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Step 2CK > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

What are 2 lesser known drugs (a-2 agonists) for ADHD?

A
  1. Clonidine

2. Guanfacine

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2
Q

What dx presents with increased sleep, weight, and appetitie, with interpersonal rejection sensitivity and extremities feeling heavy?

A

Major depression with atypical features

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3
Q

With MAOIs, what will foods rich in tyramine cause?

A

HTN

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4
Q

What type of drugs are phenelzine, isocarboxazid, and tranylcypromine?

A

MAOIs

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5
Q

What dx presents with agitation, confusion, sweating, hyperthermia, nausea, diarrhea, tremors, myoclonus?

A

Serotonin syndrome

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6
Q

What’s the tx for serotonin syndrome?

A

Cyproheptadine

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7
Q

How long must the sx of schizophrenia be present for the diagnosis?

A

6 mos

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8
Q

What’s the first line tx for schizophrenia?

A

Atypical antipsychotic

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9
Q

When do you use clozapine?

A

If patients do not respond to 2 adequate trials of other antipsychotics

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10
Q

Which antipsychotic has a greater incidence of diabetes and weight gain?

A

Olanzapine

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11
Q

Which antipsychotic has a greater incidence of movement disorders?

A

Risperidone

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12
Q

Which antipsychotic has a lower incidence of movement disorders?

A

Quietiapine

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13
Q

Which antipsychotic has an increased risk of QT prolongation, avoid in patients with conduction defects?

A

Ziprasidone

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14
Q

Which antipsychotic has a high risk of agranulocytosis and cardiomyopathy?

A

Clozapine

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15
Q

Which antipsychotic has a higher risk of compulsive behavior like gambling?

A

Aripiprazole

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16
Q

Which antipsychotic is safer to use in pregnant patients?

A

Lurasidone

17
Q

What are the side effects of the “pines?”

A

Weight gain, metabolic syndrome, diabetes

18
Q

What are the side effects of the “dones?”

A

Movement disorders, cardiac conduction problems

19
Q

Which 2 antipsychotics have the least likelihood of causing weight gain and diabetes?

A

Aripriprazole and ziprasidone

“Fix the rip in the zipper because you’re not gaining weight”

20
Q

What are 3 drugs to treat acute dystonia?

A
  1. Benztropine
  2. Trihexylphenidyl
  3. Diphenhydramine
21
Q

What’s the tx for akathisia?

A

B-blockers, benzos, switch to atypical or reduce drug

22
Q

What’s the tx for tardive dyskinesia?

A

Valbenazine; switch to atypical; clozapine has least risk

23
Q

Which 2 intoxications present with euphoria, hypervigilance, autonomic hyperactivity, pupillary dilation, and perceptual disturbances?

A
  1. Amphetamine

2. Cocaine

24
Q

Which intoxication presents with perceptual disturbances, impaired judgement, tremor, and dissociation?

A

Hallucinogens

25
Q

Which intoxication presents with belligerence, apathy, aggression, impaired judgement, stupor, or coma?

A

Inhalants

26
Q

Which intoxication presents with apathy, dysphoria, pupillary constriction, drowsiness, slurred speech, coma, or death?

A

Opiates

27
Q

Which withdrawal presents with anxiety, tremulousness, headache, increased appetite, depression, risk of suicide?

A

Amphetamines and cocaine

28
Q

Which withdrawal presents with fever, chills, lacrimation, abdominal cramps, muscle spasms, and diarrhea?

A

Opiate

29
Q

Which withdrawal presents with irritability, anger, anxiety, low appetite, and restlessness?

A

Amphetamines and cocaine

30
Q

Which intoxication presents with belligerence, psychomotor agitation, violence, nystagmus, HTN, and seizures?

A

Phencyclidine

31
Q

Which intoxication presents with irritability, aggression, mania, and psychosis?

A

Anabolic steroids

32
Q

What’s the tx for somatic symptom disorder?

A

Therapy

33
Q

Factitious disorder vs malingering?

A

Factitious disorder is motivated unconsciously, while malingering is motivated consciously

Step 2CK (31 decks)

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