spiegel 4 Flashcards
atomoxetine takes how long
10 weeks
maoi delicous treats
no caviar
can drink vodka!
clozapine doses over 600 increase
seizure risk
acute intermittent porphiria and psych
everything but dementia
alzheimers over 85 percent?
20-40%
mirtazapine MOA
anti presynaptic alpha 2–> potentiates the action of serotonin and norepinephrine
FDA approved bipolar maintenance
Aripiprazole (Abilify), lamotrigine (Lamictal), lithium, olanzapine (Zyprexa),
sleep stage for terrors and somnambulism
stage IV in the first 1/3
gabapentin metabolism
excreted unchanged in the urine
3A4 inhibition
nefazedone
grapefruit juice
affects trazodone
after stroke give
aspirin
most common anxiety disorder
specific phobia
Binswangers
subcortical arteriosclerotic encephalopathy
Dementia
apathy
gait
pseudobulbar
wernickes
opthalmoplegia
thiamine
cranial nerves 3,6,8
introjection
unconscious incorporation of others’ attitudes (immature defense mechanism)
irritable bowel
mucus no blood
epigenetic prinical - psychologist
Erikson
human development occurs in sequential, clearly defined stages
glossolalia
unintelligible jargon
laconic
decrease in quality of spontaneous speech (brief responses)
verbigeration
meaningless & stereotyped repetition of words & phrases
negative symptoms of schiz
mesocortical
VTA–> FL
schiz suicide rate
10%
what makes them atypicals
5HT2A receptor
ANC schedule
weekly 6 months, biweekly 6 months, monthly thereafter
encoparesis goes with
sexual abuse
maternal hostility
harsh parenting
pathological gambling biomarkers
decreased plasma MHPG and decreased platelet MAO activity
Who - concept of archetype, collective unconscious, intro/extrovert, animus, persona, individuation?
Jung
Goldstein
self-actualization
Kappa
reliable or reproducible results
Melanie klein
object relations
panic time
1 month
lithium vs lamictal weight gain
lithium yes, lamictal no
what to do when anc 500-999
stop clozapine until > 1000
huntingtons chorea med
haldol
Meningitis triad
HA, fever, neck stiffness
cerebellar hemorrhage often –>
surgical intervention
carbamazapine CBC levels when?
at 3, 6, 9, 12 months
clozapine- not with
carbamazapine!
tetanus MOA
inhibits GABA and glycine
med for hypertensive emergencies incl. pheochromo, cocaine, maoi induced
phentolamine. Alpha antagonist.
serotonin syndrome med
dantrolene
most risk for child abuse and neglect
poverty
most common mitochondrial disorder
MELAS
botulinum MOA
block acetylcholine release at peripheral synapses
tobacco withdrawal
decrease mood, insomnia, irritability, increased appetite, bradycardia
PET scan
regional blood flow and glucose metabolism
body dysmorphic disorder neurotransmitter
serotonin
alzheimer survival
5-10 years
delirium involves
reticular formation, dorsal tegmental pathway
disulfiram dosages
start at 500 then move to 250
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
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
