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Step 2 CK > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

signs and sx of TCA overdose, management

A

anticholindergic, cardiotoxicity, CNS toxicity

sodium bicarb

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2
Q

side effects of atypical antipsychotics

A

wt gain, DM

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3
Q

tx for nephrogenic diabetes insipidus caused by lithium tox

A

HCTZ

amiloride

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4
Q

tx of acute dystonia

A

benztropine

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5
Q

tx of tardive dyskinesia

A

stop neuroleptic, try atypical

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6
Q

antidepressant avoided in patient with risk for sz

A

bupropion

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7
Q

dx of mood disturbances while psychotic and periods of psychosis with normal affect

A

schizoaffective disorder

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8
Q

first line therapy for depression

A

SSRI

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9
Q

NT changes in depression

A

decreased NE, 5HT, dopamine

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10
Q

depression symptoms

A

SIG E CAPS

sleep disturbance
loss of interest
increased guilt
decreased energy
impaired concentration
appetite changes
psychomotor changes
SI
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11
Q

MDD duration

A

2 weeks

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12
Q

length of time for SSRI to work

A

3-4 weeks

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13
Q

antipsych meds

  • priapism
  • lowers sz threshold and smoking cessation use
  • appetite stim results in wt gain
  • works with SSRI and incr REM sleep
  • used in children for bedwetting
A
  • trazodone
  • bupropion
  • mirtazapine
  • trazodone
  • imipramine
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14
Q

sx of serotonin syndrome

A

autonomic instability
increased movements
AMS

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15
Q

drug of choice in bipolar disorder with renal failure

A

anticonvulsants (valproic acid, carbamazepine)

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16
Q

congenital malformation with lithium

A

ebstein anomaly

17
Q

length of time for anxiety and worry symptoms for generalized anxiety disorder

A

6 months

18
Q

tx of acute dystonia

tx of tardive dyskinesa

tx of NMS

A

benztropine

d/c drug, switch to less EPS

dantroline

19
Q

most serious side effect of clozapine

A

agranulocytosis

20
Q

medical conditions causing depression

A 
hypothyroid
hyperparathyroid
parkinson
storke
CNS neoplasm
pancreatic CA
21
Q

drug of choice for alcohol withdrawal

A

benzos

22
Q

pathognomonic feature of PCP

A

belligerence and horizontal/vertical nystagmus

23
Q

drug used in HTN in patient with cocaine/amphetamine intoxication

A

phentolamine, benzo

24
Q

metabolic lab abnormalities in patient with vomiting/purging

A

hypochloremic metabolic alkalosis, increased amylase

25
Q

length of times sx of PTSD for diagnosis

A

1 month

26
Q

tx of NMS

A

dantrolene

27
Q

three reasons for involuntary psychiatric hospitalizatyion

A

harm self
harm others
gravely disabled

28
Q

tx of depression with neuropathic pain

A

duloxetine

29
Q

medications for tourette syndrome

A

fluphenazine, pimozide, tetrabenazine

30
Q

2 concerning side effects of atomoxetine

A

suicidal ideation

liver injury

31
Q

bipolar pt treated with mood stabilizer has depression, tx?

A

atypical antipsych

Step 2 CK (16 decks)

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