Psych2 Flashcards

1
Q

Rx for tardive dyskinesia (if can’t switch or stop med)

A

Valbenazine

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2
Q

What meds could you use to treat akathisia?

A

Akathisia = subjective restlessness and inability to sit still.

Can be treated with: BB (propanalol), BZD (lorazepam), or Benztropine (anti-ACh)

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3
Q

How to differentiate NMS from serotonin syndrome:

A

NMS = high fever, lead pipe rigidity, AMS, and autonomic instability (HTN, tachy, diaphoresis)

Serotonin syndrome = hyperthermia (not as high as NMS), autonomic instability, AMS, hyperreflexia/monoclonus but NO lead pipe rigidity

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4
Q

MOA of terazosin:

A

alpha blocker (used for urinary retention in BPH)

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5
Q

Most common side effect of methylphenidate in ADHD

A

Decreased appetite. Then weight loss/insomnia

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6
Q

ACEi, HCTZ, NSAIDs, tetracyclines, and metronidazole all share a common feature in that they:

A

Can increase serum Lithium levels

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7
Q

What nonstimulant meds can be used to treat ADHD?

A

Atomoxetine and alpha 2 AR agonists (guanfacine and clonidine). These can be used when there is poor response or intolerable side effects from stimulants or coexisting conditions.

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8
Q

Buspirone can be used as an adjunct to treat:

A

GAD

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9
Q

Compare presentation of acute vs chronic Li3+ toxicity:

A

Acute Sx = nausea, vomiting, diarrhea, neuro Sx

Chronic = confusion, agitation, ataxia, tremors, and fasciculations.

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10
Q

What drug class is zolpidem?

A

sedative hypnotic

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11
Q

Rx for acute PCP intoxication:

A

Benzo. Can use fast acting parenteral forms (lorazepam, diazepam)

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12
Q

What’s first line treatment for management of mania in bipolar I disorder?

A

Antipsychotics (1st and 2nd gen) followed by Li3+ and anticonvulsant mood stabilizers (valproate)

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