Psych Final Exam Stuff Idk

Question 1

Belviq (lorcaserin)

Answer 1

For binge eating
FD approved for wt loss-provides sensation of fullness activates serotonin blocks appetite, average 5% decrease body weight need to include exercise, discontinue if do not lose 5% after 12 weeks

Question 2

Qsymia

Answer 2

For binge eating
a combination med of topiramate/topramax (anticonvulsant) and phentermine (appetite suppressant), controlled substance, don’t want to put people on it if we don’t have to

Question 3

Vyvanse (Lisdexamfetamine dimesylate)

Answer 3

For binge eating
a CNS stimulant, only FDA approved med. However, antidepressants better choice, less side effects & chance of misuse

Question 4

Meds for tic disorder

Answer 4

Haldol, Orap (1st gen psy.)
Abilify (2nd gen psy.)
Risperdal, Clonodine, Klonopin (trying to steer away because it’s sedating/addictive)
Botox (muscle relaxant)

Question 5

Meds for ASD

Answer 5

atypical like Abilify & Risperdal FDA appr for 5-6 & older-improve associated agitation
Off label-SSRI’s-improve mood & anxiety
Stimulants-↓ hyperactivity, impulsivity or inattention.

Question 6

Meds for ADHD

Answer 6

Psychobiological interventions
Psychopharmacology-stimulants-Methylphenidate (Ritalin), Adderall & Non-stimulating- Atomoxetine (Strattera, watch for liver dx)
Medications for aggressive behaviors-mood stabilizers, antipsychotics

Question 7

Meds for impulse control disorders

Answer 7

Pharmacological interventions-aimed at symptoms–divalproex sodium (depakote), atypical antipsychotics like aripiprazole (abilify), risperidone (risperdal), SSRIs, mood stabilizers, beta-blockers, avoid benzodiazepines (addictive properties)

Question 8

Effects of refeeding syndrome

Answer 8

Low potassium, phosphate, and magnesium
heart attacks from electrolyte imbalance
Double vision, swallowing problems, trouble breathing, kidney dysfunction, muscle weakness, confusion and disorientation, seizures, cardiomyopathy (heart weakness), N/V, hypotension)

Question 9

fMRI in anorexia

Answer 9

↓ gray & white matter in CNS
Exhibit ↓ in size and/or function of:
Hypothalamus, basal ganglia, & somatosensory cortex
Regions of the insula, amygdala, & dorsolateral prefrontal cortex appear larger or experience ↑ activation
Insula associated with awareness/sensation of fullness

Question 10

Pharm acute care for binge eating

Answer 10

Pharmacological interventions-BMI >30 or >27 if accompanied by health problem
Belviq/lorcaserin
Qsymia
Vyvanse (Lisdexamfetamine dimesylate)

Question 11

Risk factors of conduct disorder

Answer 11

Genetic
Neurobiological factors
Adolescents have reduced gray matter in cortex (decisions and reasoning)&
amygdala (emotion)- structural
Children reduced ability to empathize-functional-MRI
reduced blood flow to region (dysfunction in folds of the brain)
Environmental factors

Question 12

Treatment of ODD

Answer 12

Psychosocial interventions-manage anger, improve problem solving, reduce impulsivity & improve social interactions
Psychobiological interventions-No meds FDA approved-Off label use of Divalproex sodium (Depakote/depakene) for reactive aggression & irritability. Also works in bipolar for reactivity