Psychiatry (U.W.) Flashcards
what AA is serotonin made from?
Tryptophan
t(x) for serotonin syndrome?
Cyproheptadine ( 1st gen antihistamine with anti serotonin activity)
what causes death in TCA overdose
blockage of fast Na channels can lead to fatal arrhythmia
A pattern of unstable relationships and marked impulsivity suggests which personality disorder?
Borderline
Left sided frontal lobe lesion s(x)
apathy
Right sided frontal lobe lesion
disinhibition
what is first line t(x) for ADHD
psychostimulants like Methylphenidate and Amphetamines
what are side-effects of psychostimulants like methylphenidate and amphetamines
insomnia, decrease appetite, weight loss
what medication for treatment resistant schizophrenia?
Clozapine (although pharmacological reason for superiority is unknown)
what differentiates atypical depression from depression
Mood Reactivity- feeling better in response to positive events
(other qualities- increased appetite/sleep, leaden paralysis, rejection sensitivity)
(if resistant and atypical can use MAOi)
what is akathesia?
restlessness, inability to stay seated
what is acute dystonia
muscle contraction- usually of neck
what are the short acting benzodiazepines?
oxazepam, triazolam, midazolam
what are intermediate acting benzodiazepines?
lorazepam, temazepam, alprazolam
what are long acting benzodiazepines?
diazepam, flurazepam, chlordiazepoxide
obsessive compulsive disorder vs obsessive compulsive personality disorder
OCD- intrusive thoughts followed by compulsions to do something
OCPD- a lifelong pattern of control, orderliness and perfection… NOT intrusive compulsions
how does stimulus control therapy help insomnia?
it makes the bedroom only associated with sleep- NOT tv or trying to fall asleep without success
PCP mode of action? (phenylciclidine)
NMDA antagonist
which antibiotic can precipitate Serotonin Syndrome?
Linezolid- b/c of MAOi activity
which drug helps block alcohol craving and rewarding alcohol symptoms?
Naltrexone
t(x) for delirium?
low dose HIGH potency 1st gen antipsychotics (haloperidol)
mania vs hypomania
mania- severe hyperfunctioning that impairs daily life and often leads to hospitalizations
hypomania- hyperfunctioning that increases/does not impair daily productivity
bipolar I vs bipolar II
bipolar I: mania episode (with or without depression)
bipolar II: HYPOmania with depressive episode
how can you tell apart methamphetamine intox vs PCP intox
- both are violent behavior
- but PCP has NYSTAGMUS
tourette syndrome vs chronic tic disorder?
while both have tics for greater/equal to 1 yr
tourette syndrome have BOTH motor and vocal tics
chronic tic disorder EITHER motor OR vocal tics (but not both types)
**remember vocal tics include coughing/throat clearning
