depot

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12
Q

Atypical antipsychotics

A

Olanzapine, seroquel (quetiapine), risperidone, clozpine

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13
Q

Atypical antipsychotics

Side effects

A

Fewer EPSEs, increased risk of CVA, metabolic side effects

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14
Q

Olanzapine S/E

A

Weight gain

Diabetes

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15
Q

Quetiapine (Seroquel) S/E

A

Sedative

EPSE

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16
Q

Risperidone

S/E

A

Pain at injection site

Lactation

17
Q

Clozapine

S/E

A

Neutropaenia, agranulocytosis, myocarditis, diabetes, weight gain, HTN, hepatitis, piaprism
ONLY IN TREATMENT RESISTANT SCHIZOPHRENIA OR RECURRENT SUICIDAL IDEATION

18
Q

SSRI

A

Citalopram
Escitalopram
Fluoxetine
Sertraline

19
Q

SSRI

S/E

A

Headache, nausea, vomiting, sexual dysfunction

20
Q

Citalopram S/E

A

Prolonged QT

21
Q

Escitalopram

A

Used in PND

22
Q

SSNR

A

Venlafaxine

23
Q

TCA

A

Amitriptyline, clompiramine, mirtazapine

24
Q

TCA S/E

A

anti-SLUD, sedation, weight gain, orthostatic hypotention, sinus tachycardia, death in OD, prolonged QT, T wave inversion

25
Q

Mirtazapine

S/E

A

Increased appetite
Weight gain
Agranulocytosis

26
Q

Irreversible MAO inhibitors

S/E

A

Hard cheese effect - hypertensive crisis due to reaction with tyramine in cheese

27
Q

Lithium

S/E

A

Hypothyroidism, epigastric discomfort, weight gain, vertigo, tremor, acne, psoriasis, leukocytosis, polyuria, benign T wave changes, nephrotoxicity

28
Q

Parkinson’s Treatment

A

L-dopa and carbidopa
Dopamine agonists
Anti-cholinergics (Benztropine)

VIA (16 decks)

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