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Mccqe1 Red Star Questions > Psycho Psycho > Flashcards

Psycho Psycho Flashcards

1
Q

Rx for Tourette syndrome

A

Behavioral Rx
1. Antipsychotic
-fluphenazine
Risperidone

  1. DA depleter- tetrabenazine
  2. Alpha 2 agonist-guanfacine
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2
Q

Rx for binge eating disorder

A

Amphetamines

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3
Q

High potency vs low potency antipsychotic

A

High potency:
Haloperidol
Trifluphenazine
Fluphenazine

EPS

LOW POTENCY: chlorpromazine, thioridazine
Anticholinergics,antihistaminics,alpha 1 blockers

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4
Q

Opthalmic complication of antipsychotic

A

Chlorpromazine: corneal deposits
Thioridazine: retinal deposits

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5
Q

Buspirone is used for….

A

GAD

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6
Q

C/i drug with linezolid

A

MAOB inhibitors

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7
Q

MOA for varencicline

A

Nicotinic Ach partial agonist

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8
Q

DOC for
Heroin abuse
Prevent relapse

Acute opioid overdose

A

Methadone

Buprenorphine,naltrexone

Naloxone

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9
Q

What’s the diff between naloxone and naltrexone ?

A

Naloxone: short acting opioid

Naltrexone: long acting opioid

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10
Q

Pathophysiology of tardive dyskinesia

A

Chronic use -DA receptor supersensitivity

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11
Q

Characteristic of panic disorder

A

Panic with no apparent cause-no trigger no situation

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12
Q

Diagnostic of specific phobia

A

Anxiety >6mo

Avoidance behavior

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13
Q

Physical finding of methamphetamine abuse

A

Meth teeth-brown,cracked teeth and tooth decay

Skin sores, teeth grinding

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14
Q

Good thing and bad thing about bupropion

A

Good thing: no weight gain, no sex prob

Bad thing:
Can’t give for insomnia, bulimia, anorexia

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15
Q

Diff between mania and hypomania

A

> 3 sms of DIGFAST for > 1 week

Hypo: > 4 days

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16
Q

C/f of adjustment disorder

A

3-6 mo

If >6mo: GAD

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17
Q

Characteristic of disruptive mood dysregulation syndrome

A

Before 10 years

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18
Q

Biofeedback is done for….

A

Pain disorder

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19
Q

Personality disorder usually given ….

A

Psychodynamic psychotherapy

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20
Q

If patient has insomnia or anxiety rule out …..

A

Alcohol use disorder

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21
Q

Rx for serotonin syndrome

A

Discontinue the drug
BZP
cyproheptadine

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22
Q

Diff between conduct and oppositional use disorder

A

Oppositional use: no stealing or aggression towards towards people

But patient is hostile and defiant towards authorities (home and school) for >6months.

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23
Q

5 ps of AIP

A 
Psycho prob
Poly neuropathy 
Painful ab 
Port wine pee
Ppt by CYP
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24
Q

Findings of Wilson’s disease (5)

A 
Dysarthria 
Dystonia
Depression 
Tremors 
Parkinsonism
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25
Q

Signs of inhalant abuse (3)

A
  1. Transient euphoria:foll by LOC of 15-45 mins
  2. Dermatitis: glue sniffers rash: around mouth and nostrils
  3. Increased LFT
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26
Q

Chronic abuse with NO causes …….

A

Vit b12 def—>polyneuropathy

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27
Q

Drug of choice for pediatric depression

A

Fluoxetine-no weight gain issues

28
Q

What is ectasy?

A

Synthetic amphetamines with mild hallucinogenic properties

29
Q

What does ectasy do?

A

Taken before parties-causes euphoria, sociability,empathy and sexual desire

30
Q

Manifestation of ecstasy intoxication

A

Amphetamines toxicity + serotonin toxicity + decrease in serum sodium
( drug induced SIADH)

31
Q

How to diagnose somatic symptom disorder?

