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First Aid Step 2 > Psych > Flashcards

Psych Flashcards

1
Q

First line Rx for depression

A

SSRI

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2
Q

Antidepressants associated with HTN crisis

A

MAOI

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3
Q

Galactorrhea, impotence, menstrual dysfunction, and dec libido

A

DA antagonist

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4
Q

17 yo female left arm paralysis after boyfriend dies in car crash. No medical reason

A

Conversion disorder

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5
Q

Defense mechanism: Mother who is angry at her husband yells at her child

A

Displacemtn

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6
Q

Defense mechanism: Pedophile enters monastery

A

Reaction formation

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7
Q

Woman calmly describes grisly murder

A

Isolation

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8
Q

Hospitalized 10 yo begins to wet his bed

A

Regression

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9
Q

Life threatening mm rigidity, high fever, rhabdo

A

NMS - neuroleptic malignant syndrome

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10
Q

Amenorrhea, low body weight (<85%), bradycardia, abnormal body image in young woman

A

Anorexia

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11
Q

35 yo man recurrent episodes of palpitations, diaphoresis, fear of going crazy

A

Panic disorder

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12
Q

Most serious side effect of clozapine

A

Agranulocytosis

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13
Q

21 yo man has 3 months of social withdrawal, worsening grades, flattened affect, concrete thinking

A

Schizophreniform disorder (schizophrenia needs >6 mo)

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14
Q

Key side effect atypical

A

Weight gain, DM II, QT prolongation

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15
Q

Young weight lifter receives IV haloperidol and complains eyes are deviated sideways, Dx. Tx

A 
Acute dystonia (oculogyric crisis)
Tx benztropine or diphenhydramine
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16
Q

MEds to avoid in pts with hx alcohol withdrawal seizures

A

NEuroleptics

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17
Q

13 yo boy has hx of theft, vandalsim, violence toward family pets

A

Conduct disorder–assoc with antisocial personality disorder

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18
Q

5 mo old girl dec head growth, truncal discoordination, dec social interaction

A

Rett’s disorder–loss of milestones is commonly described

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19
Q

Pt hasnt slept for days, lost $20,000 gambling, agitated, pressured speech. Dx? Tx

A

Acute mania. Start with mood stabilizer - Li

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20
Q

After minor fender bender, man wears neck brace and requests permanent disability

A

Malingering

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21
Q

Nurse presents with severe hypoglycemia. blood analysis reveals no elevation C peptide

A

Factitious disorder (Munchausen)

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22
Q

Pt continues to use cocaine ager being in jail. losing job, not paying child support

A

Substance abusse

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23
Q

Meds to avoid in pts with PTSD

A

Benzodiazepines - high addiction potential

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24
Q

Violent pt w/ vertical and horizontal nystagmus

A

PCP

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25
Q

Woman was abused as child frequently feels outside of or detached from her body

A

Depersonalization disorder

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26
Q

Schizophernic pt takes haloperidol for 1 yr and develops uncontrollable tongue movements. Dx Tx

A

Tardive dyskinesia

Dec or discontinue haloperidol and try another antipsych (risperdone, cloazpine)

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27
Q

Man with major depressive disorder counseled to avoid tyramine rich food with new med

A

MAOI

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28
Q

DSM IV - category I

A

Clinical psych disorders - mood, anxiety, substance, delirium

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29
Q

DSM IV- category II

A

PD and developmental disorders - BPD and mental retardation

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30
Q

DSM IV - category III

A

MEdical conditions - encephalopthy, neoplasm, HIV

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31
Q

DSM IV - psychosocial stresses

A

Support structures, social environment, occupational factors

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32
Q

DSM V - global assessment of functioning

A

100 pt scale that describes how well pt has functioned in society

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33
Q

Mood vs affect

A

Mood - subjective

Affect - way person expresses his or her state of mind

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34
Q

Insight vs judgment

A

Insight: pts awareness of problems and their affect on daily life (pre contemplation–>contemplation–>action–>maintenance)
Judgment - response to a situation

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35
Q

Awareness of time, place, identity

A

Orientation

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36
Q

Ability to retrieve mentally stored information

A

Memory

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37
Q

Ability to maintain attention to task

A

Concentration

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38
Q

Major Depressive Disorder

Which characteristics essential for Dx?

