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(Asope) STEP 2 > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

Most accurate test for alcohol in system

A

Blood or urine test

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2
Q

How long does cocaine stay in urine

A

2-4 days

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3
Q

How long does amphetamine stay in urine

A

1-3 days

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4
Q

How long does pcp stay in urine

A

4-7 days

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5
Q

What is also increased in people who take pcp

A

CPK and AST

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6
Q

How long does opioids stay in urine

A

1-3 days

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7
Q

What two opioids are not detected on regular screen

A

Methadone and oxycodon

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8
Q

Alcohol frigates what neurotransmitters

A

Gaba
Serotonin
Dopamine

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9
Q

Effects of alcohol intoxication

A 
Decreased fine motor control 
Impaired judgment and coordination
Poor balance
Lethargy
Coma (new drinker)
Respiratory depression
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10
Q

Alcohol withdrawal symptoms

A 
Beigin 6-24hr
Irritability
Tremor
Diaphiresis
HTN
tachycardia 
Tonic clinic seizures 
Delirium tremens
Hallucinations
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11
Q

Treatment for alcohol withdrawal

A

Benzodiazepines

  • lorazepam
  • diazepam
  • chlordiazepoxide
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12
Q

Two drugs that treat mild alcohol withdrawal

A

Valproic acid

Carbamazepine

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13
Q

what is the opioid receptor blocker that works by decreasing the craving associated with alcohol

A

naltrexone

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14
Q

what is the med that should be started before detoxification of alcohol to prevent relapse

A

Acamprosate (Campral)

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15
Q

what is the anticonvulsant that inhibits glutamate receptors and potentiates GABA, reduces alcohol cravigins

A

topiramate

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16
Q

cocaine blocks the reuptake of?

A

DA
epi
NE

causes stimulation effect

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17
Q

severe agitation seen in cocaine users treat with

A

haloperidol

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18
Q

for mild to moderate agitation seen in cocaine users treat with

A

benzodiazepines

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19
Q

cocaine withdrawl symptoms present how

A

depression “crash” everything is slowed and the pupils are constricted

20
Q

amphetamines facilitate the release of

A

DA

NE

21
Q

heavy use of amphetamines can mimic what disease

A

schizophrenia

22
Q

when you combine amphetamine with SSRI what can happen

A

serotonin syndrome

23
Q

amphetamine withdrawal can lead to

A

prolonged depression

24
Q

amphetamine overdose can cause

A

hyperthermia, rhabdo, and renal failure

25
Q

PCP antagonizes what receptor? and activates what neurons

A

NMDA

dopamine

26
Q

overdose of PCP can cause

A

seizures, delirium, coma and death

27
Q

rotator nystagmus is a good sign of PCP intoxication

A

PCP intoxication

28
Q

what is the one opioid that causes pupil dilation

A

meperidine

29
Q

opioid withdrawal shows

A 
lacrimation
yawning
weakness
rhinorrhea
piloerection
dialated pupil
abd cramps
arthralgia
30
Q

what does EEG show in delirium

A

generalized slowing

31
Q

what does EEG show in alcohol or sedative hypnotic withdrawal delirium

A

fast low voltage activity

32
Q

what does EEG show in hepatic encephalopathy

A

triphasic delta waves

33
Q

what drugs treat acute dystonia

A

benztropine (dozentin) and benadrly

34
Q

what treats the EPS akathisia (restlessness, can’t sit still)

A

BB (propranolol) or benzodiazepine (Lorazepam)

35
Q

what treats EPS parkinsonism

A

Benztropine (Cogentin) or Amantidine

36
Q

what treats Tardive Dyskinesia an EPS

A

clozapine MAY help..

37
Q

what is a second generation antipsychotic that has dopamine receptor antagonist activities and is the most likely out of the atypical antipsychotics to cause EPS

A

Risperidone

38
Q

main risk with clozapine so this is why people don’t use it till it is the last resort

A

agranulocytosis

39
Q

treatment for neuroleptic malignant syndrome

A

dantrolene or bromocriptine

40
Q

cyproheptaideine is used to treat

A

serotonin syndrome it is a 5HT antagonist

41
Q

what is used to achieve a rapid response in depressed geriatric patients who refuse to eat or drink

A

electroconvulsive therapy

42
Q

1st line treatment for MDD with psychotic features

A

ECT

43
Q

what is a wakefulness promoting agent used to treat narcolepsy

A

modafinil

44
Q

what two drugs treat ADHD

A

methylphenidate and atomoxetine

45
Q

sedating agent that can also increase appetite

A

mirtazipine

(Asope) STEP 2 (8 decks)

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