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STEP 1 > QTS cards - Psych > Flashcards

QTS cards - Psych Flashcards

1
Q

methylphenidate

A

ADHD tx - stimulant

Inc catecholamines NE, DOPA in synaptic cleft

+appetite control (AE - dec appetite, weight loss)

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2
Q

Alcohol withdrawal tx

A

long-acting benzodiapines
Chlordiazepoxide
Lorazepam
Diazepam

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3
Q

Antipsychotic

Haloperidol + AZINES

A

block dopamine D2 receptors in nigrostrial pathway

INC cAMP

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4
Q

Antipsychotic AE

Haloperidol + AZINES

A

endocrine - INC prolactin (tuberoinfundibulnar pathway)

NMS - rigidity, HTN, HR inc, fever (tx dANTROle)

tardive dyskinesia - lip-smacking, choreoatheotoid movement (bc INC up regulation of dopa receptors)

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5
Q

Antipsychotic - EPS side effects

Haloperidol + AZINES

A

4 hr - acute dystonia (toticolis, eyes up-oculogyric crisis)

4 day - akathisia (fidgety/anxious)

4 wk - bradykinesia (parkinsonisms)

4 mo - tardive dyskinesia (lip smacking, chorea move)

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6
Q

Clozapine

A

tx resistant schizophrenia (+suicide)

AE:
INC weight (as olanzapine) - check metabolic panel
agranulocytosis - WBC check weekly

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7
Q

Risperidone AE

raspado con leche

A

schizophrenia tx

inhibit dopamine -> INC prolactin -> irregular menstruation, infertility

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8
Q

Lithium

LMNOP

A

bipolar

narrow therapeutic window

AE:
movement tremor
Nephrogenic DI (antagonist to ADH)
hypOthyroidism
Pregnancy problems

kidney excretion (bc hydrochlorothiazide, ACE inhibit, NSAIDS > INC toxicity)

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9
Q

buspirone

A

generalized anxiety dz
stimulate 5-HT

takes 1-2 weeks to take effect

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10
Q

SSRIs

FLUoxetine
PARoxetine
SERtraline
CITAlopram

A

block 5-HT reuptake

Depression, generalized anxiety disorder, panic disorder, OCD, bulimia, PTSD, social phobias

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11
Q

SSRIs AE

FLUoxetine
PARoxetine
SERtraline
CITAlopram

A

sexual dysfunction

serotonin syndrome - hyperthermia, confusion, myoclonus, flushing, diarrhea, seizures, hear instability
TX - cyproheptadine (5-HT receptor antagonist)

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12
Q

TCA AE

amityptyline
pramine
pine

A

a1 - block effects - postural hypotension

atropine like(anticholinergic) - hot, red, dry, blind, crazy

Convulsion, Coma, Cardiotoxic (arrhythmia bc block fast Na channel)
Inc AE in elderly - confusion, hallucinations
TX - NaHCO3

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13
Q

MAO inhibitors

Phenelzine

A

atypical depression (mood reactivity, Inc appetite/sleep)

AE - HTN crisis, CNS stimulation

washout period 2wks - after rx discontinue to allow resyntheiss of MAO (avoid serotonin syndrome)

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14
Q

BUpropion

A 
#1 x major depression sz with NO sexual dysfunction ae
INC NE/Dopa

AE - seizures in anorexic/bulimic bc lowers threshold

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15
Q

TrazoBONE AE

A

antidepressant

priapism (prolonged painful erection)

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16
Q

cocaine

A

inhibit NE reuptake at presynaptic –> cardiac arrest

STEP 1 (12 decks)

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