Psychiatry 2 Flashcards
MOA for Bupropion
norepinephrine and dopmaine reuptake inhibitor
goal of CBT
- challenges maladaptive thoughts
- targets avoidance with behavioral techniques
goal of interpersonal psychotherapy
links current relationship conflicts to depressive symptoms
goal of supportive psychotherapy
reinforce coping skills
goal of psychodynamic psychotherapy
- builds insight into how unconscious conflicts and past relationships cause symptoms
- uses transference
goal of motivational interviewing
addresses ambivalence and enhances motivation
goal of DBT ( dialectal behavioral therapy)
- improves emotion regulation, distress tolerance
- managaes self-harm
goal of biofeedack
improves control over physiological reactions
DBT (Dialectical behavioral therapy) was designed for what disorder
borderline personality disorder
what is motivational interviewing used to treat
substance abuse
History of cutting oneself and history of overdose. which one is a suicide attempt?
overdose
First line treatment for narcolepsy
Modafinil
Body dysmorphic disoder
excessive preoccupation with a slight or imagined bodily defect
how do you treat a patient with suicidal ideation but no specific plan to intent?
intensive outpatient treatment
If a bulimic patient tried Varenicline and failed for smoking cessation. which is better to give and why? Nicotine patch or Bupropion
nicotine patch
- Bupropion is contraindicated in bulimic patients
What’s the difference between dementia and normal age-related changes?
dementia patient have functional impairments that necessitate assistance
Preferred pharmacological treatment for social anxiety disorder
SSRI
therapy used for social anxiety disorder
CBT
is full criteria for major depressive episode met in adjustment disorder with depressed mood?
no
what drugs are used to treat acute dystonia
- anticholinergic ( benztropine)
- antihistamines ( diphenhydramine)
what are first line treatments for bipolar, which one do you use for renal failure
Lithium and valproate
- use valproate, lithium has renal toxicity
what is used to treat neuroleptic malignant syndrome?
dopamine agonists and dantrolene
MOA benztropine
anticholinergic
MOA of Cyproheptadine
serotonin antagonists
MOA of Succinylcholine
short acting depolarizing muscle relaxant, induce brief paralysis during anesthesia
Kleptomania
- inability to resist the impulse to steal objects that are low value or not needed
what should happen when you switch a patient on fluoxetine to MAO inhibitor
5-week washout period due to fluoxetine’s long half-life to reduce the risk of serotonin syndrome
what is used to treat acute dystonia
Benztropine and diphenhydramine
What is used to treat akathesia
Propranolol
Preferred treatment for specific phobia
Behavioral therapy
Eye movement desensitization and reprocessing is used for what
PTSD
Alprazolam is what type of Benzodiazepine
short-acting
Characterize catatonia in psychiatric patient
Immobility, mutism and posturing.
Treatment of choice for catatonia
Benzodeazepines and electroconvulsive
MOA for cyproheptadine
serotonin antagonist
define malingering
intentional production of symptoms is motivated by secondary gain or external gain
define factitious disorder
false signs and symptoms for primary gain
are conditions intentionally produced in conversion disorder
no
what is conversion disorder
- motor or sensory neurologic symptoms or deficits that are incompatible with recognized neurological conditions and neurophysiology
what is somatic disroder
patient is excessively anxious about unexplained symptoms
What is used to treat acute bipolar depression
- second-generation antipyschotics: quetiapine and lurasidone
- Lamotrigine
How do you treat TCA overdose
sodium bicarbonate
Ziprasidone side effect
QT prolongation
folie a duex
delusional disorder in which the same delusions is present in individuals who share a close relationship
When do sleep terrors occur
non-REM sleep
When do nightmares occur
REM sleep
what is the first line of treatment for major depression with psychotic features and appropriate for severely depressed geriatric patients who are not eating or drinking and require rapid intervention
Electroconvulsive therapy
best treatment for hoarding disorder
CBT
Dissociative amnesia
isolated impairment in autobiographical memory
dissociative fugue is a subtype of what
dissociative amnesia
Dissociative identity disorder
2 or more distinct identities
