Psych/Neuro

Question 1

ADHD

Answer 1

Methylphenidate (Ritalin) or Dextroamphetamine (Adderal)

Question 2

Alcohol Withdrawal/Delirium Tremors

Answer 2

Benzodiazepines

ETOH for prevention

Question 3

Generalized Anxiety Disorders

Answer 3

SSRIs, SNRIs (Venlafaxine), buspirone*

Question 4

Bipolar

Answer 4

Mood Stabilizers (Lithium, Valproic Acid, Carbamazepine). Atypical Antipsychotics

Question 5

Bulimia

Answer 5

SSRI (Fluoxetine)

Question 6

Depression

Answer 6

SSRs, SNRIs, TCA, Buproprion, Mirtazapine (especially w/ insomina)

Question 7

OCD

Answer 7

SSRI, Clomipramine (TCA)

Question 8

Panic Disorder

Answer 8

SSRI, Venlafaxine

Question 9

PTSD

Answer 9

SSRI

Question 10

Schizophrenia

Answer 10

Antipsychotics: Atypical > Neuroleptics

Question 11

Social Phobias

Answer 11

SSRIs or B blockers

Question 12

Tourettes

Answer 12

Antipsychotics: Fluphenazine, Pimozide, Risperidone.

Tetrabenazine (Early degradation of Dopamine)

Question 13

PCP Intoxication

Answer 13

Haloperidol (Rapid Antipsychotics)

Benzodiazepines

Question 14

Alcoholism

Answer 14

Disulfiram (blocks acetylaldehyde dehydrogenase),

Naltrexone: Long acting opiod antagonist

Question 15

Heroin Addiction

Answer 15

Methadone: Long acting oral opiate. Detox or long term maintenance

Naloxone + buprenorphine: Partial agonist

Naltrexone: Long Term Opioid antagonist (relapse prevention)

Question 16

Cocaine Intoxication

Answer 16

Benzodiazepines
Haloperidol (fast acting antipyschotics)

Question 17

Benzodiazepines Intoxication

Answer 17

Flumazenil (Competetive BDZ antagonist)

BDZ increase frequency of opening

Supportive

Question 18

Barbituate Intoxication

Answer 18

Supportive

Increase Cl- opening

Question 19

Opiod Intoxication

Answer 19

Naloxone (partial agonist)

Naltrexone (Antagnoist)

Question 20

Narcolepsy

Answer 20

Daytime stimulants (amphetamines, Modafinil (less addictive))

Question 21

Phobias

Answer 21

Systematic desensitization

Question 22

Atypical Depression

Answer 22

MAOI or SSRI

Question 23

Delirium

Answer 23

Identify/remove cause

Increase O2 to Brain

Antipsychotics (haloperidol)

Question 24

Glaucoma

Answer 24

a agonist:
Epinephrine: Decrease aqueous humor synthesis via vaosconstriction
Brimonidine (a2): Decrease humor synthesis

Don’t use in closed angle glaucoma: Mydriasis, blurry vision, ocular hyperemia, foreign body sensation, allergies, pruritis

B blockers: Timolol, Betaxolol, Carteolol.
Works on ciliary epithelium. No pupillary or visual changes

Acetazolamide (Diuretic): Decreases aqueous humor synthesis via inhibition of carbonic anhydrase.

Cholinomimetics:
Direct: Pilocarpine, carbachol: Increase outflow via contraction of ciliary muscle and opening of trabecular meshwork (m3).

Indirect:Physostigmine, ecothiophate

Pilocarpine in emergencies.

Miosis and cyclospasms occur

Latanoprost(PGF2a) Increase outflow of aqueous humor. grows lashes and darkens pupils.

Question 25

Parkinson

Answer 25

BALSA
Bromocriptine (pramipexole, ropinirole), Amantidine, L-dopa/carbidopa, Selegine, Antimuscarinic (benztropine)

Also tolcapoone

Question 26

Alzheimers

Answer 26

Memantine (NDMA antagonist (excititoxicity)

Donepezil,galantamine, rivastigmine (AChEI)

Question 27

Huntington

Answer 27

Haloperidol

Tetrabenazine and reserpine (VMAT inhibitors ofr dopamine)

Question 28

Migrains

Answer 28

Sumatriptan