Random notes Flashcards

1
Q

Best treatment for psychotic symptoms of Catanoia

A

Benzos

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2
Q

What is the first line therapy for acute dystonic reaction?

A

IV Benadryl 50mg

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3
Q

Taking what two medications can increase the risk of QT prolongation

A

Effexor and Haldol

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4
Q

When prescribing TCAs to patients, what medical condition is contraindicated for this type of treatment?

A

Hepatic impairment since TCAs are metabolized by the liver

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5
Q

GEM

A

Grief evaluation measurement tool is used to assess for complicated grief symptoms in a mourning adult

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6
Q

Other than neuroleptics, what other class of medications can cause epse (extrapyramidal side effects)?

A

Anti-emetics, anti-malarial, anticonvulsants, serotogenic agents, and stimulants

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7
Q

Maternal smoking and alcohol use during pregnancy

A

Has shown a strong correlation to increased aggression in childhood and adolescence

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8
Q

opioid antagonist used to treat alcohol use disorder. It is FDA-approved for alcohol use disorder.

A

Naltrexone

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9
Q

used to differentiate psychogenic non-epileptic seizures from epileptic seizures.

A

Video electroencephalography

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10
Q

Present in the third decade of life, are more common in females than males, and are not due to physiological disability to CNS

A

psychogenic non-epileptic seizures

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11
Q

What is the recommended first-line treatment of undifferentiated agitated delirium

A

Benzos with the option of Ketamine as adjunctive therapy if benzos are ineffective and the patient is not hypertensive

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12
Q

Presents with sedation, coma, anticholinergic effects, seizures, dilated pupils, blurry vision, confusion, and arrhythmias

A

TCA overdose

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13
Q

Tinnitus is most strongly correlated with which mental health condition?

A

Anxiety

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14
Q

Sodium Bicarbonate

A

Treatment for TCA overdose

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15
Q

What is the most common emergency caused by marijuana ingestion?

A

Panic attack

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16
Q

Phencyclidine (PCP)

A

A.K.A Angel dust is a potent hallucinogen

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17
Q

NDMA receptor antagonist that behavioral effects resemble schizophrenia

A

PCP

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18
Q

Include rage, reddish skin, dilated pupils, nystagmus, and excitation

A

PCP ingestion

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19
Q

Best drug for methylphenidate poisoning

A

Benzos

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20
Q

Has serotonergic activity and has the potential to causes serotonin syndrome but is considered an analgesic

A

Tramadol

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21
Q

Cause anovulation and irregular menses in females due to decreased FSH

A

Increased Prolactin levels

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22
Q

Most common age group is for fibromyalgia

A

females 20-55 years old

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23
Q

Medication FDA approved to treat adult depressive disorders and aid in smoking cessation

A

Bupropion (Wellbutrin)

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24
Q

Echolalia is considered a disorder after what age?

A

After 3 years of age

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25
Q

Commonly presents in patients with autism, Tourette’s, schizophrenia, dementia, transcortical sensory aphasia, catatonia, and epilepsy

A

Echolalia

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26
Q

May worsen psychosis or precipitate a change to mania or hypomania in bipolar patients

A

Paroxetine

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27
Q

How long does premature ejaculation have to be present to be diagnosed?

A

at least 6 months

28
Q

What is the only fda approved drug for PMDD but not for more than 3 cycles

A

Drospirenone with ethinyl estradiol

29
Q

True or False: Can MAOIs and Cocaine or MDMA precipitate serotonin syndrome if taken together?

A

True

30
Q

Blurred vision, dry mouth, urinary retention, tachycardia, acute angle glaucoma, confusion, and delirium

A

Anticholinergic side effects

31
Q

Approved for long term tx of GAD

A

Buspirone

32
Q

Causes dizziness, headache, and nervousness

A

Buspirone

33
Q

Psychiatric disorder characterized by symptoms affecting sensory or motor function

A

Conversion disorder

34
Q

Combination may have an additive QT prolonged effect

A

Escitalopram and Risperidone

35
Q

What has been shown to be the most effective in the treatment of conduct disorders

A

Multisystem Therapy

36
Q

FDA approved for the treatment of bipolar depression

A

Olanzapine in combination with Prozac

37
Q

Can help tx bipolar depression

A

Latuda
Lamictal

38
Q

Originated by Marsha Linehan

A

DBT

39
Q

Helps with enuresis by reducing urine production

A

Desmopressin

40
Q

What are the risk factors for suicide?

A
  1. Previous suicide attempt
  2. Age 45 in male
  3. Age 55 in female
  4. Divorced
  5. Single/Separated
  6. Caucasian
  7. Living alone
  8. Psych disorder
  9. Substance abuse
  10. Family hx of suicide
  11. Recent loss
  12. Male gender
41
Q

Carotid bruits, fundoscopic abnormalities, and enlarged cardiac chambers

A

Hallmarks of Vascular Dementia

42
Q

Hypnagogic & Hypnopompic hallucinations

A

Are sleep related hallucinations

43
Q

Requires a separate release of information for the release of any information on chemical dependency

A

Federal Law 42 CFR

44
Q

Involves providing resources to those with the least access and the greatest need

A

Social Justice

45
Q

Usually based on smaller sample sizes and fewer outcome events and indicate reduced precision in estimate of effect

A

Wider confidence interval

46
Q

Who is the policy maker deciding who has admitting privileges at a community health care facility

A

The hospital ( at the local level)

47
Q

Process of quality improvement

A

Plan Do Study Act (PDSA)

48
Q

Lithium therapeutic index

A

0.6-1.2

49
Q

Depakote therapeutic index

A

50-125

50
Q

Creatinine range

A

0.6-1.2

51
Q

BUN

A

10-20

52
Q

Pts with which disorder should not be given stimulants because it can potentiate/exacerbate more dopamine to be released thus worsening symptoms

A

Schizophrenia

53
Q

Safer in pregnancy for anxiety

A

Buspar

54
Q

Safest SSRI in pregnancy for depression

A

Zoloft

55
Q

off label use for ADHD

A

Wellbutrin

56
Q

What is the concept of when people engage in self-mutalilating behavior but have no desire to die?

A

Parasuicide

57
Q

What mood stabilizer is also used for trigeminal neuralgia

A

Carbamezapine

58
Q

What factors are different in malignant catatonia vs. Nms

A

Echolalia and no med use

59
Q

NRI, non-stimulant that is FDA approved to treat ADHD in children and adolescences

A

Viloxazine (Qelbree)

60
Q

Can treat premature ejaculation

A

SSRIs

61
Q

FDA approved to improve depression in patients with fibromyalgia

A

Cymbalta; SNRIs

62
Q

Which mood stabilizer causes the least weight gain

A

Lamictal

63
Q

Which is the least sedating antipsychotic?

A

Abilify

64
Q

Antipsychotics that cause the least weight gain

A

ZAL (Ziprasidone, Apriprazole, Lurasidone)

65
Q

What medications are known for decreasing effectiveness of oral contraceptives

A

Tegretol, Topiramate, Dilantin

66
Q

How can depression present differently in adolescence

A

Presents as anger and irritability