spiegel 4 Flashcards

1
Q

atomoxetine takes how long

A

10 weeks

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2
Q

maoi delicous treats

A

no caviar
can drink vodka!

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3
Q

clozapine doses over 600 increase

A

seizure risk

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4
Q

acute intermittent porphiria and psych

A

everything but dementia

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5
Q

alzheimers over 85 percent?

A

20-40%

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6
Q

mirtazapine MOA

A

anti presynaptic alpha 2–> potentiates the action of serotonin and norepinephrine

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7
Q

FDA approved bipolar maintenance

A

Aripiprazole (Abilify), lamotrigine (Lamictal), lithium, olanzapine (Zyprexa),

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8
Q

sleep stage for terrors and somnambulism

A

stage IV in the first 1/3

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9
Q

gabapentin metabolism

A

excreted unchanged in the urine

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10
Q

3A4 inhibition

A

nefazedone
grapefruit juice

affects trazodone

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11
Q

after stroke give

A

aspirin

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12
Q

most common anxiety disorder

A

specific phobia

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13
Q

Binswangers

A

subcortical arteriosclerotic encephalopathy
Dementia
apathy
gait
pseudobulbar

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14
Q

wernickes

A

opthalmoplegia
thiamine
cranial nerves 3,6,8

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15
Q

introjection

A

unconscious incorporation of others’ attitudes (immature defense mechanism)

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16
Q

irritable bowel

A

mucus no blood

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17
Q

epigenetic prinical - psychologist

A

Erikson
human development occurs in sequential, clearly defined stages

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18
Q

glossolalia

A

unintelligible jargon

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19
Q

laconic

A

decrease in quality of spontaneous speech (brief responses)

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20
Q

verbigeration

A

meaningless & stereotyped repetition of words & phrases

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21
Q

negative symptoms of schiz

A

mesocortical
VTA–> FL

22
Q

schiz suicide rate

23
Q

what makes them atypicals

A

5HT2A receptor

24
Q

ANC schedule

A

weekly 6 months, biweekly 6 months, monthly thereafter

25
encoparesis goes with
sexual abuse maternal hostility harsh parenting
26
pathological gambling biomarkers
decreased plasma MHPG and decreased platelet MAO activity
27
Who - concept of archetype, collective unconscious, intro/extrovert, animus, persona, individuation?
Jung
28
Goldstein
self-actualization
29
Kappa
reliable or reproducible results
30
Melanie klein
object relations
31
panic time
1 month
32
lithium vs lamictal weight gain
lithium yes, lamictal no
33
what to do when anc 500-999
stop clozapine until > 1000
34
huntingtons chorea med
haldol
35
Meningitis triad
HA, fever, neck stiffness
36
cerebellar hemorrhage often -->
surgical intervention
37
carbamazapine CBC levels when?
at 3, 6, 9, 12 months
38
clozapine- not with
carbamazapine!
39
tetanus MOA
inhibits GABA and glycine
40
med for hypertensive emergencies incl. pheochromo, cocaine, maoi induced
phentolamine. Alpha antagonist.
41
serotonin syndrome med
dantrolene
42
most risk for child abuse and neglect
poverty
43
most common mitochondrial disorder
MELAS
44
botulinum MOA
block acetylcholine release at peripheral synapses
45
tobacco withdrawal
decrease mood, insomnia, irritability, increased appetite, bradycardia
46
PET scan
regional blood flow and glucose metabolism
47
body dysmorphic disorder neurotransmitter
serotonin
48
alzheimer survival
5-10 years
49
delirium involves
reticular formation, dorsal tegmental pathway
50
disulfiram dosages
start at 500 then move to 250
51
Brain death
coma no spontaneous respirations at CO2 at least 60 mm Hg absence of brain-stem reflexes (pupillary, oculocephalic, corneal, gag all absent, no cold calorics) ECG isoelectric absence of reversible causes of CNS depression: hypothermia, drug intoxication, severe metabolic disturbance positive apnea test is an absolute necessity
52
NF1 vs NF 2
NF1: Lisch nodules, optic nerve gliomas, 6 or more cafe au lait lesions, NF2: bilateral schwannomas or 1 plus relative first degree relatives with it