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Psychiatry Rotation > UWorld > Flashcards

UWorld Flashcards

1
Q

Rx for antipsychotic-induced Parkinsonism

A

benztropine (anticholinergic)

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2
Q

Rx of neuroleptic malignant syndrome

A

dantrolene (muscle relaxant)

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3
Q

Rx of antipsychotic-induced akithisia

A

propanolol

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4
Q

intentional falsification of disease with the goal of assuming the sick role; when questioned, leave AMA

A

factitious disorder

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5
Q

motor or sensory neurologic deficits after stressor, not intentionally produced, labelle indifference

A

conversion disorder

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6
Q

excessive anxiety and preoccupation with the potential of having a serious undiagnosed disease, nonspecific symptoms not produced intentionally

A

illness anxiety disorder/somatic symptom disorder

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7
Q

intentional production of symptoms motivated by secondary gain

A

malingering

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8
Q

contraindications to Li use

A

CKD, heart disease, hyponatremia or diuretic use

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9
Q

baseline studies for Li use

A

check Ca, renal function, thyroid function, CV function

BUN, creatinine, Ca, urinalysis, TFTs, EKG if coronary risk factors

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10
Q

acute SE of Li

A

GI, tremor, weight gain, cognitive impairments

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11
Q

chronic SE of Li

A

nephrogenic DI, thyroid dysfunction, hyperPTH

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12
Q

maintenance therapy for bipolar a/f 1 episode, a/f 2 episodes, a/f 3 episodes

A

a/f 1 episode at least a year, a/f 2 episodes at least years/lifetime, a/f 3 episodes lifetime

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13
Q

if bipolar maintenance of Li is failing

A

add an atypical antipsychotic

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14
Q

first line treatment for specific phobia

A

CBT

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15
Q

fearful of scrutiny of others

A

social anxiety disorder

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16
Q

eye movement desensitization and retracking is used for

A

PTSD

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17
Q

Rx of GAD

A

buspirone

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18
Q

SSRIs used in Rx of anxiety disorders

A

fluoxetine and venlafaxine

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19
Q

NT most affected in OCD

A

serotonin

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20
Q

Rx OCD

A

fluoxetine, fluvoxamine, paroxetine, sertraline (SSRI), clomipramine (TCA)

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21
Q

Rx bipolar disorder

A

atypical antipsychotics, Li, Valproic Acid

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22
Q

amitriptylene class

A

TCA

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23
Q

amitriptylene SE

A

orthostatic hypotension, cardiotoxicity w/ overdose

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24
Q

Rx panic disorder (immediate and long term)

A

immediate: benzos

long term: SSRI, SNRI, CBT

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25
Q

panic disorder comorbidities

A

MDD, substance abuse, agoraphobia, bipolar

also higher risk of suicide

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26
Q

indecisive, clingy, fear of being alone, submissive behavior

A

dependent PD

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27
Q

HA, fatigue, insomnia a/f a big life change and w/ tearfulness

A

depression

28
Q

antipsychotic SE of agranulocytosis

A

clozapine

29
Q

antipsychotic SE of cataracts

A

quetiapine

30
Q

antipsychotic SE of pigmentary retinopathy

A

thioridazine

31
Q

antipsychotic SE of jaundice

A

chlorpromazine

32
Q

Rx of adjustment disorder

A

cognitive of psychodynamic psychotherapy

33
Q

screening tests needed when starting Li

A

kidney and thyroid function tests

34
Q

antipsychotic with SE of hyperprolactinemia

A

risperidone

35
Q

antipsychotics with worse metabolic SE

A

olanzapine and clozapine

36
Q

drug intoxication with nystagmus and ataxia

A

PCP

37
Q

acute intoxication with visual hallucinations

A

LSD

38
Q

acute intoxication with chest pain and seizures, mydriasis

A

cocaine

39
Q

acute intoxication with increased appetite, impaired time perception, conjunctival injection

A

marijuana

40
Q

acute intoxication with depressed mental status, miosis, respiratory depression

A

heroin

41
Q

chronic marijuana use SE

A

gynecomastia

42
Q

respiratory depression, pinpoint pupils, CND depression

A

opioid overdose

43
Q

violent behavior, agitation, dissociation, acute intoxication

A

PCP

44
Q

a/f administration of haloperidol, fever, rigidity, mental status changes, autonomic instability

A

Neuroleptic malignant syndrome (NMS)

45
Q

chronic low grade depression that lasts for at least 2 years

A

persistent depressive disorder (dysthymia)

46
Q

Rx of dysthymia

A

antidepressants and/or therapy

47
Q

anticholinergic agent used to treat EPS SE of antipsychotics

A

benztropine

48
Q

Rx of NMS

A

dantrolene, amantadine, bromocriptine

49
Q

Rx opiod overdose

A

naloxone

50
Q

Rx SE of akathisia

A

propanolol

51
Q

Rx hypochondriasis

A

discuss emotional stressors, brief psychotherapy

52
Q

Rx performance social anxiety disorder

A

propanolol (beta blocker) or benzo (if no substance use issues) or CBT

53
Q

Rx generalized social anxiety disorder

A

SSRI/SNRI or CBT

54
Q

SE dietary restriction, risk of hypertensive crisis

A

phenelzine (MAOI)

55
Q

SSRI for moderate-severe depression ineffective, next step

A

switch to another SSRI

56
Q

SSRI for moderate-severe depression ineffective, switch to other SSRI also ineffective, next step

A

switch class of antidepressants

57
Q

Rx narcolepsy

A

modafinil, armodafinil, amphetamine stimulants, sodium oxybate

58
Q

Rx dystonia

A

benztropine of diphenhydramine

59
Q

MAOI + tyramine rich foods has a risk of

A

hypertensive crisis

60
Q

Rx for treatment-resistant schizophrenia or schizophrenia associated with suicidality

A

clozapine, must monitor for agranulocytosis

61
Q

age-related sleep changes

A

less sleep, frequent awakenings, less stage 4 sleep

62
Q

anorexia BMI cutoff

A
63
Q

Rx anorexia (medicine)

A

olanzapine

64
Q

Rx bulimia (med)

A

SSRI

65
Q

agitation, irritability, paranoia, delirium, tachy, hypertension, diaphoresis, mydriasis

A

amphetamine intoxication

66
Q

mydriasis, hyperthermia, tachy, HTN, dry skin and mucous membranes, myoclonic jerks and tremors, ileus, urinary retention

A

anticholinergic poisoning

Psychiatry Rotation (5 decks)

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