High Yield Psych Video

Question 1

least likely antipsychotic to cause EPS

Answer 1

clozapine AE: agranulocytosis

Question 2

tx for ocular gyric crisis

Answer 2

benztropine, diphenhydramine

Question 3

tx for akathesia

Answer 3

akathesia - restless movements

1st: propranolol
2nd: benzo

Question 4

tx for parkinsonian EPS

Answer 4

1: benztropine (anti-H, anti-MAch), diphenhydramine
2: amantadine, bromocriptine (dopamine agonist)

Question 5

antipsychotic with AE: retina deposits and long QTc

Answer 5

Thioridazine

Question 6

antipsychotic with AE: purple/grey metallic rash, jaundice

Answer 6

chlorpromazine (also corneal/retinal deposits)

Question 7

drugs that like to cause neuroleptic malignant syndrome

Answer 7

haloperidol
compazine
metoclopramide (tx; gastroparesis)
droperidol

(can cause any EPS)

Question 8

neuroleptic malignant syndrome treatment

Answer 8

dantrolene (muscle relax)
bromocriptine
cooling blankets

Question 9

atypical antipsychotic with no weight gain and akathesia

Answer 9

aripiprozole

Question 10

atypical antipsychotic with no weight gain and long QTc

Answer 10

ziprasidone

Question 11

atypical antipsychoticwith cataracts and orthostatic hypoTN

Answer 11

quetiapine

Question 12

atypical antipsychotic with no EPS

Answer 12

clozapine

Question 13

atypical antipsychotic with weight gain, DM

Answer 13

olenzapine

Question 14

atypical antipsychotic with highest chance for EPS and increased prolactin?

Answer 14

risperidone

Question 15

name 4 SSRIs

Answer 15

fluoxetine (safe for preg)
sertraline
paroxetine fluvoxamine
escitalopramcitalopram(–ine, –pram)

Question 16

SSRI with most drug-drug interactions

Answer 16

paroxetine

Question 17

SSRI with the least drug-drug interactions

Answer 17

citalopram

Question 18

SSRI which doesnt need tapered off when stopping

Answer 18

fluoxetine

Question 19

SSRI most likely to cause seratonin discontinuation syndrome with abrupt stoppage

Answer 19

fluvoxamine

sertraline

Question 20

hyperreflexia, tach, myoclonic jerks, HTN, n/v/d when starting an SSRI

Answer 20

5HT syndromelikely taking SSRI + MAOi

Question 21

when an SSRI gives you ED?

Answer 21

switch to buproprion

Question 22

norepi and dopamine reuptake inhibitor

Answer 22

buproprion

Question 23

mirtazapine

Answer 23

atypical antidepressant
antag: alpha1, alpha2, 5HT2&3
increases appetite

Question 24

SNRIs

Answer 24

venlafaxine
duloxetine
amoxapine
desvenlafaxine

Question 25

avoid in HTN patient

Answer 25

SNRI + St. Johns' Wort combined can cause HTN crisis

Question 26

IV phentolamine?

Answer 26

tx for HTN crisis. alpha blocker, combats the excess NEMAOI + wine/cheese can cause this

Question 27

TCA OD? EKG?tx?

Answer 27

see wide QRS and long QT interval | tx: charcoal if within 1-2H, IV NaHCO3-

Question 28

MAOis

Answer 28

tranylcypromine phenelzine isocarboxazid selegeline (MAO-B specifically)

Question 29

tx for Alzheimers? 2 drug classes

Answer 29

anti Ach esterase - donepazil, rivestigmine, glantamine | anti NMDA - memantine

Question 30

tx for frontotemporal dementia

Answer 30

olanzapine (tx the disinhibition)

Question 31

what has shuffling gait, visual hallucinations, and demantia

Answer 31

Lewy Body dementia (lewy body = alpha synuclein inclusions) Dementia is a late finding of Parkinson disease, so if its early think this

Question 32

tx for lewy body dementia

Answer 32

for memory loss: anti Ach esterase - donepazil, rivestigmine, glantamine can not give typical antipsychotics or l-dopa this causes paridoxical worsening

Question 33

benzos that are safe to treat DTs if the patient has liver probs?

Answer 33

Lorazepam Oxazepam Temazapam

Question 34

treatment for narcolepsy

Answer 34

scheduled naps and Modafinil (a drug that promotes wakefulness, sometimes also used for ADD)

Question 35

prevention for PTSD nightmares?

Answer 35

alpha1-blockers (--osin) | PTSD 1st line tx is SSRI

Question 36

tx for insomnia after you've tried counseling on sleep hygiene?

Answer 36

GABAa receptor agonist: zolpidem, zaleplon, escopiclone