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first aid 2015 Teresa > PSYCH: first aid 205 pg 516-520 > Flashcards

PSYCH: first aid 205 pg 516-520 Flashcards

1
Q

List the time line for

  1. GAD
  2. Adjustment disorder
  3. PTSD
  4. ASD
  5. Brief pysch
  6. Schizo affective
  7. Schizophreniform
  8. Schizophrenia
A
  1. GAD > 6 moths
  2. Adjustment disorder 1 months
  3. ASD 2 weeks
  4. Schizophreniform (1-6 months)
  5. Schizophrenia > 6 months
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2
Q

what is the refeeding syndrome?

A

occur in significantly malnourished people

in anorexia nervosa

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3
Q

what type of stress fractures you see in anorexia nervosa?

A

metatarsal stress fracture

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4
Q

which eating disorder is the one with normal body weight

A

bulimia nervosa

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5
Q

what is Russell sign

A

dorsal hand calluses from induced vomiting

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6
Q

transsexualism vs transvestism

A

vest = wear clothes of opposite sex

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7
Q

Persistent daytime sleepiness but he is not refreshed after nap

A

Hypersomnlence

narcolepsy does

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8
Q

what is the molecule in narcolepsy and where does it come from?

A 
decreased hypocretin (orexin)
lateral hypothalamus
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9
Q

for nighttime treatment of narcolepsy

A

sodium oxybate GHB

GABAbR antag

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10
Q

what is varenicline and where is it used?

A

for nicotine withdrawal

its a partial agonist of nicotinic AchR

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11
Q

Pick out the drugs (when intoxicated) that can cause mydriasis and explain why

  1. Alcohol
  2. Opioids
  3. Barbs and BDZ
  4. Amphetamine
  5. Cocaine
  6. PCP
  7. LSD
  8. Marijuana
A

Just Amp and Cocaine

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12
Q

treatment of cocaine intox, and what would you have to avoid?

A

alphablocker, BDZ

No BB!!

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13
Q

where do you see “cold turkey”

A

opioids intoxication

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14
Q

opioids intoxi treatment

opioids withdrawal treatment

A

intox: naloxone, naltrexone
withdrawal: methadone, buprenorphine

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15
Q

which opioid antagonist is not orally available so withdrawal symptoms occur only if IV, so lower abuse potential

A

naloxone

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16
Q

why do you use clonidine for opioid withdrawal?

A

alpha2 agonist

17
Q

use flumazenil in where? can you use that in Z drug intoxication?

A

BDZ, yes

18
Q

List 3 symptoms of PCP intoxication

A
  1. Aggression (Belligerence)
  2. Vertical + horizontal nystagmus
  3. Acute brain syndrome (disorient, poor judgement, memory loss)
19
Q

treatment of PCP intox

A

BDZ, rapid acting antipyschotic

20
Q

College student at rave party comes in with symptoms of pyschosis. He said he sometimes find himself escaping from his body even though he is aware of everything around him. he is seeing color halos. what does he take?

A

LSD

21
Q

Patient with AIDS, complain of vomitting and decreased apeptite. After given a certain drug, he comes back with dry mouth, impaired time perception and conjunctival injection. what is the name of the drug

A

Dronabinol (cannobinoid)

22
Q

They are doing a urine test at your work, and you got high 2 weeks before. are you screwed?

A

yes

MJ can be detected in urine up to 1 month

23
Q

Heroin relapsed prevention once you are clean

A

Naltrexone PO

24
Q

detox and maintaince of heroin

A

methadone full agonist! long acting

25
Q

what enzyme does disulfiram inhibit

A

aldehyde dehydrogenase

26
Q

whats acamprostate, used in?

A

Alchoholism

MOA: modulate glutamate in NMDAR

27
Q

what inhibit alcohol dehydrogenase

A

Fomeprizole

28
Q

triad of Wernicke encephalopathy

A

confusion, ophthalmoplegia, ataxia

29
Q

alcoholic hallucinations: visual or auditory

and how many hours after

A

visual

12-48 hrs after

30
Q

ADHD

A

methylphenidate

31
Q

bipolar

A

lithium, valproic acid, atypical antipyschotics

32
Q

tourette

A

fluphenazine, pimozide, tetrabenzaine, clonidine

33
Q

Patient with stage fright what would you give

A

BB

34
Q

PTSD

A

SSRI, SNRI (venlafaxine)

35
Q

Venlafaxine also used for

A

panic disorder

36
Q

OCD

A

SSRI, clomipramine

37
Q

Bonus: elderly with insominia, what would you give?

A

Ramelteon (melatonin R agonist)

first aid 2015 Teresa (9 decks)

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