A

> 1 somatic symptom—> distress and functional impairment for >6 mo

32
Q

Rx for PCP intoxication

A

BZP- to decrease psychomotor agitation

33
Q

Depersonalisation derealization can be seen jn …… cases(2)

A

Depersonalisation derealization d/o

Panic attacks

34
Q

Diff between schizoaffective vs bipolar 1

A

Hallucinations present when mood is stable is schizoaffective

35
Q

S/e of valproate

A

Hepatotoxicity within 6 mo of Rx
Tremors
TCP
Alopecia

36
Q

C/f of cocaine withdrawal

A

Increased energy followed by pronounced fatigue

Increased dreaming,sleep,appetite

37
Q

Guidelines for mgt of depression in remission

A

Unipolar dep single episode:
—continue for 6mo; if remission,withdraw gradually

Chronic dep(>2 episodes) + suicide attempt:
—-continue for 1-3 years

> 3 episodes + suicide attempt:
—-continue indefinitely

38
Q

MOA of valbenazine

A

Vesicular monoamine transporter 2 inhibitor

39
Q

1st line Rx for alcohol use

A

Naltrexone + acamprosate

40
Q

MOA of acamprosate

A

Glutamine inhibitor
Maintain abstinence

Avoid in CKD patients

41
Q

Time period for schizoaffective disorder

C/I of haloperidol

Fear of scrutiny/ Embarassment/ being -ve judged
S/o……

A

> 2 weeks

Seizures

Social anxiety disorder

42
Q

C/f of narcolepsy (3)

A

Cataplexy

Hypnogogic and hypnopompic hallucination

Short REM sleep latency

43
Q

CSF levels of narcolepsy

Psychosis in parkinsons Rx….

A

Low levels of hypocretin-1/ orexin A

Quetipine, pimavanserin

44
Q

2nd gen antipsychotics with low metabolic risk

A

Ziprasidone

Aripiprazole

Lurasidone

45
Q

…….levels are ass with depression

What are decreased in depression?

A

Increased cortisol levels - secondary of hypothalamic pituitary adrenal axis

REM sleep latency
Decreased slow wave sleep
Decreased hippocampal and frontal lobe volumes

46
Q

NE and DA reuptake inhibitor

5HT and NE reuptake inhibitor is moa of….

MOA of Risperidone

A

Bupropion

SSRI

5HT2A and D2 receptor blocker

47
Q

Antidepressant with dose dependant HTN

Rx for nightmares in PTSD

A

Venlafaxine

Low dose : 5 HT reuptake inhibitor

High dose: NE reuptake inhibitor

Prazosin

48
Q

Candidates considered for long acting antipsychotics? (3)

A
  1. Those who live alone
  2. Poor adherence to meds
  3. Poor insight
49
Q

Special feature of PTSD

A

May occur immediately after trauma or maybe delayed for months

50
Q

Structural abnormalities associated with OCD

A
  1. Orbitofrontal cortex

2. Basal ganglia

51
Q

Accelerated head growth is seen in……

A

Autism

52
Q

“Slow finger tapping” is a feature of…….

Seen in…..

A

Bradykinesia

Seen in drug induced Parkinsonism

53
Q

S/e of growth hormone (4)

A

Taken to improve athletic ability

Causes:

  1. Hyperglycemia
  2. Sodium retention
  3. HTN
  4. Swollen hands,joints, muscle pain
54
Q

C/f of intellectualization

A

Avoid anxiety by focusing on non emotional aspects

55
Q

Describe delayed sleep wake disorder

A

Night owls

Insomnia plus daytime sleepiness

56
Q

Rx for delayed sleep wake disorder

A

Light, behavioral Rx

57
Q

Advanced sleep wake disorder-describe

A

Sleep af 7pm, early morning insomnia

58
Q

Describe shift work disorder

A

Normal circadian rhythms

Required to do night shifts—> increased daytime sleepiness

59
Q

MRI of PML vs HIV dementia

A

PML: asymmetrical lesions

HIV dementia: diffuse lesions

60
Q

Ecstasy (MDMA) vs bath salts intoxication

A

Ecstasy: increase in euphoria, intimacy
Severe hyperthemia

Bath salts: severe agitation,psychosis,myoclonus,
Seizures
Increased HR and BP

61
Q

Most distinguishing feature of bile salt intoxication

A

Prolonged duration of effects

(days->weeks)

62
Q

ADHD presents at ……age

Autism presents at …….age

A

ADHD: less than 12yrs

Autism:
Severe: 5 yrs
Less severe: more than 5 yrs

63
Q

What is social communication disorder?

A

Problem with verbal and non verbal communication( eye contact,body language etc)

64
Q

Landau kleffner syndrome-define

A

Happens at 3-6 yrs of age

Severe epilepsy—> regression in language

65
Q

Imaginary friend is normal upto …..age

When should one assess problem with imaginary friend?

A

3-6 yrs

If having disorganised speech or behavior
Social isolation
Regression of milestones

Mccqe1 Red Star Questions (7 decks)

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