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Step 2 > Psychiatry and Substance Use > Flashcards

Psychiatry and Substance Use Flashcards

1
Q

Alcohol intoxication

A

Talkative, sullen, slurred speech, moody, disinhibited, AMS

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2
Q

Cocaine/amphetamines intoxication

A

Pupillary dilation, chest pain, euphoria, hyper-vigilance, autonomic hyperactivity, angina (vasoconstriction) and perceptual disturbances

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3
Q

Cannabis intoxication

A

Conjunctival injection, impaired motor coordination and slowed movements

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4
Q

PCP (phencyclidine) intoxication

A

Nystagmus, belligerence, psychomotor agitation, violence, hypertension and seizure

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5
Q

Anabolic steroids intoxication

A

Irritability, aggression mania and psychosis with a history of weight-lifting/sports

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6
Q

Alcohol withdrawal

A

Tremors, hallucinations, seizures, and fluctuating consciousness/awareness

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7
Q

Cocaine/amphetamines withdrawal

A

Anxiety, tremulousness, headache and depression/suicidal ideation

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8
Q

Cannabis withdrawal

A

Irritability, anger, anxiety, sleep problems, restlessness, and appetite problems

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9
Q

Opiate withdrawal

A

Diarrhea, fever, chills, lacrimation, abdominal cramps, and muscle spasms

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10
Q

What are two pharmacologic agents that can be used to treat Neuroleptic Malignant Syndrome?

A

Dantrolene or Bromocriptine

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11
Q

What is one pharmacologic agent that can be used to reverse/treat serotonin syndrome?

A

Cyproheptadine

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12
Q

What is one specific indicator of dementia (major neurocognitive disorder) vs. normal aging?

A

Loss of ADLs in dementia (e.g. getting lost in familiar setting, loss of ability to dress self or eat)

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13
Q

What is the treatment of choice of adjustment disorder?

A

Psychotherapy

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14
Q

Which second generation antipsychotic has the greatest risk of extrapyramidal side effects?

A

Risperidone

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15
Q

What is akathisia?

A
  • A known extrapyramidal side effect of anti-psychotics

- Restlessness (e.g. patient can’t sit still, pacing)

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16
Q

What are some treatments for akathisia?

A
  • Benztropine

- Beta-blocker

17
Q

What is acute distonia?

A
  • A known extrapyramidal side effect of anti-psychotics

- Sudden, sustained contraction of the neck, mouth, tongue, and eye muscles

18
Q

What are some of the characteristic movements of Parkinsonism?

A
  • Gradual onset tremor, rigidity, bradykinesia
19
Q

What are some treatments for acute distonia?

A
  • Benztropine

- Diphenhydramine

20
Q

What is tardive dyskinesia?

A

Gradual onset of dyskinesia generally after 6mo of treatment with an antipsychotic
- Abnormal involuntary movements of the face, mouth, trunk and extremities

21
Q

How is tardive dyskinesia treated?

A
  • Discontinue 1st gen antipsychotic and switch to 2nd gen

- Valbenazine

22
Q

A patient presenting with talkativeness, gregariousness and disinhibition is likely intoxicated with what substance?

A

Alcohol

23
Q

A patient presenting with pupillary dilation, chest pain, euphoria, hyper-vigilance, autonomic hyperactivity, and perceptual disturbances is likely intoxicated with what substance?

A

Cocaine/amphetamines

24
Q

A patient presenting with conjunctival injection, impaired motor coordination and slowed movements is likely intoxicated with what substance?

A

Cannabis (including K2 and spice)

25
Q

A patient presenting with nystagmus, belligerence, psychomotor agitation, violence, hypertension and seizure is likely intoxicated with what substance?

A

PCP (phencyclidine)

26
Q

A patient presenting with irritability, aggression mania and psychosis with a history of weight-lifting/sports is likely intoxicated with what substance?

A

Anabolic steroids (“roid rage”)

27
Q

A patient presenting with tremors, hallucinations, seizures, and fluctuating consciousness/awareness is likely withdrawing from what substance?

A

Alcohol

28
Q

A patient presenting with anxiety, tremulousness, headache and depression is likely withdrawing from what substance?

A

Cocaine

29
Q

A patient presenting with irritability, anger, anxiety, sleep problems, restlessness, and appetite problems is likely withdrawing from what substance?

A

Cannabis

30
Q

A patient presenting with diarrhea, fever, chills, lacrimation, abdominal cramps, and muscle spasms is likely withdrawing from what substance?

A

Opiates (e.g. heroin)

Step 2 (12 decks)

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