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B&B wk 4 > survey monkey > Flashcards

survey monkey Flashcards

1
Q

electroconvulsive therapy has shown efficacy in all types of major depressive disorders but is most efficacious in?

A

severe depression

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2
Q

psychosurgery is a controversial procedure where a small piece of brain is destroyed or removed. it shows improvement in 1/3 of these types of pts?

A

refractory OCD and depression

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3
Q

not 1st line; helpful in pain syndromes; lethal in overdose 2/2 arrhythmias

A

TCA

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4
Q

generally 1st line antidepressant ; fewer ADE than TCA; flat dose response curve; can be sedating oractivating

A

SSRI

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5
Q

indicated in depression when SSRI is not effective, can help c/ neuropathic pain

A

SNRI

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6
Q

usually considered last line 2/2 high incidence of food/drug and drug/drug interaction

A

MAOI

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7
Q

mood stabilizer used in mania and bipolar; can be toxic; causes diabetes

A

lithium

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8
Q

decreases nicotine cravings, also good for Parkinsons, should be avoided in bulimia

A

buproprion

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9
Q

depression is considered in remission after 3 consecutive wks of no symptoms - how long should you continue to treat?

A

6-12 moto reduce relapse rate

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10
Q

what are 3 reasons to consider lifelong antidepressants

A

if 1st episode occurred before 20 or after 50; if over 40 c/ 2 episodes of depression; if 3 episodes at any age

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11
Q

what class of drug increases suicidal ideation in child/teen

A

SSRI

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12
Q

what drug can cause bipolar to switch to manic behavior

A

TCA

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13
Q

diminished emotional expression and avolition, alogia, anhedonia, asociality

A

negative (subtle)

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14
Q

effective in positive symptoms EPS, used acutely

A

typical

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15
Q

hallucinations, delusions, disorganized thinking, abnormal motor

A

positive (obvious)

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16
Q

effective in both pos and neg, no EPS, quick, better tolerated, ass. c/ metabolic side-effects

A

atypical

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17
Q

involuntary movements of tongue, lips, neck, trunk and limbs occurs months to years after use of antipsych med

A

tardive dyskinesia

18
Q

catatonia like state, EPS, BP changes, altered consciousness, hyperpyrexia, usually w/in 2 wks

A

neuroleptic malignant syndrome

19
Q

dystonia, Parkinson-like, akathesia, common in 1st gen, time and dose dependant

A

EPS - tx c/ anticholinergic

20
Q

wks -mo after starting tx, bradykinesia, rigidity, tremor

A

pseudoparkinsonism

21
Q

what class of drugs enhances GABA effect on Cl channels, dec neuronal excitability

A

benzos

22
Q

what class of drug has serious ADE of resp depress, dependency, seizure, suicidality, tachycardia, syncope

A

benzos

23
Q

what class of med should avoid abrupt withdrawal and avoid ETOH

A

benzos

24
Q

what are naltrexone, acamprosate, and disulfram used for

A

ETOH withdrawal

25
Q

disregard for & violation of rights of others. deceitful, does not conform to social norms, lacks remorse

A

antisocial

26
Q

detachment from social relationships, restricted range of expression of emotions in interpersonal settings, loner

A

schizoid

27
Q

social and interpersonal deficits marked by acute discomfort with and reduced capacity for close relationships

A

schizotypal

28
Q

grandiosity, need for admiration, lacks empathy, believes special/ unique/ of high status

A

narcissistic

29
Q

excessively emotional, attention seeker, wants to be center of attention

A

histrionic

30
Q

needs to be taken care, leads to submissive and clingy behavior, lacks confidence/self esteem

A

dependent

31
Q

instability in interpersonal relationships and self-image. impulsive, suicidality common, alternate between extremes of emotion

A

borderline

32
Q

distrust and suspicion of others, other motive malevolent

A

paranoid

33
Q

psychological conflict converted into physical manifestations, often paralysis

A

conversion disorder

34
Q

physical symptoms suggesting physical illness or injury, but can’t be explained by physical cause

A

somatic symptom disorder

35
Q

i think i have everything

A

hypochondriasis

36
Q

ficticious disorder

A

muchausens

37
Q

deliberate fictitious dz simulation c/ specific end goal

A

malingering

38
Q

manic and depressive episodes

A

bipolar 1

39
Q

depressive and hypomaniac episodes

A

bipolar II

40
Q

what 2 things are always required DSM5 components of maj depression

A

anhedonia, depressed mood

41
Q

excessive daytime somnolence, catoplexy, dreamlike experiences while falling asleep, sleepy paralysis, naps refresh short term

A

narcolepsy

B&B wk 4 (1 decks)

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