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ABPN > spiegel 4 > Flashcards

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

A

10%

23
Q

what makes them atypicals

A

5HT2A receptor

24
Q

ANC schedule

A

weekly 6 months, biweekly 6 months, monthly thereafter

25
Q

encoparesis goes with

A

sexual abuse
maternal hostility
harsh parenting

26
Q

pathological gambling biomarkers

A

decreased plasma MHPG and decreased platelet MAO activity

27
Q

Who - concept of archetype, collective unconscious, intro/extrovert, animus, persona, individuation?

A

Jung

28
Q

Goldstein

A

self-actualization

29
Q

Kappa

A

reliable or reproducible results

30
Q

Melanie klein

A

object relations

31
Q

panic time

A

1 month

32
Q

lithium vs lamictal weight gain

A

lithium yes, lamictal no

33
Q

what to do when anc 500-999

A

stop clozapine until > 1000

34
Q

huntingtons chorea med

A

haldol

35
Q

Meningitis triad

A

HA, fever, neck stiffness

36
Q

cerebellar hemorrhage often –>

A

surgical intervention

37
Q

carbamazapine CBC levels when?

A

at 3, 6, 9, 12 months

38
Q

clozapine- not with

A

carbamazapine!

39
Q

tetanus MOA

A

inhibits GABA and glycine

40
Q

med for hypertensive emergencies incl. pheochromo, cocaine, maoi induced

A

phentolamine. Alpha antagonist.

41
Q

serotonin syndrome med

A

dantrolene

42
Q

most risk for child abuse and neglect

A

poverty

43
Q

most common mitochondrial disorder

A

MELAS

44
Q

botulinum MOA

A

block acetylcholine release at peripheral synapses

45
Q

tobacco withdrawal

A

decrease mood, insomnia, irritability, increased appetite, bradycardia

46
Q

PET scan

A

regional blood flow and glucose metabolism

47
Q

body dysmorphic disorder neurotransmitter

A

serotonin

48
Q

alzheimer survival

A

5-10 years

49
Q

delirium involves

A

reticular formation, dorsal tegmental pathway

50
Q

disulfiram dosages

A

start at 500 then move to 250

51
Q

Brain death

A

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
Q

NF1 vs NF 2

A

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

ABPN (6 decks)

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