Psych Flashcards
High potency Anti-psychotics
Haloperidol, Fluphenazine
Low Pot anti-psychotics
Thoridazine, Chlorpromazine
s/e specific for thoridazine?
Dose-dept QT prolong
Irreversible retinal pigmentation
Clozapine (atypical) specific s/e?
Agranulocytosis, monitor CBC
NMS treatment?
Dantrolene or bromocriptine
Extrapyramidal sympt and tx (4)?
Acute dystonia - Benzotropine
Akinesia - Amantidine
Akathisia - propanolol
Tard dyskinesia - none (permanent)
Buspirone s/e?
Seizure if chronic use
Paroxetine in pregnancy?
Can cause pulm HTN
Atypical anti-depressants?
Bupropion
Mirtazapine
Trazodone
SNRIs?
Venlafaxine
Buproprion s/e?
Decrease sz threshold
NOT WITH EATING DISORDER
Mirtazapine s/e?
wt gain
sedaiton
Trazodone s/e?
High sedation
Priapism
Serotonin syndrome?
SSRI + MOAI
Fever, Confused, myoclonus, CV collapse
TCAs s/e?
Cardiac conduction arrhythymia (Go to ICU)
Carbamazepine s/e?
Teratogenic
aplastic anemia (monitor CBC)
SJS
(nausea, rash, leukopenia)
Valproic Acid
Teratogen
Pancreatitis, agranulocytosis, HEPATOTOX
GI, wt gain, tremor
Lamotrigine
Blurred vision, rash (titrate slowly)
SJS
Insomnia + depression best tx?
Mirtazapine
Lithium toxicity symptoms?
Ataxia, lethargy
Delerium, dysarthria
ARF
NOT MANIC (this means they’re not taking it)
Olanzapine, clozapine s/e?
DM
Wt gain
Risperidone s/e?
Movement disorders
Arpiprazole specific use?
Schzio + depression
Lurasidone specific use?
Schizo + preg
Flumazenil contraindication (even if benzo overdose)?
Chronic dependence (will cause seizure/DTs like alcohol withdrawal)
Steroid withdrawal tx?
SSRI
OCD tx?
SSRI + exposure and response prevention
Test prior to starting Lithium? (s/e)
Thyroid (hypo or hyper)
Creatinine (ARF)
Pregnancy test
Ca, Ua (parathyroid, DI)
Venlafaxine specific s/e?
Diastolic HTN
Bipolar 1 + psychotic features vs. Schizoaffective + bipolar type?
bipolar+psychotic = psychosis ONLY with mania
SchizoA + bipolar = ALWAYS psychosis
MDD escalation of treatment options?
- SSRI
- different SSRI
- SNRI or other (Not SNRI if already sedated)
Treatment for phobias?
CBT
Denial vs. Repression vs. Suppression vs. Rationalization? In the setting of a new cancer diagnosis
Denial - NOT TRUE
Repression - IMMATURE, pretending
Suppression - MATURE, ignoring
Rationalization - Missing appts for other things
Who gets lithium forever, who gets to maybe stop?
Forever - Bipolar
Maybe stop - if for schizo or depression with psychosis
Specific phobia vs. social anxiety, performance only?
Specific phobia = Single object or action, not actual physical manifestations
SA, performance = Panic attack but with speaking
Somatic systems disorder vs. Panic disorder (key difference)
Somatic symptoms = constant complain
Panic disorder = episodic
(both use a lot of healthcare and may be unexplainable)
Malingering vs. factitious disorder?
Malingering = tangible reward Factitious = intangible reward
1st Line for bipolar I in Major Depression?
Quetiapine
Lursadone
Lamotrigine
***NOT anti-depressant
Thalamic vs. Lobar stroke, PE difference (same hemiplegia/paresis)
Thalamic = Eyes TOWARDS lesion
Lobar = LOOK AWAY
Narcolepsy tx?
Sleep stduy findings?
decreased REM latency
SSRI –| Cataplexy
Modafinil –| sleeping
