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USMLE Drugs > psych > Flashcards

psych Flashcards

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USMLE® Step 1 flashcards
1
Q

tricyclic SE (mnemonic)

A

-red as a beet, dry as a bone, hot as a hare, blind as a bat, mad as a hatter, full as a flask

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2
Q

clozapine (tx, MOA, SE)

A
  • schizophrenia
  • block dopamine AND serotonin (atypical)
  • agranulocytosis
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3
Q

atypicals

A
  • olanzapine, clozapine, quetiapine, risperadone, aripiprazole, ziprasidone
  • less extrapyramidal signs
  • agranulocytosis with clozapine
  • weight gain with olanza and clozapine
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4
Q

lithium overdose

A
  • nephrogenic DI

- confusion, memory loss, ataxia, coarse hand tremors

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5
Q

lithium and pregnancy

A
  • ebstein’s anomaly

- downward displaced tricuspid, enlarged right atrium, small hypo functioning right atrium

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6
Q

lithium SE

A

-nephrotoxic (nephrogenic DI) and thyrotoxic

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7
Q

benefit of bupropion

A

-less sexual side effects

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8
Q

tricyclic MOA

A

-inhibition of presynaptic uptake of serotonin and norepi

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9
Q

antisocial personality disorder is often comorbid with…

A

-substance abuse disorders

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10
Q

tx for callouses on knuckles and swelling over rami of mandible?

A

-SSRI for bulimia

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11
Q

association with autism?

A

-tuberous sclerosis

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12
Q

benzo overdose tx (and MOA)

A
  • flumazenil

- competitive antagonist

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13
Q

conversion disorder

A
  • pseudoseizure, vocal cord dysfunction, blindness etc.

- mimics dysfunction in voluntary system

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14
Q

serotonin syndrome drugs

A
  • MAOI***
  • TCA
  • SSRI
  • lithium
  • meperidine
  • sumatriptan
  • St. Johns Wort
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15
Q

MAOI is better than TCA if concerned about…

A
  • heart

- anticholinergic problems: BPH

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16
Q

short acting benzos

A

-oxazepam, triazolam, midazolam

17
Q

buspirone

A
  • anxiolytic, different MOA than benzo or barb
  • no dependence risk
  • 2-3 wks for onset of action
18
Q

hydroxyzine

A

-antihistamine H1 blocker, used to treat pruritis…. and anxiety without too many SE

19
Q

somatic symptom disorder

A

-many somatic complaints

20
Q

splitting…

A
  • dichotomy disorder
  • things are either/or, all good, all bad
  • often seen in pts with borderline personality disorder along with cutting, burdening etc
21
Q

reaction formation

A

-burnt out doctor mentoring medical students and encouraging them to continue

22
Q

most common SSRI side effect…

A

-GI complaints

23
Q

schizoid personality disorder

A
  • socially withdrawn

- hermit disease

USMLE Drugs (15 decks)

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