Round 2 Flashcards
Step 1 of alcohol metabolism is alcohol to acetaldehyde, what is the enzyme?
alcohol dehydrogenase
Step 2 of alcohol metabolism is acetaldehyde to acetic acid, what is the enzyme?
aldehyde dehydrogenase
What are the two drugs for alcohol withdrawal?
chlordiazepoxide or lorazepam
What is in the banana bag for alcoholics?
B1, B9, and multivitamin
Delirium, visual hallucinations, agitation, gross tremor, autonomic instability, ethanol withdrawal, is what?
Delirium Tremens
What is ataxia, confusion, ocular abnormalities, long term alcohol use?
Wernicke’s Encephalopathy, lack of B1
What is impaired recent memory, anterograde amnesia, compensatory confabulation?
Korsakoff Syndrome
When dealing with Wernicke-Korsakoff, what is the big thing with medications?
B1 before glucose, B1 is cofactor in carbohydrate metabolism
What drug has rotary nystagmus?
PCP
When withdrawing from PCP, what is seen?
Flashbacks
What is the most common CNS depressant that produces confusion, dizziness, drowsiness, memory loss, and coma?
Gamma-hydroxybutyrate or “date rape” drug
When dealing with Barbiturates, what should be given?
Sodium Bicarbonate to promote Renal Excretion
Naltrexone is big for what, besides drugs?
reverse alcohol
What does acute reversal vs chronic reversal?
Naloxone is acute
Naltrexone is chronic
What is special about Meperidine and Demerol?
does not produce miosis
What is the DOC in opiate overdose?
Naloxone
What pill is a form of THC that treats pain and ect.?
Dronabinol
Culture belief
Intense anxiety that the penis will recede into the body, leading to death, is what?
What area?
Koro
Southeast Asia
Culture belief
Sudden unprovoked outbursts of violence, often followed by suicide, is what?
What area?
Amok
Malaysia
Culture belief
Headache, fatigue, eye pain, cognitive difficulties, and other somatic disturbances in male students, is what?
What area?
Brain Fag
Africa
What is utterance of obscene, taboo words as an abrupt, sharp bark or grunt?
Coprolalia
What is the drug of choice for tic disorder?
What is MOA?
Guanfacine
Alpha 2 agonist
What disease has lateral ventricular enlargement?
Schizophrenia
What disease has atrophy of caudate?
Huntington Disease
What disease has low volume of the hippocampus and amygdala?
Schizophrenia
What disease has an increase in brain volume?
Autism
What disease has issues has orbitofrontal cortex and basal ganglia?
OCD
What does Atenolol, Propranolol, Bupropion, and Nasal Decongestants have a false positive for?
Amphetamine
What does Dextromethorphan, Diphenhydramine, and ketamine can test positive for?
PCP
What does Tramadol and Venlafaxine test positive for?
PCP
What does Naltrexone not used for?
What is Naloxone used for?
no acute opioid problems
acute opioid problem treatment
What psych thing is giving a reward for a desired behavior?
Positive Reinforcement
What psych thing is encouraging a behavior by removing an averse stimulus?
Negative Reinforcement
What psych thing is an averse response to a behavior?
Punishment
What therapy session, patient and therapist set an agenda, feelings and behaviors are influenced by their thoughts?
CBT
What therapy helps self destructive behavior and hospitalizations?
DBT
What psychoanalysis technique is say whatever you think, help bring up or say old feelings?
Free Association
What does psychoanalysis use with dream interpretation?
Looks at unconscious
What therapy is attachment focused on psychotherapy that center on the development of skills to help treat psych disorders?
Interpersonal Therapy
What psychotherapy helps patients feel safe, during a difficult time and help build up the patient’s healthy defenses?
focus on empathy, understanding, and education
Supportive Psychotherapy
What condition is a stimulus that can evoke a conditioned response?
Classical Conditioning
What condition is a stimulus that helps behaviors that can be learned by positive or negative reinforcement?
Operant Conditioning
When we give monoamine drugs, what should we look out for? Think about vitamins
B6 issues
What is the belief that contain illnesses or conditions are a result of your behavior?
Somatic Delusions
Serotonin and Norepi are elevated in Schizophrenia, what are the two things that are low?
GABA and Glutamate
In schizophrenia, what can the hippocampus not make?
GABA
What test should I run before using an SNRI?
Liver function test
What SSRI can be used for OCD (not the standard one)?
Fluvoxamine
What does Trazodone not affect?
REM sleep, does not bother
When it comes to the legal-ese of the world, a judge determines what?
A doctor determines what?
Judge –> competency
Doctor –>capacity
OTC drug decrease lithium use, except for what two drugs?
Sulindac and aspirin
In the MMSE, what is the suicidal and homicidal ideation?
Thought Content
What is hallucinations and illusions in the MMSE?
Perception
What is the memory, fund of knowledge, attention/concentration?
Cognition
What TCA has the fewest side effects?
Nortriptyline
Methylphenidate can treat ADHD, what else can it treat?
Depression
What thought process is red, bed, head?
Clang associations
What is the age cut off for disruptive mood dysregulation disorder?
15 years old and after
H2 blockers can increase what in blood work for elderly patients?
blood alcohol levels
