Psych I

Question 1

tx ADHD

Answer 1

stimulants - methylphenidate

Question 2

tx alcohol withdrawal

Answer 2

long acting benzo

-chlordiazepam, lorazepam, diazepam

Question 3

tx bipolar

Answer 3

lithium
valproic acid
atypical antipsychotics

Question 4

tx bulimia

Answer 4

SSRI

Question 5

tx depression

Answer 5

SSRI

Question 6

tx GAD

Answer 6

SSRI

SNRI

Question 7

tx OCD

Answer 7

SSRI

clomipramine

Question 8

tx panic disorder

Answer 8

SSRI
venlafaxine
benzos

Question 9

tx PTSD

Answer 9

SSRI

venlafaxine

Question 10

tx schizophrenia

Answer 10

atypical antipsychotics

Question 11

tx social phobia

Answer 11

SSRI

beta-blockers

Question 12

tx tourette

Answer 12

antipsychotic
tetrabenazine
clonidine

Question 13

methylphenidate

Answer 13

CNS stimulant - increased catecholamine at synaptic cleft

NE and DA

Question 14

dextroamphetamine

Answer 14

CNS stimulant - increased catecholamine at synaptic cleft

NE and DA

Question 15

methamphetamine

Answer 15

CNS stimulant - increased catecholamine at synaptic cleft

NE and DA

Question 16

typical antipsychotics

Answer 16

neuroleptics

all block dopamine D2 receptors - increased cAMP

Question 17

haloperidol

Answer 17

typical antipsychotic

Question 18

trifluoperazine

Answer 18

typical antipsychotic

Question 19

fluphenazine

Answer 19

typical antipsychotic

Question 20

thioridiazine

Answer 20

typical antipsychotic

Question 21

chlorpromazine

Answer 21

typical antipsychotic

Question 22

high potency typical antipsychotic

Answer 22

trifluoperazine
fluphenazine
haloperidol

neuro side effects - huntington, extrapyramidal

Question 23

low potency typical antipsychotic

Answer 23

chlorpromazine
thioridazine

non - neuro side effects - anticholinergic, antihistmaine, a1 block

Question 24

adverse chlorpromazine

Answer 24

corneal deposits

Question 25

adverse thioridazine

Answer 25

retinal deposits

Question 26

adverse haloperidol

Answer 26

NMS | tardive dyskinesia

Question 27

endocrine defect with typical antipsychotics

Answer 27

dopamine receptor antagonist - hyperPRL - galactorrhea

Question 28

neuroleptic malignant syndrome

Answer 28

rigid, myoglobinuria, autonomic instable, hyperpyrexia -with typical antipsychotic use tx - dantrolene or bromocriptine (D2 agonist)

Question 29

olanzapine

Answer 29

atypical psychotic

Question 30

clozapine

Answer 30

atypical psychotic

Question 31

quetiapine

Answer 31

atypical psychotic

Question 32

risperidone

Answer 32

atypical psychotic

Question 33

aripiprazole

Answer 33

atypical psychotic

Question 34

ziprasidone

Answer 34

atypical psychotic

Question 35

atypical psychotic MOA

Answer 35

not completely understood variable effect - 5HT2, DA, alpha and H1 receptors

Question 36

schizophrenia tx

Answer 36

positive sx - typical antipsychotic | positive and negative sx - atypical antipsychotic

Question 37

tardive dyskinesia

Answer 37

with long term antipsychotic use oral-facial movements

Question 38

adverse clozapine

Answer 38

weight gain agranulocytosis seizure

Question 39

risperidone adverse

Answer 39

increased PRL - lactation and gynecomastia

Question 40

lithium

Answer 40

mood stabilizer for bipolar block relapse and acute manic events

Question 41

adverse lithium

Answer 41

tremor hypothyroid polyuria - nephrogenic DI teratogenesis ebstein anomaly in newborn - pregnant mother use

Question 42

ebstein anomaly

Answer 42

congenital heart defect - septal and posterior leaflets of tricupsid valve - displaced toward apex right ventricle

Question 43

narrow therapeutic window

Answer 43

lithium

Question 44

lithium pharmacodynamics

Answer 44

narrow therapy window -close serum monitoring excreted by kidneys - reabsorbed at PCT with Na

Question 45

tx lithium toxicity

Answer 45

thiazide diuretic

Question 46

buspirone

Answer 46

stimulate 5-HT1A receptors tx GAD takes 1-2 weeks to take effect

Question 47

takes 1-2 weeks to get clinical effect

Answer 47

buspirone for tx of GAD