A 
SIG E CAPS
Sleep disturbance - insomnia
Interest loss
Guilt
Energy reduction - fatigue
Concentration impairment
Appetite changes
Psychomotor disturbances
Suicidal ideation
NEED 5

Either Depressed mood or anhedonia

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39
Q

Time frame to Dx MDD

A

> 2 weeks

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40
Q

NT involved in depression

A

5HT, NE, DA

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41
Q

Risks for successful suicide attempt

A 
age>45
violent behavior drug use
prior attempt
plan
male
recent loss
depression
unemployed
widowed, single, divorced
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42
Q

Bereavement - time line, major criteria

A

6 months

DO NOT AFFECT ABILITY TO FUNCTION

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43
Q

Depression after loss of loved one
Time line
S/S

A

> 6 months

Detachment, bitterness, inability to accept life without the deceased, agitation, distrust

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44
Q

Dysthymic disorder
Define
Time line

A 
> 2 yrs - depressed on more days than not, no hx MDD
-Hopelessness
-Change sleep
-Change appetite
-Fatigue
-Inability to concentrate
-Low self esteem
NEED 2 w/ depressed mood
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45
Q

Bipolar I vs II

A

I: depression with 1+ manic
II: depression with 1+ hypomanic

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46
Q

Mania vs hypomania

A 
Mania: > 1 wk-->DIG FAST; affects ability to function
-Distractibility
-Insomnia
-Grandiosity
-Flight of idea
-Activity
-Speech pressured
-Taking risks
NEED 3

Hypomania 4 or more days - does not impair ability to fcn

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47
Q

Tx bipolar

A

Mood stabilizers - lithium, lamotrigine, atopyicals

Lithium first line mania

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48
Q

SSRI
Mechanism
Use
SE

A

Block 5HT reuptake
First line: depression; also for anxiety and PTSD
Sexual dysfcn, increase SI in adolescents

fluoxetine, sertaline, paroxetinee citolapram, escitolopram

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49
Q

SNRI
Mechanism
Use
SE

A

Inhibits 5HT and NE reuptake
1st line depression with comorbid neuro pain
2nd line if fail SSRI

HTN, insomnia/sedation, nausea, constipation, dizziness
Venlafazine, Duloxetine

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50
Q

TCA
Mechanism
Use
SE

A

Block NE and 5HT reuptake - like SNRI; also hit alpha and muscarinic
2nd line depression used if comorbid neuro pain

Easy to OD, fatal 5x therapeutic dose; QT prolong, sedate, weight gain, sexual, antichol Sx

Imipramine, amitryptiline, desipramine, nortiptyline

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51
Q

MAOI
Mechanism
Use
SE

A

Block MAO to inhibit deamination of 5HT, NE, and DA
2nd line depression; used Tx depression with neuro Sx or refractory

Dizziness, tyramine = HTN crisis, dry mouth,

Phenelzine, Isocarboxazid, tranylcypromine, selegiline

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52
Q

Buproprion
Mechanism
Use
SE

A

DA and NE
Depression with fatigue and concentration problems; smoking

NO SEXUAL DYSFCNl weight loss, HA

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53
Q

Trazodone

A

5ht
Depression with insomnia

Sedation, priapism, seizure high dose, hypotension

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54
Q

Mitrazapine

A

alpha 2 and 5HT blockade
Depression with insomnia
Dry mouth, weight gain, sedation

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55
Q

St Johns Wort
Mechanism
Use
SE

A

Decrease reuptake 5HT, NE, DA
First line in Europe, alternative in us
MANY DRUG INTERACTIONS

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56
Q

Rapid cycling hypomania with mild depression > 2 yrs without period of normal mood > 2months

A

Cyclothymia - Tx mood stabilizer

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57
Q

How to precipitate mania in bipolar disorder

A

Taking antidepressants without mood stabilizer

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58
Q

Behavioral or mood changes within 3 months of stressful event and impait ability to finction

