survey monkey

Question 1

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

Answer 1

severe depression

Question 2

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?

Answer 2

refractory OCD and depression

Question 3

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

Answer 3

TCA

Question 4

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

Answer 4

SSRI

Question 5

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

Answer 5

SNRI

Question 6

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

Answer 6

MAOI

Question 7

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

Answer 7

lithium

Question 8

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

Answer 8

buproprion

Question 9

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

Answer 9

6-12 moto reduce relapse rate

Question 10

what are 3 reasons to consider lifelong antidepressants

Answer 10

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

Question 11

what class of drug increases suicidal ideation in child/teen

Answer 11

SSRI

Question 12

what drug can cause bipolar to switch to manic behavior

Answer 12

TCA

Question 13

diminished emotional expression and avolition, alogia, anhedonia, asociality

Answer 13

negative (subtle)

Question 14

effective in positive symptoms EPS, used acutely

Answer 14

typical

Question 15

hallucinations, delusions, disorganized thinking, abnormal motor

Answer 15

positive (obvious)

Question 16

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

Answer 16

atypical

Question 17

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

Answer 17

tardive dyskinesia

Question 18

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

Answer 18

neuroleptic malignant syndrome

Question 19

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

Answer 19

EPS - tx c/ anticholinergic

Question 20

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

Answer 20

pseudoparkinsonism

Question 21

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

Answer 21

benzos

Question 22

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

Answer 22

benzos

Question 23

what class of med should avoid abrupt withdrawal and avoid ETOH

Answer 23

benzos

Question 24

what are naltrexone, acamprosate, and disulfram used for

Answer 24

ETOH withdrawal

Question 25

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

Answer 25

antisocial

Question 26

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

Answer 26

schizoid

Question 27

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

Answer 27

schizotypal

Question 28

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

Answer 28

narcissistic

Question 29

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

Answer 29

histrionic

Question 30

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

Answer 30

dependent

Question 31

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

Answer 31

borderline

Question 32

distrust and suspicion of others, other motive malevolent

Answer 32

paranoid

Question 33

psychological conflict converted into physical manifestations, often paralysis

Answer 33

conversion disorder

Question 34

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

Answer 34

somatic symptom disorder

Question 35

i think i have everything

Answer 35

hypochondriasis

Question 36

ficticious disorder

Answer 36

muchausens

Question 37

deliberate fictitious dz simulation c/ specific end goal

Answer 37

malingering

Question 38

manic and depressive episodes

Answer 38

bipolar 1

Question 39

depressive and hypomaniac episodes

Answer 39

bipolar II

Question 40

what 2 things are always required DSM5 components of maj depression

Answer 40

anhedonia, depressed mood

Question 41

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

Answer 41

narcolepsy