Psychiatry Flashcards

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1
Q

First-line treatment for alcohol abuse disorder? MoA? Contraindictations

A

Naltrexone

  1. mu option receptor antagonist

Contraindictations: Liver failure, hepatitis

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2
Q

When is disulfran used?

A

Highly motivates patients who are abstinent from alcohol

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3
Q

Strongest predictive factor for suicide?

A

Previously suicide attempt

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4
Q

Alternative treatments for depression when the first drug does not resolve symptoms?

A

Switch to another SSRI/SNRI

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5
Q

What labs should be monitored when taking lithium?

A

Creatinine and thyroid function

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6
Q

What is catatonia? Treatment?

A

Immobility or excessive pruposeless activity, mutism, reistance to following directions

Tx: Benzos, ECT

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7
Q

What increases the chance of PTSD in the delivery of a stillborn?

A

Holding the dead infant

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8
Q

Signs of acute stress disorder?

A

Intrusive thoughts, nightmares, flashbacks

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9
Q

Alcoholic hallucinosis?

A

Visual, auditory, or tactile, with stable vital signs and orientation

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10
Q

MAOI hypertensive crisis reversal agent?

A

Phentolamine

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11
Q

Schizoaffective disorder

A

Mood disorder with schizophrenia components

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12
Q

MRI findings in schizophrenia?

A

Enlargement of the lateral ventricles

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13
Q

Signs of amphetamine intoxication

A

Agitation, psychosis, tachycardia, intoxication

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14
Q

First-line treatment for severe bipolar disorder?

A

Lithium or valproate combined with a second-gernation antipsychotic

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15
Q

MDD treatment is somebody who is not eating?

A

Mirtazapine and psychotherapy

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16
Q

First-line treatment for alcohol withdrawals?

A

Naltrexone

17
Q

Benefits of buproprion

A

Norephonephrine dopamine reuptake inhibitor that does not cause weight gain, sedation, sexual side effects.

18
Q

Medications for acute bipolar depression

A

Quetiapine and lurasidone, lamotrigine

19
Q

Reversal agent for opiods?

A

Naloxone

20
Q

Best treatment for a specific phobia?

A

Behavioral therapy

21
Q
A