Time frame of beginning and ending
Tx

A

Adjustment disorder with depressed mood

begin within 3 months of event and end 6 months after end of sterssor

Tx: psychTx, antidepressants

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59
Q

Organic disorder associated with panic disorder

A

MCP

Agorophobia also

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60
Q

Dx of panic attacks requires

A

Hx of recurrent episodes plus persistent fear that will happen again

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61
Q

Tx panic attacks

A

PsychTx, SSRI, SNRI

TCA 2nd line

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62
Q

Tx specific phobia

A

PsychTx to desensitize

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63
Q

Tx social phobia

A 
PsychoTx
Beta blockers
SSRI
MAOI if refractory
BDZ for anxiety
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64
Q

Major necessity for OCD Dx

A

Impairs daily life

Pt recognizes sx and wants to get rid of them

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65
Q

Tx OCD

A

PsychoTx

SSRI or clomipramine

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66
Q

Vivid dreams or recurrent intrusive thoughts, detachment, avoidance, guilt

A

PTSD

Dx requires exposed to traumati event, Sx of reliving event (dreams or thoughts), increased arousal (insomnia, irritable, difficulty concentrationg)

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67
Q

Dx PTSD requires

A

Dx requires exposed to traumatic event, Sx of reliving event (dreams or thoughts), increased arousal (insomnia, irritable, difficulty concentrationg) lasting > 1month if acut e>3 months if chronic

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68
Q

Tx PTSD

A

SSRI
MAOI
Mood stabilizer
PsychoTx

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69
Q

Time line generalized anxiety disorder

A

> 6 months

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70
Q

Dx of GAD requires

A

Excessive anxiety for most days
Impairment of ability to fcn
> 6 months

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71
Q

GAD Tx

A

PsychoTx
Anxiolytics (BDZ, Buspirone)
SSRI and SNRI promising prospect

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72
Q

How much BDZ need to OD

Tx OD

A

> 1000x dose

FLumazenil

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73
Q

BDZ
Mechanism
Indications
SE

A

Increase GABA inhibition of neural firing
Alprazolam- rapid onset and short half life = break panic attacks
Clonazepam and diazepam - prolonged
SE: sedation, confusion; withdrawal (alprazolam)

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74
Q

Buspirone
Mechanism
Indications
SE

A

DA and 5HT
Anxiety in which abuse or sedation is a concern

HA, dizzy, N

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75
Q

Schizophrenia puts pt at risk for

A

Substance abuse

Suicide

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76
Q

Risk factor shcizophrenia

A

FH, maternal malnutrition or illness, homeless and indigent

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77
Q

Positive Sx schizophrenia

A 
Delusion
Hallucination
Disorganized thought and behavior
thought broadcasting
ideas of reference
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78
Q

Negative Sx schizophrenia

A 
Social withdrawal 
Flat affect
Apathy
Anhedonia
Lack of motivation
79
Q

Cognitive Sx schizophrenia

A

Attention deficits
Inability to organize or form abstract thought
Poor memory

80
Q

Dx schizophrenia requires

A

2_ Sx for at least 1 month in 6 month period; impaired social fcn > 6 months

81
Q

Tx schizophrenia

A

Antipsychs (atypicals, neuroleptics)

PsychoTx

82
Q

Good vs bad outcome schizophrenia

A

Good: due to substance abuse or mood disorder, positive sx, good uspport
Bad: negative Sx, motor or sensory signs, poor support

83
Q

Subtype of schizophrenia: excessive paranoia, hallucination and ideas of reference severe

A

Paranoid

84
Q

Subtype of schizophrenia: rigid posturing, poor response to stimuli, poor interaction

A

Catatonic

85
Q

Subtype of schizophrenia: flat affect, disorganized speech, inappropriate and disorganized behavior

A

Disorganized

86
Q

Subtype of schizophrenia: does not fit into other categories

A

Undifferentiated

87
Q

Subtype of schizophrenia: previously dx schizophrenia with resolition of + Sx but - Sx remain

A

Residual

88
Q

Atypical antipsych
Mechanism
Use
SE

A

block DA and 5HT
1st line psych disorders; Clozapine is best but agranulocytosis

Antichol effect, arhythmia, seizure

Clozapine, Risperidone, Olanzapine, Sertindole, Quetiapine, Ziprasidone, Paliperidone, Airpiprazole

