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Psychiatry USMLE Step 3 > Section 7: Miscellaneous > Flashcards

Section 7: Miscellaneous Flashcards

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USMLE® Step 1 flashcards
1
Q

CF of TCA toxicity?

A
  • Trembling (convulsions)
  • Coma
  • Arrhythmias

Use the mneumonic “TCA”

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2
Q

List the anticholinergic side effects of TCAs

A
  • Dry mouth
  • Blurry vision
  • Constipation
  • Urinary retention
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3
Q

List the contraindications to TCAs

A
  • Pt with history of heart block
  • Those with high risk of suicide
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4
Q

Give some examples of opioid

A
  • Heroin
  • Morphine
  • Oxycodone
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5
Q

Signs of opioid toxicity

A

Triad of

  • Coma
  • Respiratory depression
  • Miosis

Also

  • Bradycardia
  • Hypothermia
  • Diminished bowel sounds
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6
Q

List the cholinergic side effects

A
  • Diarrhea
  • Urination
  • Miosis
  • Bradycardia
  • Bronchospasm
  • Emesis
  • Lacrimation
  • Salivation

Use the mneumonic DUMBBELS

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7
Q

Give 6 examples of SSRIs

A
  • Fluoxetine
  • Sertraline
  • Paroxetine
  • Citalopram
  • Escitalopram
  • Fluvoxamine
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8
Q

List the indications for benzodiazepines

A
  • Anxiety disorders
  • Alcohol withdrawal
  • Insomnia
  • Anesthesia
  • Seizures
  • Muscle spasms
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9
Q

Neurotransmitters involved in ADHD

A
  • Norepinephrine
  • Dopamine
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10
Q

Neurotransmitter involved in Alzheimer

A

Acetylcholine

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11
Q

Neurotransmitter involved in Delirium

A

Acetylcholine

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12
Q

Neurotransmitter involved in Anxiety disorder

A

GABA

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13
Q

Neurotransmitter involved in schizophrenia

A

Serotonin

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14
Q

What is the most prevalent inhibitory neurotransmitter in the brain?

A

GABA

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15
Q

What is the most prevalent excitatory neurotransmitter in the brain?

A

Glutamate

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16
Q

Enumerate the better prognostic factors for schizophrenia

A

Good premorbid adjustment

Female

Married

Late age of onset

Precipitating events

Family history of mood disorder

Good inter-episode functioning

17
Q

List the worse prognostic factors for schizophrenia

A

Poor pre-morbid adjustment

Male

Single

Earlier age of onset

Negative symptoms

Family history of schizophrenia

Poor inter-episode functioning

18
Q

List six features of schizotypal personality disorder

A

Odd beliefs

Unusual perceptual experiences

Lack of close friends, suspiciousness

Odd speech

Inappropriate affect

Odd appearance

19
Q

What is facilitation?

A

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

20
Q

List the sexual dysfunctions caused by the following medications

  1. Alpha-1 blockers
  2. SSRIs
  3. Beta blockers
  4. Trazodone
  5. Dopamine agonists
  6. Neuroleptics
A
  1. Impaired ejaculation
  2. Inhibited orgasm
  3. Erectile dysfunction
  4. Priapism
  5. Increased erection and libido
  6. Erectile dysfunction
21
Q

List the typical presentations in suicide

A
  • 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.

22
Q

Risk factors for suicide

A
  • 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.

23
Q

Rx of suicide

A
  • 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.

24
Q
  1. What class of drugs are used for the first line Rx of restless leg syndrome
  2. List two examples of 1 above
A
  1. Dopamine agonists
  2. Pramipixole and Ropinirole
25
Q

Rx for opiod withdrawal

A
  • Methadone
  • Clonidine
26
Q

Treu or False:

Atypical antipsychotics are approved by the FDA for the Rx of dementia-related psychosis in the elderly

A

False. They may have utility in certain situations but physicians should always weigh the benefits and riskd before prescribing it

Psychiatry USMLE Step 3 (7 decks)

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