UWORLD Flashcards

1
Q

gambling disorder criteria

A
  • gambling when distressed, depressed or anxious
  • increased gambling to achieve the desired excitement
  • return to recover past losses
  • preoccupation
  • irritability upon cutting back
  • repeated attempts to cut back
  • concealing
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2
Q

adjustment disorder

A

in response to a stressor in last 3 months

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3
Q

How often should opioid prescribers be seen?

A

3 months

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4
Q

side effects of lithium

A

nephrogenic DI, kidney disease, hyperparathyroidism and thyroid dysfunction

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5
Q

lithium screening

A

BUN, creatinine, urinalysis, calcium, pregnancy test and thyroid function tests
- ECG in heart patients

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6
Q

most effective treatment for MDD

A

antidepressent and psychotherapy

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7
Q

schizoid vs schizotypal

A

schizoid - loner, detached and unemotional

typal - eccentric, odd thoughts, perceptions and behaviors

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8
Q

first line for major depression with psychotic features

A
  • antidepressant plus antipsychotic

- or ECT

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9
Q

medical treatment of neuroleptic malignant syndrome

A

reverse dopamine blockade with bromocriptine or amantidine

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10
Q

screening for depression

A

SIGECAPS

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11
Q

risk for suicidal thoughts and antidepressants

A

slight increased risk, less than 25

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12
Q

firstline treatments for bipolar I

A

lithium, valproate, quetiapine, and lamotragine

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13
Q

drug associated with hyponatremia

A

MDMA

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14
Q

order of postpartum problems

A
  • blues = 2-3 days, no treatment
  • depression = 4-6 weeks, treat with SSRI
  • psychosis = days - weeks, hospital
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15
Q

breastfeeding drug for postpartum depression

A

sertaline

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16
Q

treatment of PTSD

A
  • SSRI, SNRI, CBT

- prazosin for nightmares

17
Q

nightmare disorder

A
  • disturbing and frightening dream content
  • alert, remembers and consolable
  • during REM sleep
18
Q

sleep terror disorder

A
  • non-arousable
  • no response to comfort
  • cant remember content
19
Q

MOA of buproprion

A

norepi/dopamine RI

20
Q

parotid gland enlargement and hand abrasions

A

bullemia

21
Q

abnormalities in bullemia

A

hypokalemia

22
Q

brief psychotic disorder

A

must have return to function

23
Q

long acting injectable antipsychotics

A

used when you cant give oral meds