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Step 2 > Psych Case File and U world > Flashcards

Psych Case File and U world Flashcards

1
Q

This neurotransmitter is most often altered in OCD

A

Serotonin

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2
Q

This type of medication is the first line treatment of OCD

A

SSRI

Clomipramine, fluvoxamine, fluoxetine, paroxetine, sertraline

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3
Q

What two conditions commonly occur with touretts?

A

OCD and ADHD

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4
Q

Drug to give to a depressed smoker?

A

Buproprion

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5
Q

What is the only antipsychotic that has been shown to be effective in treatment resistent schizophrenia especially in cases associated with suicidality?

A

Clozapine

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6
Q

First line drug class for depression?

What is the next step when the first line does not work?

A

SSRI (Citalopram, Sertraline, fluoxetine, paroxatine)

When SSRI does not work then the next step would be to try a drug of the same class (e.g. sertraline not working switch to citalopram)

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7
Q

Patient newly on haloperidol has torticolis. Tx?

A

Benztropine or diphenhydramine

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8
Q

Buproprion should never be used in a patient with a hisotry of this…

A

Seizures

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9
Q

Signs common in patients with anorexia nervosa

A
  • Osteoporosis
  • Euthyroid sick syndrome
  • Hyponatremia (water excess)
  • Cardiac arrythmia
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10
Q

Anxiety medication that if discontinued abruptly can cause seizures

A

Alprazolam (xanax)

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11
Q

Fever, rigidity, AMS and automic instability…

A

NMS

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12
Q

Which drugs cause NMS?

A

typical antipsychotics like haloperidol

Dopamine blockade

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13
Q

Atypical antipsychotic that most commonly causes tardive dyskinesia?

A

Resperidone

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14
Q

Good initial medical treatment for a patient with performance anxiety disorder…

A

Propanolol or Benzo

Choose B blocker if Pt uses drugs

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15
Q

Brain imaging findings consistent with the following disorders:

OCD

Panic disorder

PTSD

Schizophrenia

Autism

A

OCD: Orbitofrontal and striatum changes

Panic disorder: small amygdala

PTSD: Hippocampal changes

Schizophrenia: Lateral ventricular enlargement

Autism: overal brain enlargement

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16
Q

Clozapine causes this important reaction…

A

Agranulocytosis

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17
Q

Why imipramine (TCA) is good for bed wetting…

A

Highly anticholinergic

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18
Q

TCA that is good for OCD

A

Clomipramine

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19
Q

This drug can cause HTN crisis when combined with aged food due to ______ in the food.

A

MAOi’s

Tyramine

20
Q

Antidepressant that causes weight loss. Good for smokers.

A

Buproprion

21
Q

This drug causes sedation and weight gain

A

Mirtazepine (remeron)

22
Q

Side effects of lithium

A

Tremor

Polyuria (diabetes insipidus)

Cardiac arrythmia

hypothyroidism

weight gain

edema

leukocytosis

23
Q

First generation antipsychotics work by…

They treat the (positive or negative) sx of schizophrenia?

A

Blocking central dopamine receptors

Tx +symptoms of schizophrenia

24
Q

Most common side effect assocaited with Haldol use…

A

EPS

25
Q

These are examples of this drug class….

Risperidone

Olanzepine (zyprexa)

Clozapine

Quetiapine (seroquel)

Ziprazadone (geodon)

Aripiprazole (abilify)

A

Atypical antipsychotics

Serotonin-dopamine antagonist

26
Q

Class of meds used to treat akathisia (restlessness) from psychotropic meds

A

amantidine and levodopa

27
Q

Antidote to beonzodiazepine overdose

A

Flumazenil

28
Q

This is a common treatment for excesive daytime sleepyness…

A

Modafanil

29
Q

Clozapine and olanzapine (atypical antipsychotics) have been assiciated with this medical condition…

A

Metabolic syndrome

30
Q

Treatment of panic disorder

A

SSRI with Behavioral cognitive therapy

Short course of benzo–then dicontinue

31
Q

Side effects of olanzapine

A

Sedation and weight gain

32
Q

Treatment for Bipolar I (manic episode with psychotic features)

A

Valproic acid or lithium

and

atypical antipsychotic

33
Q

Only drug FDA approved for tx of bipolar in children 12 and older?

A

Lithium

34
Q

Best drug for treatment of bipolar in children 12 and under

A

valproic acid

35
Q

Bipolar II disorder

A

Hypomania with episode of depression

36
Q

Olanzapine and clozapine are both associated with this side effect…

A

Weight gain and dyslipidemia

37
Q

When asked about tx for ADHD and methylphenidate or dextromethorphine is not a choice, what is the correct answer? Why?

A

Amantadine

It has a milder side effect profile

38
Q

What is the best choice of treatment in a patient who is depressed and also has neuropathy

A

duloxetine (cymbalta)

39
Q

Best antidepressant for a pt with depression and does not want to have excessive weight gain or sexual dysfunction

A

Buproprion (wellbutrin)

40
Q

Atypical depressive symptoms

A

weight gain

increased sleep

increased appetite

41
Q

Medical treatment of serotonin syndrome

A

cyproheptadine

42
Q

This atypical antipsychotic has a side effect of QT prolongation

A

Ziprasidone (Geodon)

43
Q

Which of the antipsychotics is least likely to cause metabolic issues (good for DM and fat ppl)

A

Arapiprazole (abilify)

Ziprasidone (Geodon)

44
Q

First line treatment for PTSD

A

Sertraline and paroxetine

45
Q

Absolute contraindication to buproprion use?

A

Seizure condition or predisoposing electrlyte abnormality

Step 2 (14 decks)

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