Psychotherapy and Psychopharm

Question 1

Name that therapy: Pt is taught to identify maladaptive thoughts and replace them with positive ones. Helps treat depressive and anxiety disorders.

Answer 1

Cognitive Therapy

Question 2

Name that therapy: Helps pts change behaviors that contribute to symptoms.

Answer 2

Behavior Therapy : Systemic Desentization, Flooding and Implosion, Aversion Therapy, Token Economy, Biofeedback.

Question 3

Name that therapy: Treatment follows a protocol or manual with homework assignments between therapy sessions. The pt learns of his behavior is influenced by his thoughts.

Answer 3

Cognitive Behavioral Therapy.

Question 4

Name that therapy: Patients get immediate feedback and support from their peers. Patients may gain insight into their own condition by listening to others with similar problems.

Answer 4

Group Therapy.

Question 5

First line treatment for neuropathic pain and depression?

Answer 5

Duloxetine (SNRI)

Question 6

First line of treatment for depression when person has fear of weight gain and sexual dysfunction?

Answer 6

Bupropion ( No sexual side effects)

Question 7

Name the drug: Hypotension, dry mouth, constipation, confusion, arrhythmias.

Answer 7

TCA (amitryptyline, nortriptyline, imipramine)

Question 8

Name the drug: Monitor diet, given food rich in tyramine will produce HTN. Safe foods include white wine and processed cheese.

Answer 8

MOA-I (Phenelzine, Isocaroxazid, Tranylcypromine)

Question 9

Name the drug: HA, weight gain, sexual side effects and GI upset.

Answer 9

SSRI (Fluoxetine, Paroxetine, Citalopram, Escitalopram, Setraline)

Question 10

Name the drug: 1. Increase risk of seizure activity. 2. Priaprism. 3. Sedation and weight gain, increased appetite.

Answer 10

1. Bupropion 2. Trazodone 3. Mirtazapine

Question 11

Name the drug: HTN, HA, weight gain, GI and sexual side effects.

Answer 11

SNRI (Venlafaxine, duloxetine, desvenlafaxine)

Question 12

Name the drug: Alopecia, teratogenic, hepatotoxic.

Answer 12

Valproic Acid

Question 13

Name the drug: Stevens-Johnson Syndrome

Answer 13

Lamotrigine

Question 14

Name the drug: Transient memory loss

Answer 14

Electric convulsive therapy.

Question 15

Name the drug: Leads to obesity, weight gain, DM, metabolic syndrome.

Answer 15

Olanzapine

Question 16

Name the drug: Prolongation of QT interval.

Answer 16

Ziprasidone

Question 17

Which medication is safe to use after stroke and causes significant sedation. Dx?

Answer 17

Trazodone.

Question 18

Name 4 drugs that are given to schizo who are noncompliant with there meds.

Answer 18

Fluphenazine deconate, haloperidol deconate, Risperidone and palliperidone

Question 19

A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Dx? Rx?

Answer 19

Acute dystonia. Benztropine or diphendyramine.

Question 20

Name that therapy: Therapist as a guide. Reinforce coping skills. Listen foster and understand. Build up adaptive defense mechanisms.

Answer 20

Supportive Therapy.

Question 21

Name that therapy: Unconscious conflicts cause symptoms. Explore past relationships and conflicts. Utilize transference. Breakdown defense mechanisms.

Answer 21

Psychodynamic Therapy.

Question 22

Name that therapy: Address Ambivalence to change. Non judgemental. Enhance motivation to change. Acknowledge resistance.

Answer 22

Motivational interviewing.

Question 23

Name that therapy: Acceptance and change. Improve emotion, regulation, mindful awareness, distress tolerance, manage self harm, group therapy component.

Answer 23

Dilaectical behavioral therapy for boderline personality disorder.

Question 24

Name that therapy: Improve awareness and control over physiological reactions, lower stress levels, integrate mind and body.

Answer 24

Biofeedback.

Question 25

A common side effect of Alprazolam?

Answer 25

Seizure.

Question 26

Confusion, flushing, diaphoresis, tremor, myoclonic jerks, hyperthermia, hypertonicity, rhabdomyolysis, renal failure and death. Dx?

Answer 26

Serotonin Syndrome ( SSRIs+ MAOIs)

Question 27

Fever, tachycardia, hypertension, tremor, elevated CPK, lead pipe rigidity. Dx? Rx?

Answer 27

Neuroleptic Malignant Syndrome. Fluids, electrolytes and stablize, Give Bromocriptine, Dantrolene or Amantadine.

Question 28

This antipsychotic specifically raises Prolactin.

Answer 28

Risperidone.

Question 29

What occurs after you discontinue an SSRI abruptly.

Answer 29

SSRI discontinuation syndrome ( seen in short half life drugs paroxetine and setraline, not seen in fluoxetine because it has a longer half life)

Question 30

Next step in management after you read a lithium level of 4.5meq/L?

Answer 30

Emergency Dialysis.

Question 31

Which antipsychotic can help suppress and ameliorate TD?

Answer 31

Clozapine.

Question 32

When can flumazenil precipitate seizures?

Answer 32

When pt has preexisting seizure disorder.

Question 33

Use and Side effects (2) of clozapine.

Answer 33

Treatment resistance schizophrenia. Agranulocytosis and lowers seizure threshold.

Question 34

Name side effects (2 )of carbamezapine.

Answer 34

Agranulocytosis, Stevens Johnson’s

Question 35

Side effects of Zolpidem, Zaleplon, ezopiclone.

Answer 35

Anterograde amnesia and sleep walking, eating, driving

Question 36

Drugs for sleep?

Answer 36

1. Melatonin (MT1 and MT2) 2. Diphenhydramine (H1) 3. Doxylamine (H1)4. Rameltem (MT) 5. Doxepin (TCA- H1) 6. Trazadone ( H1, serotonin, alpha 1) 7. BZRA - Zolpidem, Zaleplon, ezopiclone 8. Benzos- Triazoloam, temazepam, flunazepam

Question 37

Name the drugs to treat each: 1. Akithisia 2. Acute dystonia 3. Neuroleptic Malignant Syndrome 4. TD

Answer 37

1. Benzodiazepine 2. Benztropine, Diphenhydramine 3. Dantrolene, Bromocriptine, Amantadine 4. Nothing this is irreversible can switch to atypical or start clozapine

Question 38

Treatment for pregnant pt with bipolar disorder?

Answer 38

Clonazepam.

Question 39

Treatment for Akithisia?

Answer 39

Propanolol or Lorazepam

Question 40

Weight neutral but increases akethesia ?

Answer 40

Aripiprazole.