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USMLE Step 3 Master the board > Psychiatry COPY > Flashcards

Psychiatry COPY Flashcards

1
Q

TCA toxicity?

A

Trembling (convulsions) Coma Arrhythmias

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2
Q

Anticholinergic side effects of TCAs

A

Dry mouth Blurry vision Constipation Urinary retention

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3
Q

Contraindications to TCAs

A

Pt with history of heart block Those with high risk of suicide

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4
Q

Give some examples of opioid

A

Heroin Morphine Oxycodone

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5
Q

Signs of opioid toxicity

A

Triad of coma, respiratory depression, and miosis. Also, bradycardia, hypothermia, and diminished bowel sounds

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6
Q

Name the cholinergic side effects

A

Use the mneumonic DUMBBELS: • Diarrhea • Urination • Miosis • Bradycardia • Bronchospasm • Emesis • Lacrimation • Salivation

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7
Q

Give 6 examples of SSRIs

A

° Fluoxetine ° Sertraline ° Paroxetine ° Citalopram ° Fluvoxamine

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8
Q

When are benzodiazepines indicated?

A

° Anxiety disorders ° Alcohol withdrawal ° Insomnia ° Anesthesia ° Seizures ° Muscle spasms

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9
Q

Neurotransmitters involved in ADHD

A

° Norepinephrine ° Dopamine

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10
Q

Neurotransmitter involved in Alzheimer

A

Acetylcholine

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11
Q

Neurotransmitter involved in Delirium

A

Acetylcholine

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12
Q

Neurotransmitter involved in Anxiety disorder

A

GABA

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13
Q

Neurotransmitter involved in schizophrenia

A

Serotonin

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14
Q

What is the most prevalent inhibitory neurotransmitter in the brain?

A

GABA

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15
Q

What is the most prevalent excitatory neurotransmitter in the brain?

A

Glutamate

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16
Q

Enumerate the better prognostic factors for schizophrenia

A

Good premorbid adjustment

Female

Married

Late age of onset

Precipitating events

Family history of mood disorder

Good inter-episode functioning

17
Q

Worse prognostic factors for schizophrenia

A

Poor pre-morbid adjustment

Male

Single

Earlier age of onset

Negative symptoms

Family history of schizophrenia

Poor inter-episode functioning

18
Q

List six features of schizotypal personality disorder

A

Odd beliefs

Unusual perceptual experiences

Lack of close friends, suspiciousness

Odd speech

Inappropriate affect

Odd appearance

19
Q

What is facilitation?

A

Facilitation involves giving the patient a verbal or nonverbal cue to help the patient continue his or her train of thought. Calmly asking the ptc to continue, or even waiting silently (sometimes), acts as facilitation

20
Q

Is a CYP450 INDUcer, and it INCreases the clearance of Warfarin, Phenytoin, Theophyline, Valproic acid

2nd line therapy for Bipolar disorder

Side effects ?

A

Carbamezapine

SE’s: agranulocytosis and extreme sedation

USMLE Step 3 Master the board (33 decks)

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