89
Q

High potency neuroleptics
Mechanism
Use
SE

A

Block D2
Strong + Sx, emergency control psychosis or agitation, 2nd line maintenance

EPS (dystonia, PDism, akinesia, akahisia), TD, sexual, hyperprolactinemia, NMS, seizures = FEWER ANTICHOL SE

Haloperidol, Droperidol, Fluphenazine, Loxapine, Thiothixene, Perphenazine, Trifluoperazine

90
Q

Low potency neuroleptics
Mechanism
Use
SE

A

Block D2
Strong _ Sx, 2nd line maintenance

Fewer EPS but more antichol (confusion,constipation, urinary retention, hypotension)

Thioridazine, chlorpromazine

91
Q

Sx similar to schizophrenia but last >1 month and <6 months

A

Schizophreniform

92
Q

Mood disorder and psychotic Sx, not meet criteria for either one; requires presence of psychotic Sx during normal mood for > 2 wks

A

Schizoaffective

93
Q

Presence of 1+ realistic delusion >1 month without psychotic Sx, fcn normally, unrealistic delusions - schizophreniform or schizophrenia

A

Delusional

94
Q

Sudden onset psych Sx < 1month

A

Brief psychotic

95
Q

Second pt accepts and becomes involved in delusions of pt with pre-existing delusions

A

Shared psychotic/ folie a deuz

96
Q

Personality trait vs PD

A

trait: mild signs of PD but can fcn normally in society

97
Q

Cluster A PD

A

odd or eccentric - WEIRD

  • Paranoid
  • Schizoid
  • Schizotypal
98
Q

Cluster B PD

A

Dramatic or emotional - Wild

  • Antisocial
  • Borderline
  • Histrionic
  • Narcissistic
99
Q

Cluster C PD

A

Anxious or fearful - wimpy or worried

  • Avoidant
  • Dependent
  • Obsessive compulsive
100
Q

persistent distrust of others, others actions interpreted as harmful or deceptive, reluctant to share info, misinterpret comments, angry reaction, suspicion partner infidelity

A

Paranoid

Low dose antipsych

101
Q

Inability to form close relationships, social detachment emotionally restricted, anhedonia, flat affect, no sexual interests

A

Schizoid

Antipsych

102
Q

Paranoia, idea of reference, eccentric and inappropriate behavior, social anxiety, disorganized speech, odd beliefs

A

Shizotypal

Low dose antipsych or anxiolytic

103
Q

Aggressive behavior toward ppl and animals, destroy property, illegal activity, pathologic lying, irritability, isk taking, lack of responsibility, lack of remorse for actions, >18, hx conduct

A

Antisocial

Structured environment, psych Tx

104
Q

Unstable relationships, feelings of emptiness, fear of abandonment, poor self esteem, impulsivity, mood lability, SI, inappropriate irritability, paranoia, splitting, women

A

Borderline

SSRI, mood stabilizer, low dose antipsych

105
Q

Dire need for attention, inappropriate sexual behavior, emotional lability, shallow relationships, dramatic speech, uses appearance to draw attention to self, easily influenced by others, believes relationships are more intimate than they are

A

Histrionic

106
Q

Grandiosity, fantasies of success, manipulation of others, expectation of admiration, arrogance sense of entitlement, lacks empathy, envious of others

A

Narcissistic

107
Q

Fear of criticism and embarrassment, social withdrawal, fear of intimacy, poor self esteem ,reluctance to try new activities, preoccupied by fear of rejection, feelings of inadequacy are inhibitory

A

Avoidant

108
Q

Difficulty making decisions, fear of responsibility, difficulty expressing disagreement, lack of confidence in judgment, need for others support, fear of being alone, requires constant close relationships

A

Dependent

109
Q

Preoccupied with details, perfectionist, excessively devoted to work, inflexible in beliefs, difficulty working with others, hoard worthless objects, stubbornness

