Psych

Question 1

med for mania with a touch of psychosis

Answer 1

haloperidol

Question 2

schizoid

Answer 2

loner

prefers to be alone

Question 3

atypical antipsychs

Answer 3

quetiapine
olanzapine
risperdol

work on both positive and negative symptoms

Question 4

schizotypal

Answer 4

bizarre thinking (magical stuff) eccentric, fully functional

Question 5

cluster A

Answer 5

paranoid
schizoid
schizotypal

Question 6

cluster B

Answer 6

Bad Boys. Manipulative, demanding, want to change the rules

borderline personality disorder. Split people. Unstable, rapid changes in mood

histrionic (theatrical, attention seeking)

narcissistic

antisocial

Question 7

Cluster C

Answer 7

avoidant

dependent

OCD personality disorder (perfectionist, not the other OCD)

Question 8

ODD vs Conduct Disorder vs antisocial

Answer 8

ODD and Conduct D/O are under 18

ODD not violent. hates authority, cooperates with peers. Pathology: incongruent parenting.

Conduct d/o hurts peers, violates rules, destroys property. RX: Juvie

antisocial over 18

Question 9

avoidant personality disorder

Answer 9

wants to make friends but can’t

Question 10

cata–

Answer 10

catatonia- abnormal movement (depressed or agitated) [bad tone]

cataplexy- collapse [strike down]

catalepsy- muscular rigidity [seize down]

Question 11

treat tourette’s and tic disorder with

Answer 11

dopamine antagonists like risperdone

Question 12

tourette’s association for later in life

Answer 12

OCD

Question 13

serotonin modulators

Answer 13

crappy antidepressants

mirtazapine - appetitie stimulant

trazodone (sleep aid). –> priapism.

Question 14

TCAs

Answer 14

-triptylenes
imipramene
doxapene

Mostly used for side effects (Ach, like for bedwetting)
Neuropathic pain

Convulsions, Cardiac Toxicity, Coma

Question 15

treat acute mania

Answer 15

lithium or valproate plus an antipsychotic

quetiapine in all phases of bipolar

Question 16

valproate

Answer 16

first line mood stabilizer but
spina bifida (preggers)
pancreatitis
agranulocytosis
decreased platelets

Question 17

quetiapine

Answer 17

2nd line mood stabilizer

weight gain
QTC
somnolence

Question 18

lamotrigene

Answer 18

2nd line mood stabilizer
no real side effects

stay away from carbamazapene as mood stabilizer

Question 19

carbamazapene

Answer 19

use for tic douloreux or absence seizures

Question 20

another word for Wernicke’s

Answer 20

amnestic-confabulatory syndrome

Question 21

RX ADHD adult with concerns of addiction?

Answer 21

instead of a stimulant, use atomoxetine

Question 22

tyramine and MAOIs

Answer 22

tyramine metabolism inhibited –> sympathomimetic (adrenergic) effect –> hypertensive crisis

Question 23

differentiating parkinson disease dementia from lewy body

Answer 23

parkinson symptoms onset more than a year before the dementia

Question 24

tardive dyskinesia underlying cause

Answer 24

dopamine receptor supersensitivity due to dopamine blocking agents

Question 25

tests before starting lithium

Answer 25

``` BMP (for BUN and creatinine) urinalysis calcium pregnancy test thyroid ``` ECG with risk factors

Question 26

what to do when trying to choose between folate and B12 deficiency?

Answer 26

get a methylmalonic acid level both of these are megaloblastic (hypersegmented neutrophils) anemias

Question 27

adjustment disorder timeline

Answer 27

under 3 months

Question 28

speech with over-inclusion of details is called

Answer 28

circumstantiality

Question 29

side effects of lithium use

Answer 29

``` HYPOTHYROIDISM: weight gain dry skin hair loss gravellly voice ```

Question 30

treatment of ethylene glycol poisoning

Answer 30

an alcohol dehydrogenase inhibitor such as fomepizol (can also use ethanol if not available) to slow down toxic metabolites

Question 31

water intoxication

Answer 31

polyuria, vomiting, diarrhea, confusion, lethargy

Question 32

drug for bipolar with renal failure

Answer 32

valproate (lithium is nephrotoxic)