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USMLE Step 3 > Psychiatry > Flashcards

Psychiatry Flashcards

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USMLE® Step 1 flashcards
1
Q

Best initial test in a patient with psychosis

A

Drug screen

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2
Q

Low potency antipsychotics

A

Thioridazine(check EGD)
Chlorpromazine

Greater anticholinergic effects

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3
Q

Atypical antipsychotics

best for negative symptoms

A

Risperidone(less sedative)
olanzapine(wieght gain)
clozapine(Agranulositosis)
quetiapine

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4
Q

High potency antipsychotics

greatest association with EPS

A

Fluphenazine

Haloperidol

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5
Q

Most effective antipsychotic for schizophrenia

A

CLOZAPINE

Check CBC for agranulocytosis

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6
Q

Social anxiety disorder treatment

A

Exposure

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7
Q

Panic disorder treatment

A

Cognitive-behavioral therapy

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8
Q

GAD treatment

A

Supportive psychotherapy

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9
Q

OCD treatment

A

Behavioral psychotherapy

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10
Q

treatment for dysthymia

A

Psychotherapy

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11
Q

Seasonal affective disorder

A

Phototherapy or sleep deprivation

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12
Q

the best treatment for Rapid cycling bipolar(>4 episodes of mania per year)

A

Divalproex

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13
Q

Bipolar treatment during the first trimester of pregnancy

A

ECT

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14
Q

Bipolar treatment during the 2nd and 3rd trimester of pregnancy

A

Lamotrigine

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15
Q

Treatment for cyclothymia

A

Psychotherapy

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16
Q

Indications for ECT

A

Major depressive episodes unresponsive to meds
High risk for immediate suicide
contraindications to using antidepressant medications
Good response to ECT in the past

17
Q

length of antidepressant therapy

A

-6 months, change medication if no response after 8 weeks

18
Q

Treatment for depression with poor appetite

A

Mirtazapine

19
Q

Treatment for depression with patient concerned about weight gain or sexual side effect

A

Bupropion(watch for seizures)

20
Q

Best treatment for illness anxiety disorder

A

Cognitive therapy

21
Q

Treatment for Conversion disorder

A

Supportive physician-Patient relationship

22
Q

TCA antidepressant( check for Colnvulcions,Coma,Cardiotox)

A 
amitryptiline(Most anticholinergic)
nortriptyline
imipramine
desipramine(seziures)
clomipramine
doxepine
amoxpaine
23
Q

MAOIs

more helpful for atypical depression

A

tranylcypromine
Phenelzine
Isocarboxazid
Selegiline

24
Q

Serotonin syndrome treatment

A

Cyproheptadine

25
Q

Most effective case for Management of alcohol abuse

A

AA

26
Q

Acute inpatient management of alcohol dependense

A

IV thiamine and MG
B9 and B12
Chlordiazepoxide or diazepam

27
Q

Cronic management of alcohol dependense

A
  • AA
  • Naloxone
  • Psychotherapy
28
Q

schizoaffective

A

depression or Mania + symptoms of schizophrenia

Schizophrenic symptoms should last >2 weeks in the absence of major depressive or manic episode

USMLE Step 3 (19 decks)

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