Western Review Course Tidbits Flashcards

1
Q

what % of those with ASD will have ID

A

35%

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2
Q

what % of those with ASD will develop seizures in childhood or adolescence

A

20%

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3
Q

what is the heritability of ASD

A

about 90%

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4
Q

what is the sibling recurrence rate in ASD

A

about 5-10%

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5
Q

what % of those with ASD also meet criteria for ADHD

A

50% at least

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6
Q

should we use SSRIs to treat repetitive/ritualistic behaviour in ASD

A

cochrane review–> wasnt enough evidence to warrant general use for this

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7
Q

name two medications that have shown efficacy in treating repetitive behaviours in those with ASD

A

risperidone and haloperidol

haldol–> also helps with social withdrawal

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8
Q

what generally occurs during phase I metabolism

A

oxidation, reduction, hydrolysis

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9
Q

what generally occurs during phase II metabolism

A

conjugation, acetylation

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10
Q

list 4 medications that are exclusively renally excreted

A

lithium
gabapentin
pregabalin
topirmate

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11
Q

which 4 drugs commonly used in psychiatry inhibit 2D6 and thus increase the levels ofmany drugs

A

buproprion
fluoxetine
duloxetine
paroxetine

would increase levels of: risperidone, olanzapine, vortioxetine, TCAs, beta blockers + reduces codeine effects

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12
Q

why is fluvoxamine such a pain

A

is a pan-CYP inhibitor basically

especially 1A2–> will increase levels of clozapine and olanzapine

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13
Q

what is the relationship bwteen valproate and lamotrigine

A
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14
Q

should you add lamotrigine to valproate or valproate to lamotrigine

A

avoid combining but if you have to combine, always add lamotrigine to valproat and not the other way around

start at half the lamotrigine dose

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15
Q

should you add lamotrigine to valproate or valproate to lamotrigine

A

avoid combining but if you have to combine, always add lamotrigine to valproat and not the other way around

start at half the lamotrigine dose

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