A

Obsessive compulsive

Does not recognize behavior as problematic

110
Q

Repetitive use of substance that results in negative consequences

A

Substance abuse

111
Q

Physical adaptation to repetitive substance use in which abrupt cessation or antagonist causes withdrawal

A

Physical dependence

112
Q

Perceived need for given substance because of its associated positive effect or because of fear of effects from lack of use

A

Psychological dependence

113
Q

Chronic substance use leading to physical and psychological dependence, development of tolerance, feelings of loss over use, significant amount of time devoted to procuring substance

A

Addiction

114
Q

CAGE

A

Cut down on usage
Annoyance over others suggestion to stop useage
Guilt over usage
Eye opener

115
Q

Refuse to maintain normal body weight, amenorrhea, cold intolerance, hypothermia, dry skin, lanugo hair, bradycarda

Tx

A

Anorexia nervosa

Inpt to gain weight
PsychoTx
No pharm unless associated depression then SSRI

116
Q

Hypophosphatemeia, cardiovascular collapse, rhabdomyolysis, confusion, seizures

A

Refeeding syndrome - sudden shift from fat to card metabolism in anorexics who resume eating

117
Q

Feel lack of control over eating behavior, normal body weight; binding and compesnation episodes at least 2x per week for 3 months
S/S: dental enamel erosion, scars on harnds, parotid enlargment, oligomenorrhea

Tx

A

Bulimia

PsychoTx
SSRI, TCA, buspirone

118
Q

Needed for somatization disorder

A

2 GI
1 sex
1 pseduoneuro
Pain multiple body sites

119
Q

Sensory or neuro deficits following stress, no medical condition

A

Conversion disorder

120
Q

Tx pain diosrder

A

TCA and SSRI

121
Q

Pt imagines physical defect in distinct body region, present to dermatologist or plastic surgeon to improve, continues to imagine defect after Tx

A

Body dysmorphic disorder

122
Q

Factitious vs malingering

A

Malingering: benefit pt
Factitious: no benefit

123
Q

Sundowning

A

Deterioration of behavior during evening hours in pts with dementia

124
Q

Acute onset, fluctating change in cognition and behavior, oriented only to self, flight of idea/disorganizd, short term memory impaired, reversible if find underlying cause

A

Delirium

125
Q

Gradual onset, sundowning, normal level of consciousness, orientation impaired, thought production impoerished, few psychotic features, memory - short and long term impaired, irreversible

A

Dementia

126
Q

4 types dementia

A

AD
PD
Vascular - w/ neuro Sx
Alcohol- aphasias

127
Q

Tx dementia

A

Cholinesterase inhibitors - donepezil, rivastigmine, galantamine to slow decline
Therapy

128
Q

Drugs that can worsen dementia and delerium

A

BDZ and antichol

129
Q

3 types ADHD

A

Inattentive: decreased attention span, difficulty following instruction
Hyperactivity: inappropriate activity
Impulsivity: interrupts,

130
Q

Dx ADHD

A

Must exhibit Sx in multiple settings

131
Q

Repetitive disruptive and antisocial behavior that violates others rights and social norms
Dx requires

A

Conduct disorder

Need 1 critera < 10 yrs of age and 3 >10 yrs of age

132
Q

Dx Tourette’s requires

A

presence tics >1 yr and begins before 21

133
Q

Similar to conduct but not illegal or destructive activities

A

Oppositional defiant

134
Q

Severe, persistent impairment in interpersonal interactions, communication and social activities

A

Autism

135
Q

4 As of dementia

A

Amnesia
Apraxia - motor inability
Anosia- recognize inability
Aphasia

136
Q

Subtypes MDD

A

Psychotic features
Postpartum - 1 month
Atypical: weight gain, hypersomnia, rejection sensitivity
SEasonal: winter, light Tx
Double depression: major depressive episode with dysthymia

137
Q

TCA toxicity

A

3c
Convulsions
Coma
Cardiac arrhythmias

138
Q

SSRI and MAOI dosing

A

DC SSRI 2 wks before starting MAOI

If Fluoxetine wait 5 wks

139
Q

Postpartum depression within 2 weeks of delivery - sadness, moodiness, emotional lability without thoughts of hurting baby

