Round 2 Flashcards

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1
Q

Step 1 of alcohol metabolism is alcohol to acetaldehyde, what is the enzyme?

A

alcohol dehydrogenase

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2
Q

Step 2 of alcohol metabolism is acetaldehyde to acetic acid, what is the enzyme?

A

aldehyde dehydrogenase

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3
Q

What are the two drugs for alcohol withdrawal?

A

chlordiazepoxide or lorazepam

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4
Q

What is in the banana bag for alcoholics?

A

B1, B9, and multivitamin

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5
Q

Delirium, visual hallucinations, agitation, gross tremor, autonomic instability, ethanol withdrawal, is what?

A

Delirium Tremens

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6
Q

What is ataxia, confusion, ocular abnormalities, long term alcohol use?

A

Wernicke’s Encephalopathy, lack of B1

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7
Q

What is impaired recent memory, anterograde amnesia, compensatory confabulation?

A

Korsakoff Syndrome

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8
Q

When dealing with Wernicke-Korsakoff, what is the big thing with medications?

A

B1 before glucose, B1 is cofactor in carbohydrate metabolism

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9
Q

What drug has rotary nystagmus?

A

PCP

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10
Q

When withdrawing from PCP, what is seen?

A

Flashbacks

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11
Q

What is the most common CNS depressant that produces confusion, dizziness, drowsiness, memory loss, and coma?

A

Gamma-hydroxybutyrate or “date rape” drug

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12
Q

When dealing with Barbiturates, what should be given?

A

Sodium Bicarbonate to promote Renal Excretion

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13
Q

Naltrexone is big for what, besides drugs?

A

reverse alcohol

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14
Q

What does acute reversal vs chronic reversal?

A

Naloxone is acute

Naltrexone is chronic

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15
Q

What is special about Meperidine and Demerol?

A

does not produce miosis

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16
Q

What is the DOC in opiate overdose?

A

Naloxone

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17
Q

What pill is a form of THC that treats pain and ect.?

A

Dronabinol

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18
Q

Culture belief

Intense anxiety that the penis will recede into the body, leading to death, is what?

What area?

A

Koro

Southeast Asia

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19
Q

Culture belief

Sudden unprovoked outbursts of violence, often followed by suicide, is what?

What area?

A

Amok

Malaysia

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20
Q

Culture belief

Headache, fatigue, eye pain, cognitive difficulties, and other somatic disturbances in male students, is what?

What area?

A

Brain Fag

Africa

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21
Q

What is utterance of obscene, taboo words as an abrupt, sharp bark or grunt?

A

Coprolalia

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22
Q

What is the drug of choice for tic disorder?

What is MOA?

A

Guanfacine

Alpha 2 agonist

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23
Q

What disease has lateral ventricular enlargement?

A

Schizophrenia

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24
Q

What disease has atrophy of caudate?

A

Huntington Disease

25
Q

What disease has low volume of the hippocampus and amygdala?

A

Schizophrenia

26
Q

What disease has an increase in brain volume?

A

Autism

27
Q

What disease has issues has orbitofrontal cortex and basal ganglia?

A

OCD

28
Q

What does Atenolol, Propranolol, Bupropion, and Nasal Decongestants have a false positive for?

A

Amphetamine

29
Q

What does Dextromethorphan, Diphenhydramine, and ketamine can test positive for?

A

PCP

30
Q

What does Tramadol and Venlafaxine test positive for?

A

PCP

31
Q

What does Naltrexone not used for?

What is Naloxone used for?

A

no acute opioid problems

acute opioid problem treatment

32
Q

What psych thing is giving a reward for a desired behavior?

A

Positive Reinforcement

33
Q

What psych thing is encouraging a behavior by removing an averse stimulus?

A

Negative Reinforcement

34
Q

What psych thing is an averse response to a behavior?

A

Punishment

35
Q

What therapy session, patient and therapist set an agenda, feelings and behaviors are influenced by their thoughts?

A

CBT

36
Q

What therapy helps self destructive behavior and hospitalizations?

A

DBT

37
Q

What psychoanalysis technique is say whatever you think, help bring up or say old feelings?

A

Free Association

38
Q

What does psychoanalysis use with dream interpretation?

A

Looks at unconscious

39
Q

What therapy is attachment focused on psychotherapy that center on the development of skills to help treat psych disorders?

A

Interpersonal Therapy

40
Q

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

A

Supportive Psychotherapy

41
Q

What condition is a stimulus that can evoke a conditioned response?

A

Classical Conditioning

42
Q

What condition is a stimulus that helps behaviors that can be learned by positive or negative reinforcement?

A

Operant Conditioning

43
Q

When we give monoamine drugs, what should we look out for? Think about vitamins

A

B6 issues

44
Q

What is the belief that contain illnesses or conditions are a result of your behavior?

A

Somatic Delusions

45
Q

Serotonin and Norepi are elevated in Schizophrenia, what are the two things that are low?

A

GABA and Glutamate

46
Q

In schizophrenia, what can the hippocampus not make?

A

GABA

47
Q

What test should I run before using an SNRI?

A

Liver function test

48
Q

What SSRI can be used for OCD (not the standard one)?

A

Fluvoxamine

49
Q

What does Trazodone not affect?

A

REM sleep, does not bother

50
Q

When it comes to the legal-ese of the world, a judge determines what?

A doctor determines what?

A

Judge –> competency

Doctor –>capacity

51
Q

OTC drug decrease lithium use, except for what two drugs?

A

Sulindac and aspirin

52
Q

In the MMSE, what is the suicidal and homicidal ideation?

A

Thought Content

53
Q

What is hallucinations and illusions in the MMSE?

A

Perception

54
Q

What is the memory, fund of knowledge, attention/concentration?

A

Cognition

55
Q

What TCA has the fewest side effects?

A

Nortriptyline

56
Q

Methylphenidate can treat ADHD, what else can it treat?

A

Depression

57
Q

What thought process is red, bed, head?

A

Clang associations

58
Q

What is the age cut off for disruptive mood dysregulation disorder?

A

15 years old and after

59
Q

H2 blockers can increase what in blood work for elderly patients?

A

blood alcohol levels