Psych Flashcards

1
Q

Which of the following drugs can cause hypothyroidism in either therapeutic usage or overdose?

A

lithium

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2
Q

how long does mania have to last in bipolar

A

at least 1 week
or requiring hospitalization

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3
Q

sx of benzodiazepine toxicity

A

Coma or central nervous system depression with essentially normal vital signs and midposition pupils

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4
Q

sx serotonin syndrome

A

triad of cognitive, autonomic, and neuromuscular related symptoms. Cognitive symptoms may manifest as altered mental status, agitation, or pressure speech. Autonomic effects cause vital sign abnormalities such as hyperthermia, hypertension, and tachycardia and symptoms such as diarrhea, mydriasis, and diaphoresis. Neuromuscular symptoms include tremor, hyperreflexia, rigidity, and myoclonus

MYOCLONUS

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5
Q

what med should be avoided in patients with anorexia or bulimia nervosa due to the risk of seizures

A

bupropion

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6
Q

What class of medications is recommended for treatment of performance-only social anxiety disorder?

A

BB

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7
Q

tx for alcohol withdrawal

A

benzodiazepine such as lorazepam

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8
Q

What is the first-line pharmacotherapy for treating a patient with bulimia nervosa?

A

fluoxetine

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9
Q

how long do you have to have sx to be diagnosed with GAD

A

6 mos

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10
Q

dx for panic disorder

A

1 month x 2 attacks

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11
Q

dx MDD

A

at least 5 sx x 2 weeks

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12
Q

tx PTSD nightmares and insomnia

A

nightmares - prazosin
insomnia - trazodone

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13
Q

pathyophys of schizophrenia

A

increased dopamine in mesolimbic (positive sx)
decreased dopamine in mesocortical (negative sx)

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14
Q

dx schizophrenia

A

1 or more sx x 6 months - 1 has to be delusion/hallucination

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15
Q

cluster A personality disorders

A

schizoid
schizotypal
paranoid

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16
Q

what is schizoid

A

AVOID - lifelong detachment from relationships

17
Q

what is schizotypal

A

magical thinking - odd behavior without hallucinations

18
Q

what is paranoid

A

distrust/disinterest

19
Q

cluster B personality disorders

A

antisocial
borderline
histrionic
narcissistic

20
Q

what is borderline

A

instability w relationships and self-image

black and white thinking
mood swings
impulsivity (suicidality)

21
Q

what is histrionic

A

attention seeking
sexual
temper tantrums

22
Q

cluster C personality disorders

A

avoidant
dependent
obsessive compulsive personality

23
Q

what is avoidant

A

avoid relationships due to fear of rejection

24
Q

what is dependent

A

can’t assume responsibility
fear of being alone

25
Q

obsessive compulsive personality

A

obsessed with perfection
no compulsions

26
Q

sx wernicke encephalopathy

A

oculomotor dysfunction (nystagmus), mental status change, and gait disturbances

27
Q

tx serotonin syndrome

A

supportive + cessation of med

Others:
Benzodiazepines
Hydration and cooling
Cyproheptadine

28
Q
A