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Step2 > Psych > Flashcards

Psych Flashcards

1
Q

High potency Anti-psychotics

A

Haloperidol, Fluphenazine

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2
Q

Low Pot anti-psychotics

A

Thoridazine, Chlorpromazine

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3
Q

s/e specific for thoridazine?

A

Dose-dept QT prolong

Irreversible retinal pigmentation

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4
Q

Clozapine (atypical) specific s/e?

A

Agranulocytosis, monitor CBC

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5
Q

NMS treatment?

A

Dantrolene or bromocriptine

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6
Q

Extrapyramidal sympt and tx (4)?

A

Acute dystonia - Benzotropine
Akinesia - Amantidine
Akathisia - propanolol
Tard dyskinesia - none (permanent)

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7
Q

Buspirone s/e?

A

Seizure if chronic use

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8
Q

Paroxetine in pregnancy?

A

Can cause pulm HTN

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9
Q

Atypical anti-depressants?

A

Bupropion
Mirtazapine
Trazodone

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10
Q

SNRIs?

A

Venlafaxine

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11
Q

Buproprion s/e?

A

Decrease sz threshold

NOT WITH EATING DISORDER

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12
Q

Mirtazapine s/e?

A

wt gain

sedaiton

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13
Q

Trazodone s/e?

A

High sedation

Priapism

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14
Q

Serotonin syndrome?

A

SSRI + MOAI

Fever, Confused, myoclonus, CV collapse

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15
Q

TCAs s/e?

A

Cardiac conduction arrhythymia (Go to ICU)

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16
Q

Carbamazepine s/e?

A

Teratogenic
aplastic anemia (monitor CBC)
SJS
(nausea, rash, leukopenia)

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17
Q

Valproic Acid

A

Teratogen
Pancreatitis, agranulocytosis, HEPATOTOX
GI, wt gain, tremor

18
Q

Lamotrigine

A

Blurred vision, rash (titrate slowly)

SJS

19
Q

Insomnia + depression best tx?

A

Mirtazapine

20
Q

Lithium toxicity symptoms?

A

Ataxia, lethargy
Delerium, dysarthria
ARF

NOT MANIC (this means they’re not taking it)

21
Q

Olanzapine, clozapine s/e?

A

DM

Wt gain

22
Q

Risperidone s/e?

A

Movement disorders

23
Q

Arpiprazole specific use?

A

Schzio + depression

24
Q

Lurasidone specific use?

A

Schizo + preg

25
Q

Flumazenil contraindication (even if benzo overdose)?

A

Chronic dependence (will cause seizure/DTs like alcohol withdrawal)

26
Q

Steroid withdrawal tx?

A

SSRI

27
Q

OCD tx?

A

SSRI + exposure and response prevention

28
Q

Test prior to starting Lithium? (s/e)

A

Thyroid (hypo or hyper)
Creatinine (ARF)
Pregnancy test
Ca, Ua (parathyroid, DI)

29
Q

Venlafaxine specific s/e?

A

Diastolic HTN

30
Q

Bipolar 1 + psychotic features vs. Schizoaffective + bipolar type?

A

bipolar+psychotic = psychosis ONLY with mania

SchizoA + bipolar = ALWAYS psychosis

31
Q

MDD escalation of treatment options?

A
  1. SSRI
  2. different SSRI
  3. SNRI or other (Not SNRI if already sedated)
32
Q

Treatment for phobias?

A

CBT

33
Q

Denial vs. Repression vs. Suppression vs. Rationalization? In the setting of a new cancer diagnosis

A

Denial - NOT TRUE
Repression - IMMATURE, pretending
Suppression - MATURE, ignoring
Rationalization - Missing appts for other things

34
Q

Who gets lithium forever, who gets to maybe stop?

A

Forever - Bipolar

Maybe stop - if for schizo or depression with psychosis

35
Q

Specific phobia vs. social anxiety, performance only?

A

Specific phobia = Single object or action, not actual physical manifestations

SA, performance = Panic attack but with speaking

36
Q

Somatic systems disorder vs. Panic disorder (key difference)

A

Somatic symptoms = constant complain
Panic disorder = episodic
(both use a lot of healthcare and may be unexplainable)

37
Q

Malingering vs. factitious disorder?

A 
Malingering = tangible reward
Factitious = intangible reward
38
Q

1st Line for bipolar I in Major Depression?

A

Quetiapine
Lursadone
Lamotrigine
***NOT anti-depressant

39
Q

Thalamic vs. Lobar stroke, PE difference (same hemiplegia/paresis)

A

Thalamic = Eyes TOWARDS lesion

Lobar = LOOK AWAY

40
Q

Narcolepsy tx?

Sleep stduy findings?

A

decreased REM latency

SSRI –| Cataplexy
Modafinil –| sleeping

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