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MS3 > Psych > Flashcards

Psych Flashcards

1
Q

Parkinsonian Disease Dementia

A

similar to Lewy Body Dementia, BUT parkinson symptoms of tremor and rigidity >1 yr precede the cognitive impairment

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2
Q

Lewy Body Dementia

A 
has to have >2 of the following 
visual hallucination 
parkinsonism (at the same time as dementia!) 
sleep disorder
fluctuating cognition
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3
Q

progressive supranuclear palsy

A

falls
impaired gaze
parkinsonism
**very rare

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4
Q

best treatment for ACUTE bipolar mania

A

1st of 2nd gen antipsychotics

olanzapine can be given IM and acts rapidly

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5
Q

best treatment for ACUTE bipolar depression

A

Lamotrigine

DO NOT do an antidepressant in BPD

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6
Q

delusion disorder

A

> /=1 delusion for >/= 1 month
there is lack of any other psychosis
aka pt is functioning normally otherwise

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7
Q

Schitzophreniform vs Schitzophrenia

A

phreniform is >1 mo <6 mo

phrenia is >6 mo

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8
Q

smoking cessation drugs

A

Varencycline
Buproprion
Nicotine aids

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9
Q

PCP

A

= phencyclidine
side effects are hypertension, hyperthermia, muscle rigidity
causes hallucinations, nystagmus, and lack of pain sensation

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10
Q

ADHD

A

inattention
and hyperactive/impulse symptoms
in >1 place

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11
Q

whats dialectical behavioral therapy for?

A

BPD

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12
Q

whats biofeedback therapy?

A
  • therapy to get attuned to the physical symptoms like BP and HR and learn how to respond and control physiologic reactions
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13
Q

psychodynamic psychotherapy

A

gain insight into past events and see how that effects events of today

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14
Q

Aripripazole MOA

A

partial agonist and antagonist of D2.

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15
Q

what drugs increase Lithium levels?

A

thiazides, ACEinhibitors, NSAIDs, metronidazole, tetracyclines

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16
Q

Lithium toxicity symptoms?

A 
GI distress 
tremor 
ataxia
agitation 
confusion
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17
Q

serotonin syndrome vs NMS symptoms

A

serotonin- GI distress, muscular hyperactivity/reflexivity, low grade fever
NMS- muscular rigidity with low reflexes, HIGH fever

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18
Q

Bipolar long term treatment

A

Lithium
Valproate
Qietapine
Lamotrigine

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19
Q

how does Risperidone work?

A

antagonist of D2 and serotonin

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20
Q

T/F Buproprion 1st line antidepressant?

A

YES

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21
Q

catatonia treatment?

A

Benzodiazepine, then ECT if that doesnt work in one week

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22
Q

schitzophrenia vs schitzoaffective vs Bipolar disorder

A

phrenia: psychotic features mainly with only few instances of psychotic w mood
affective: psychotic with mood disorder
BPD: never any psychotic features without mood

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23
Q

bipolar disease long term pharmacotherapy

A

lithium or valproate

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24
Q

olanzapine precautions

A

metabolic syndrome concern (similar to Clozapine)

check lipids, triglycerides, weight

25
Q

which psych med req close cbc monitoring

A

Clozapine

- concern for agranulocytosis

26
Q

treatment for acute dystonia

A

benzotropine

antihistamine

27
Q

treatment for akathesia

A

benzotropine
lorazepam
B Blocker

28
Q

treatment for drug induced parkinsonism

A

benzotropine

amantidine

29
Q

treatment for TD

A

Valbenazine

30
Q

schitzophrenia vs schitzophreniform

A

< 6 mo vs >6 mo

31
Q

to treat psychotic symptoms secondary to parkinson’s drugs give what?

A

quietapine or clozapine or pimavanserin

32
Q

what is progresssive supranuclear palsy

A

falls, impaired vertical gaze, parkinsonism

33
Q

how to tell apart Lewy Body Dementia and PD Dementia

A

PD Dementia- the parkinsonian symptoms come before the dementia (>1 yr before)
Lewy Body Dementia: both dementia and Parkinson sx without time gap in betwen

34
Q

somatic symptom vs illness anxiety

A

somatic symptom is concern and worry about 1+ unconcerning nonspecific sx
illness anx is concern you are ILL even though you have minima sx

35
Q

OCD vs OCPD

A

OCD: true obsessions followed by compulsion which are distressing to pt
OCPD: perfectionism to the point of ineffectiveness which are non distressing

36
Q

drinking cut offs for alcoholism

A

women or elderly men who drink >7 a week and >3 in a day

men <65 who drink >14 a week and >4 day

37
Q

nightmare disorder vs sleep terror disorder

A

nightmare happens in REM, pt remembers the dream, and is consolable
sleep terror happens in Non-REM, pt does not remember the dream and is not consolable

38
Q

pediatric depression treatment

A

SSRI- fluoexetine

Buproprion is not first line or used frequently in pediatrics

39
Q

oppositional disorder vs conduct disorder

A

oppositional can PRECEDE conduct and is less severe. Conduct involves violating the rights of OTHERS

40
Q

seizure vs DT timeline in alc withdrawal

A

seizures in 24-48 hr

DT in 2-4 days

41
Q

why is Lorazepam preferred for stopping seizures over Diazepam and Chordiazepoxide

A

it is intermediate acting the others are long acting

it does not get metabolized by the liver

42
Q

abnormalities related to anorexia nervosa

A

hypercholesterolemia, hypercarotenemia, decreased bone mineral density, decreased HPO axis,

43
Q

acute bipolar depression tx

A

lurasidone, qeitiapine, lamotrigine

44
Q

patient on long term opioids must be seen how often

A

every 3 mo

45
Q

tx for post partum depression in breastfeeding mom

A

sertraline

46
Q

NMS pharm tx

A

stop antipsychotic

give amantidine or bromocriptine or dantrolene

47
Q

acute stress disorder vs PTSD timeframe

A

3 d-1 mo vs >1 mo

48
Q

SSRI with lowest cardiac risk

A

sertraline and escitalopram

49
Q

how long should someone be on ssri

A

if single episode of MDD, do 6 mo after acute phase
if multiple episodes etc do 1-3 yrs
if v serious with multiple suicide attemps to indefinitely

50
Q

what are the signs and symptoms of Li toxicity

A

GI distress
tremor and fasciculation
confusion and ataxia

(nte the risk of this is increased with NSAIDs, ACEi, ibuprofen)

51
Q

which antidepressants can cause hypertension

A

SNRIs like Venlafaxine can cause DOSE dependent hypertension. at low doses serotonin affects predominate but as the dose increases norepinephrine effects increase

52
Q

how do you switch from an SSRI to an MAOi

A

stop SSRi for 2 wks minimum before starting MAOi
reason being is that MAOi can inhibit the ox deamination of serotonin and increase its levels and cause serotonin syndrome

53
Q

symptoms of serotonin syndrome?

A

tachycardia, hyperreflexia, dilated pupils, tremor, hyperthermia, tremor

54
Q

MDD physiology

A

increased cortisol levels due to HPA hyperactivity

55
Q

lactate infusion sensitivity assn w what psych dx

A

Panic disorder

56
Q

medication tx for OCD

A

SSRI clomipramine

57
Q

what is anxiety re public speaking

A

it is a SOCIAL phobia not a specific phobia

58
Q

after what age is bedwetting pathological

A

> 5 yo

MS3 (6 decks)

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