A

Postpartum blues

140
Q

Postpartum depression 2-3 wks after delivery w/ delusion and depression; may have thoughts of hurting baby

A

Postpartum psychosis

141
Q

Postpartum depression 1-3 months post delivery; also sleep disturbances and anxiety with thoughts of hurting baby

A

Postpartum depression

142
Q

Characteristics of PD

A 
MEDIC
Maladaptive
Enduring
Deviate from cultural norms
Inflexible
Cause impairment in social or occupational functioning
143
Q

Lithium
Use
SE

A

First line mood stabilizer - acute mania, trophy in BPD, augmentation in depression

SE - DI, hypothyroidism, seizures, teratogen 1st trimester, acne, vomiting; Li toxicity >1.5 ==ataxia, dysarthria, delirium ARF

144
Q

Carbamazepine
Use
SE

A

2nd line mood stabilizer, anticonvulsant, trigeminal neuralgia

SE-skin rash, leukopenia, AV block, aplasti anemia, SJS

145
Q

Valproic acid

Use SE

A

BPD, anticonvulsant

GI, sedation, alopecia, weight gain, pancreatitis, agranulocytosis, etc

146
Q

Lamotrigine
Use
SE

A

2nd line mood stabilizer
Anticonvulsant

Blurred vision, SJS - inc dose slowly and monitor for rashes

147
Q

Fixed false idiosyncratic belief

A

Delusion

148
Q

Perception without existing external stimulus

A

Hallucination

149
Q

Misperception of actual external stimulus

A

Illusion

150
Q

Things with Schiz

A 
Schizophreniform 1-6 months
Schizophrenia - > 6 months
Schizoaffective - Schizophrenia + Major affective disorder
Schizotypal - PD with magical thinking
Schizoid - PD = loner
151
Q

Evolution of EPS

A

4 hours= Acute dystonia
4 days- Akinesia
4 weeks - akathisia
4 months - Tardive dyskinesia

152
Q

Prolonged painful mm contraction or spasm

A

Dystonia- tx w/ antichol (benztropine or diphenhydramine)

153
Q

Pseudoparkinsinism

A

Dyskinesia - Tx antichol or DA ag (amantadine)

154
Q

Subjective/objective restlessness that is perceived as being distressing

A

Akathisia - Tx beta blocker (propranolol_

155
Q

Stereotypic involuntary painless oral facial movements

A

Tardive dyskinesia

Tx - dec neuroleptic dose; antichol may worsen

156
Q

Autism like disorder of social impairment and repetitive activities, behaviors, interests WITHOUT cognitive or language delays

A

Aspergers

157
Q

Severe developmental regression after >2 yrs of normal development

A

Childhood disintegrative disorder

158
Q

IQ to judge mental retardation

A

50-70 mild
35-49 severe
<20 profound

159
Q

Tremor, tachycardia, HTN, malaise, nausea, seizures, DT, agitation - withdrawal?

A

Alcohol withdrawal

160
Q

Dysphoria, insomnia, anorexia, myalgias, fever, lacrimation, diaphoresis, dilated pipils, rhinorrhea, piloerection, nausea, vomiting, stomach cramps, diarrhea, yawning

A

Opiod withdrawal - not life threatening

161
Q

Anxiety, lethargy, HA< stomach cramps, hunger, fatigue, depression/dysphoria, sleep disturbances, nightmares

A

Amphetamine withdrawal

162
Q

Recurrence of intoxication sx due to reabsorption in GI tract, sudden onset seer, random violence

A

PCP withdrawal

163
Q

Anxiety, seizures, delirium, life threatening CV collapse

A

Barbs

164
Q

Rebound anxiety, seizures, tremor, insomnia, HTN, tachycardia, death

A

BDZ withdrawal

165
Q

Irritability, HA, anxiety, weight gain, craving, bradycardia, difficulty concentrating, insomnia

A

Nicotine withdrawal

166
Q

Sedation, depression, psychomotor retardation, fatigue, anhedonia

A

Cocaine withdrawal

167
Q

disinhibition, emotional lability, slurred speech, ataxia, aggression, blackouts, hallucinations, memory impairment, impaired judgment, coms

