Section 7: Miscellaneous Flashcards
CF of TCA toxicity?
- Trembling (convulsions)
- Coma
- Arrhythmias
Use the mneumonic “TCA”
List the anticholinergic side effects of TCAs
- Dry mouth
- Blurry vision
- Constipation
- Urinary retention
List the contraindications to TCAs
- Pt with history of heart block
- Those with high risk of suicide
Give some examples of opioid
- Heroin
- Morphine
- Oxycodone
Signs of opioid toxicity
Triad of
- Coma
- Respiratory depression
- Miosis
Also
- Bradycardia
- Hypothermia
- Diminished bowel sounds
List the cholinergic side effects
- Diarrhea
- Urination
- Miosis
- Bradycardia
- Bronchospasm
- Emesis
- Lacrimation
- Salivation
Use the mneumonic DUMBBELS
Give 6 examples of SSRIs
- Fluoxetine
- Sertraline
- Paroxetine
- Citalopram
- Escitalopram
- Fluvoxamine
List the indications for benzodiazepines
- Anxiety disorders
- Alcohol withdrawal
- Insomnia
- Anesthesia
- Seizures
- Muscle spasms
Neurotransmitters involved in ADHD
- Norepinephrine
- Dopamine
Neurotransmitter involved in Alzheimer
Acetylcholine
Neurotransmitter involved in Delirium
Acetylcholine
Neurotransmitter involved in Anxiety disorder
GABA
Neurotransmitter involved in schizophrenia
Serotonin
What is the most prevalent inhibitory neurotransmitter in the brain?
GABA
What is the most prevalent excitatory neurotransmitter in the brain?
Glutamate
Enumerate the better prognostic factors for schizophrenia
Good premorbid adjustment
Female
Married
Late age of onset
Precipitating events
Family history of mood disorder
Good inter-episode functioning
List the worse prognostic factors for schizophrenia
Poor pre-morbid adjustment
Male
Single
Earlier age of onset
Negative symptoms
Family history of schizophrenia
Poor inter-episode functioning
List six features of schizotypal personality disorder
Odd beliefs
Unusual perceptual experiences
Lack of close friends, suspiciousness
Odd speech
Inappropriate affect
Odd appearance
What is facilitation?
Facilitation involves giving the patient a verbal or nonverbal cue to help the patient continue his or her train of thought. Calmly asking the ptc to continue, or even waiting silently (sometimes), acts as facilitation
List the sexual dysfunctions caused by the following medications
- Alpha-1 blockers
- SSRIs
- Beta blockers
- Trazodone
- Dopamine agonists
- Neuroleptics
- Impaired ejaculation
- Inhibited orgasm
- Erectile dysfunction
- Priapism
- Increased erection and libido
- Erectile dysfunction
List the typical presentations in suicide
- Recent suicide attempt
- Complaints of suicidal thoughts
- Admission of suicidal thoughts
- Demonstration of suicidal behaviors (e.g., buying weapons, giving away possessions, or writing a will)
Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 532). Kaplan Medical Test Prep. Kindle Edition.
Risk factors for suicide
- Men
- Older adults
- Social isolation
- Presence of psychiatric illness/drug abuse
- Perceived hopelessness
- Previous attempts
Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 532). Kaplan Medical Test Prep. Kindle Edition.
Rx of suicide
- Hospitalize patient
- Take all threats seriously
Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 532). Kaplan Medical Test Prep. Kindle Edition.
- What class of drugs are used for the first line Rx of restless leg syndrome
- List two examples of 1 above
- Dopamine agonists
- Pramipixole and Ropinirole
Rx for opiod withdrawal
- Methadone
- Clonidine
Treu or False:
Atypical antipsychotics are approved by the FDA for the Rx of dementia-related psychosis in the elderly
False. They may have utility in certain situations but physicians should always weigh the benefits and riskd before prescribing it
