psych Flashcards
who is mirtazipine a good anti-depressant med for?
Elderly, because helps with insomnia and weight gain
what’s the minimum duration to make dx of generalized anxiety disorder?
6 months
What’s the time frame to make dx of adjustment disorder?
emotional/behavior sxs i.e. anxiety in response to an identifiable stressor and occur w/in 3 months of the stressor
when is buproprion contraindicated?
Hx of seizures
what kind of drug is phenelzine?
MAO-I
what happens when rich foods and on MAO-I?
Hypertensive (tyramine) crisis…its a sympathomimetic/adrenergic effect. clinically presents as HA, can lead to intracranial bleed/stroke/death
diffuse muscle rigidity seen in a patient on an antipsychotic
Neuroleptic Malignant Syndrome. also, autonomic instability, high fever, AMS, myoglobinuria. tx with supportive care and dantrolene
intentional production of false physical/psychological sxs with the intention of assuming the sick role
Facticious disorder
intention production of false or exaggerated physical/psychological sxs with the intention of some secondary gain (i.e. getting out of work, narcotics, etc)
Malingering
T/F: Dx of Bipolar 1 requires at least 1 manic episode and 1 depressive episode
False, requires 1 manic episode +/- depressive episodes
sxs of mania
Distractibility Impulsivity Grandiosity Flight of ideas/racing thoughts Activity Sleep (dec need) Talkativeness
Neuroimaging finding of schizophrenia
Enlarged (lateral) cerebral ventricles
Patient with anxiety/depression misses the dose of a medication she has been on for a few months and has a seizure, no prior seizure hx. medication?
Alprazolam, aka short acting benzo (withdrawal can happen within 24 hours)
Note: Buproprion would cause seizures at high doses in patient with hx of seizure disorder
drugs that can cause neuroleptic malignant syndrome (high fevers, muscle rigidity, AMS, autonomic instability)
Antipsychotics (1st and 2nd gen)
Anti-emetics (promethazine, metoclopromide)
Antiparkinson med withdrawal (DA agonists)
Infection and Surgery can also lead to it
dx of major depressive disorder
> 2 weeks of 5/9 SIG E CAPS:
sleep disturbance, interest loss, guilt, energy loss, concentration impairment, appetite change, psychomotor agitation, suicidal