A

Alcohol intoxication

168
Q

Euphoria leading to apathy. CNS depression, constipation, MIOSIS, resp depression (life threatening)

A

Opiod intoxication

Tx nalaxone and naltrexone - may need to redose if long acting opiod

169
Q

Psychomotor agitation, impaired judgment, HTN, MYDRIASIS, tachycardia, fever, diaphoresis, anxiety, angina, euphoria, prolonged wakefulness/attention, arrhythmias, delusions, seizures, hallucinations

A

Amphetamine intoxication

Can give Haloperidol if severe agitation

170
Q

Psychomotor agitation, euphoria, impaired judgment, tachycardia, MYDRIASIS< HTN, paranoise, hallucinations, :bugs”, sudden death - EKG shows ischemia

A

Cocaine intoxication

Tx with haloperidol

171
Q

Assaultiveness, belligerence, psychosis, violence, vertical or horizontal nystagmus, HTN, ataxia, seizures, delirium

A

PCP intoxication

Tx: BDZ or haloperidol

172
Q

Marked anxiety or depression, delusions, visual hallucinations, flashbacks, MYDRIASIS, impaired judgment, diaphoresis, tachycardia, HTN, heightened senses

A

LSD intoxication

173
Q

Euphoria, slowed sense of time, impaired judgment, social withdrawal, inc appetite, dry mouth, conjunctival injection, hallucinations, paranoia, amotivational syndrome

A

Marijuana intoxication

174
Q

respiratory depression - low safety margin

A

Barbs

175
Q

Interactions with alcohol, amnesia, ataxia, somnolence, mild resp depression

A

BDZ intoxication

176
Q

Restlessness, insomnia, diuresis, mm twitching, arrhythmia, tachycardia, flushed face, psychomotor agitation

A

Caffeine intoxication

177
Q

Restlessness, insomnia, anxiety, arrhythmias

A

Nicotine intoxication

178
Q

Med to avoid in eating disorders because associated with lowering seizure threshold

A

Buproprion

179
Q

Hypnagogic vs hypnopompic hallucinations

A

Gogic: going to sleep
Pompic: waking up

180
Q

Tx Narcolepsy

A

Amphetamines, scheduled naps, SSRI for cataplexy

181
Q

Central vs obstructive sleep apnea

A

Central: both airflow and resp effort cease – morning HA common
Obstructive: airflow ceases 2/2 obstruction - snoring, obesity, male gender, deviated nasal septum,

182
Q

Complications of sleep apnea

A 
Sudden death
HA
Depression
inc SP
Pulm HTN
183
Q

TX Central vs Obstructive sleep apnea

A

CSA: BiPAP
OSA: CPAP

184
Q

Risk factors for suicide

A

SAD PERSONS

Sex- male
A - age >45
Depression
Previous attempt
Ethanol..substance abuse
Rational thought
Sickness-chronic illness
Organized plan/access to weapons
No spouse
Social support lacking
185
Q

Antipsych med that causes retinal pigments deposits

A

Thioridazine

186
Q

Antipsych med that causesjaundice and photosensitivity

A

Chlorpromazine

187
Q

Atypical antipsych: weight gain, sedation, hypotension, dry mouth

A

Olanzapine

188
Q

Atypical antipsych: sedation, orthostatis hypotension, akathisia, weight gain, dry mouth

A

Quetiapine

189
Q

Atypical antipsych: nausea, weakness, QT prolongation

A

Ziprasidone

190
Q

Atypical antipsych: HA, nausea, akathisia, tremor, constipation

A

Aripripazole

191
Q

Atypical antipsych: PDism, dystonia, dyskinesia, akathasia, QT prolongation

A

Paliperidone

192
Q

Atypical antipsych: orthostatic hypotension, weight gain, metabolix syndtome, sedation, constipation

A

Clozapine

193
Q

Reversible amnesia for personal identity; unplanned travel or wandering. Does remember event upon returning

A

Dissociative fugue

194
Q

Somatiform vs factitious

A

Somatiform: do not inttentionally create Sx
Factitious: create Sx

First Aid Step 2 (22 decks)

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