Psych Flashcards

1
Q

What is the most common side effect of Paxil?

A

erectile dysfunction

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2
Q

What is the first line treatment for depression?

A

SSRI’s (zoloft, celexa, lexapro)

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3
Q

1st choice SSRI for elderly patient with depression

A

Celexa

Zoloft also okay

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4
Q

What depression med class causes low sperm count?

A

SSRIs

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5
Q

Grandiosity is a symptom experienced by people with what?

A

Bipolar disorder.

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6
Q

What exam asks an elderly patient to remember and repeat three words?

A

Mini Mental State Exam (MME) or (MMSE)

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7
Q

Do you give Zoloft or Xanax for an acute anxiety attack?

A

Xanax. (give benzos for acute relief)

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8
Q

Is presbycusis sensorineural or conductive hearing loss?

A

sensorineural

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9
Q

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

A

B) Vascular dementia

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10
Q

What is 1st line treatment for an essential tremor?

A

propranolol

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11
Q

How do you treat someone with an intense, brief, unilateral stabbing pain in the lips, cheek, or chin. This pain is exacerbated by chewing.

A

DX: trigeminal neuralgia
TX: carbamazepine/Tegretol or phenytoin/Dilantin

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12
Q

treatment for a cluster migraine

A

high dose oxygen and sumatriptan

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13
Q

Papilledema is a sign of?

A

increased ICP

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14
Q

Pt complains of worst headache of their live after experiencing trauma.
A) post-concussion headache
B) subarachnoid hemorrhage
C) subdural hematoma

A

B) subarachnoid hemorrhage

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15
Q

What cranial nerves are involved in extra ocular movement?

A

CH 3, 4, 6

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16
Q

lab changes associated with atypical antipsychotics?

clozaril, geodon, Abilify, Seroquel, risperdal, zyprexa

A

these can cause weight gain therefore check A1C, lipids, glucose levels

17
Q

Which SSRi can cause sexual dysfunction?

A

Paxil

18
Q

When are ADHD symptoms first seen?

A

before age 12

19
Q

highest suicide rates are in what age groups?

A

45-55 and over 80

20
Q

Fever, agitation, tachycardia, HTN, diarrhea, sweating while being treated for depression can be signs of?

A

serotonin syndrome

medical Emergency

21
Q

What does Zyprexa treat and what do you have to monitor while on it?

A

it’s an antipsychotic, treats bipolar, schizophrenia

monitor weight q3 months

22
Q

What category is Seroquel?

A

atypical antipsychotic

23
Q

What category are Zyprexa and Risperdal in?

A

atypical antipsychotics

monitor for weight gain and high sugar

24
Q

drug for smoking cessation?

A

Bupropion (Zyban)