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MS3 > Psych MS4 > Flashcards

Psych MS4 Flashcards

1
Q

Tx of delusional disorder

A

Psychotherapy - do not support or refute delusion; maintain alliance

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2
Q

Time frame of delusional disorder

A

1 month

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3
Q

What is the most common psychiatric disorder

A

Specific phobia

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4
Q

Describe pathophysiology of tardive dyskinesia

A

• Dopamine receptor upregulation and supersensitvity resulting form chronic blockade of dopamine recepots

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5
Q

Medical tx of narcolepsy

A

Modafinil (nonamphetamine stimulant)

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6
Q

Onset of postpartum blues vs depression

A

Blues = 2-3 days after delivery

Depression = 4-6 weeks after delivery

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7
Q

Time frame of postpartum blues vs depression

A

Blues = usually resolves in 10-14 days

Depression = >2 weeks

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8
Q

Tx of postpartum blues vs depression

A

Blues = watch and wait

Depression = SSRI and CBT

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9
Q

Tx of postpartum psychosis

A

atypical antipsychotics + hospitalization (pt has increased risk of suicide and infanticide)

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10
Q

What may you see on head imaging in scizophrenia

A

Lateral ventricular enlargement

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11
Q

Effect of Mirtazipine on weight

A

Weight gain

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12
Q

What atypical antipsychotics are least likely to cause hyperprolactinemia

A

Aripiprazole

Quetiapine

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13
Q

Tx of catatonia

A
  • Benzos (Lorazepam)

- ECT

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14
Q

First-line tx for ADHD

A

Stimulants (amphetamine, methylphenidate)

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15
Q

2nd line tx for ADHD

A

Non-stimulants (Atomoxetine)

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16
Q

What is the difference between nightmare disorder and sleep terror disorder

A

Nightmare -

  • Diagnosis requires recurrent episodes of awakening from sleep with recall of highly disturbing and frightening dream content
  • On awakening, child is fully alert, remembers the dream, and can usually be consoled

Sleep terror -
o Characterized by incomplete awakenings, unresponsiveness to comfort, and no recall of dream content

17
Q

Tx of somatic sx disorder

A

o Regularly scheduled visits with same provider
o Limit unnecessary workup and specialist referrals
o Legitimize symptoms but make functional improvement the goal
o Focus on stress reduction and improving coping strategies
o Mental health referral if patient will accept

18
Q

what psychiatric disorder might be associated with enlarged lateral ventricles

A

Schizophrenia

19
Q

What hormone abnormality might you see in depression

A

Increased cortisol levels

20
Q

Which antipsychotics are least likely to cause hyperprolactinemia

A

Aripiprazole and Quetiapine

21
Q

Tx of delirium-associated agitation

A

Haldol

22
Q

Drugs used to tx Alzheimers

A

Galantamine, Rivastigmine, Donepezil

23
Q

Describe presentation of REM sleep behavior disorder

A

o Characterized by complex motor behaviors that occur during sleep
o Dream enactment can occur if the muscle atonia that usually accompanies REM sleep is absent or incomplete

Vs. nightmare disorder where people do not usually have motor activity

24
Q

Which antipsychotic is least likely to cause tardive dyskinesia

A

Clozapine

25
Q

Tx of agitation secondary to PCP intoxication

A

Lorazepam

Haldol is 2nd line

26
Q

What are the short acting benzos

A

Think ‘fast ox’ and “all AM”

Oxazepam
-‘olam’ suffix (Triazolam, Alprazolam, Midazolam)

27
Q

What are the long acting benzos

A

Diazepam

Chlordiazapoxide

28
Q

Tx of Neuroleptic Malignant Syndrome (NMS)

A
  • Discontinue antipsychotic medication
  • Supportive management (cardiac monitoring, intubation)
  • Dantrolene (muscle relaxant to decrease rigidity and myonecrosis)
  • Bromocriptine (dopamine agonist to undo effects of antipsychotic)
29
Q

Tx of tardive dyskinesia

A
  • Reduce, stop, or change antipsychotic
  • Clozapine may reduce or eliminate TD
  • Tx with Valbenazine
30
Q

Preferred medication to tx psychosis in Parkinson’s pt

A

Quetiapine - sedating + less EPS

MS3 (88 decks)

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