Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

step 2 ck > PSYCH > Flashcards

PSYCH Flashcards

1
Q

alcohol drugs

naltrexone 
vs
acamprosate
vs
disulfiram
A

naltrexone is first line to decrease craving and increase abstinence; can be started while still drinking; mu opioid receptor antagonist and decreases alcohol effect

acamprosate is a glutamate modulator; used for maintenence AFTER abstinence is achieved

disulfiram inhibits alcohol dehydrogenase to discourage drinking; must be used in motivated and abstinent people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

neuroleptic malignant syndrome
sx?
tx?

A

fever >104, mental change, muscle rigidity and autonomic instability

stop neuroleptics and give dantrolene or bromocriptine + hydration/cooling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which bug is associated with uti and struvite stones?

A

proteus

urease producing –> makes ammonium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

anorexia vs bulimia

A

anorexia has significantly low BMI (can have compensatory behavior)

bulimia always has compensatory behavior but maintains normal body weight

both are distorted view of body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

how long is adequate trial length before switching to a second SSRI?

A

6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

contraindication for bupropion use in depression?

A

history of seizures or bulimia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If autistic patient is aggressive… Treatment with what?

A

Antipsychotic medication such as risperidone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tx for Tourette’s

A

Antipsychotics such as haloperidol or rosperidone

Or clonidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Treatment for major depression

A

First line is SSRI like fluoxetine paroxetine sertraline citalopram or escitalopram

After 4 weeks can switch to another ssri

After that, can increase dose or switch to tac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Best medication for patient with depression and neuropathic pain

A

Duloxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Best treatment for depression who is scared of weight gain or sexual side effects OR smoker trying to quit

A

Bupropion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Bipolar 1 versus 2

A

1 is mania and depression

2 is hypomanic and depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Patient in lithium who comes in aggressive and punched nurse…first step

A

Give antipsychotic

Don’t need to verify lithium level given that his symptoms are so acute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cyclothymic

A

Depression and hypomanic episodes on and off for 2 years

Tx w lithium, valproate, or antipsychotic and psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Atypical depression sxs

Tx?

A

Weight gain
Increased sleep
Increased appetite

Tx w MAOIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Seasonal pattern depression

A

Fall and winter mood changes

Tx w phototherapy and bupropion or SSRI

17
Q

MAOIs

A

PhenelZine
Isocarboxazid
Tranylcypromine

18
Q

Mirtazipine has risk of

A

Weight gain and sedation

19
Q

Lamotrigine has risk of

A

Steven Johnson syndrome

20
Q

What is the single most effective treatment for depression?

A

Electroconvulsive therapy is usually used for suicidal patients unresponsive to regular meds

21
Q

Brief psychotic disorder versus schizophreniform disorder’s versus schizophrenia

A

Brief psychotic disorder or is one month or less

Schizophreniform is six months or less

Schizophrenia is more than 6 mo

22
Q

Side affects of the following:
– Olanzapine – risperidone – quetiapine
-ziprasidone
-clozapine

A

Olanzapine - diabetes and weight gain

Risperidone - movement disorders and breasts/gynecomastia

Quetiapine - lowers movement disorders (goodfor movement disorders)

Ziprasidone - qt prolongation

Clozapine - agranulocytosis (monitor CBC)

23
Q

Antipsychotics least likely to cause weight gain or diabetes

A

Aripiprazole or ziprasidone

24
Q 
Tx for 
Acute dystonia
Akathisia
Tardive dyskinesia
NMS
A

Benztropine or diphenhydramine

Beta blocker and switch to an atypical

Switch to an atypical

Dantrolene or bromocriptine

25
Q

Tx for panic disorder

26
Q

Tx for panic attack

A

Benzo (alprazolam)

27
Q

Treatment for performance anxiety

A

Beta blocker like propanolol or atenolol

28
Q

Treatment for OCD

A

SSRi Plus exposure and response therapy

29
Q

Treatment for opiate intoxication and withdrawal

A

Intoxication - naloxone

Withdrawal - methadone or buprenorphine

30
Q

Treatment for somatic symptom disorder

A

Psychotherapy

31
Q

Anorexia versus bulimia

A

Answers always anorexia if they cannot maintain normal body weight

32
Q

What medication has been effective for Binge eating disorders

A

Topiramate

33
Q

Treatment for narcolepsy

A

Forced daytime naps and modafinil

34
Q

Treatment for insomnia

A

First try sleep hygiene and then can add Z drug

35
Q

Gastric lavage to be used for pill ingestion…

A

One patient arrives under two hours from ingestion

36
Q

common brain frinding in schizophrenia?

A

enlarged cerebral ventricles

37
Q

tx for catatonia

A

benzo (lorazepam) or ECT

step 2 ck (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions