Psych Flashcards
What is the most common side effect of Paxil?
erectile dysfunction
What is the first line treatment for depression?
SSRI’s (zoloft, celexa, lexapro)
1st choice SSRI for elderly patient with depression
Celexa
Zoloft also okay
What depression med class causes low sperm count?
SSRIs
Grandiosity is a symptom experienced by people with what?
Bipolar disorder.
What exam asks an elderly patient to remember and repeat three words?
Mini Mental State Exam (MME) or (MMSE)
Do you give Zoloft or Xanax for an acute anxiety attack?
Xanax. (give benzos for acute relief)
Is presbycusis sensorineural or conductive hearing loss?
sensorineural
A patient is experiencing memory loss and increase in confusion. She has a history of stroke and HTN. What type of Alzheimers does she likely have?
A) Lewy Body dementia
B) Vascular dementia
C) Frontotemporal dementia
B) Vascular dementia
What is 1st line treatment for an essential tremor?
propranolol
How do you treat someone with an intense, brief, unilateral stabbing pain in the lips, cheek, or chin. This pain is exacerbated by chewing.
DX: trigeminal neuralgia
TX: carbamazepine/Tegretol or phenytoin/Dilantin
treatment for a cluster migraine
high dose oxygen and sumatriptan
Papilledema is a sign of?
increased ICP
Pt complains of worst headache of their live after experiencing trauma.
A) post-concussion headache
B) subarachnoid hemorrhage
C) subdural hematoma
B) subarachnoid hemorrhage
What cranial nerves are involved in extra ocular movement?
CH 3, 4, 6
lab changes associated with atypical antipsychotics?
clozaril, geodon, Abilify, Seroquel, risperdal, zyprexa
these can cause weight gain therefore check A1C, lipids, glucose levels
Which SSRi can cause sexual dysfunction?
Paxil
When are ADHD symptoms first seen?
before age 12
highest suicide rates are in what age groups?
45-55 and over 80
Fever, agitation, tachycardia, HTN, diarrhea, sweating while being treated for depression can be signs of?
serotonin syndrome
medical Emergency
What does Zyprexa treat and what do you have to monitor while on it?
it’s an antipsychotic, treats bipolar, schizophrenia
monitor weight q3 months
What category is Seroquel?
atypical antipsychotic
What category are Zyprexa and Risperdal in?
atypical antipsychotics
monitor for weight gain and high sugar
drug for smoking cessation?
Bupropion (Zyban)