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STEP 2 > Psych-1 > Flashcards

Psych-1 Flashcards

1
Q

SSRI safe for pregnant women

A

Fluoxetine

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2
Q

SSRI with highest Nausea and Diarrhea

A

Sertraline

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3
Q

SSRI with fewest drug-drug interactions

A

Citalopram

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4
Q

SSRI you don’t have to taper

A

Fluoxetine

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5
Q

SSRI used for OCD

A

Fluvoxamine

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6
Q

Skinny old depressed lady who can’t sleep.

A

Mirtazapine A2 agonist will cause weight gain and drowsiness

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7
Q

Treats depression and neuropathic pain

A

Duloxetine

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8
Q

Norepi and Dopa uptake inhibitor that lowers the seizure threshold

A

Buproprion

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9
Q

Drug for depression that increases BP.

A

Venlafaxane (SNRI)

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10
Q

Side effect of mirtazapine

A

Agranulocytosis

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11
Q

TCA approved for OCD

A

Clomipramine

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12
Q

Atypical antipsychotic with highest EPS risk and Inc. Prolactin

A

Risperidone

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13
Q

Atypical Antipsychotic that increases the QTC,

A

Ziprasadone

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14
Q

Atypical anti-psychotic. weight neutral, Increases akathasia

A

Ariptrazole “Ants in the Pants”

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15
Q

Atypical Antipsychotic that causes orthostasis and cataracts

A

Quetiapine (Has Alpha Blocking properties)

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16
Q

What do you treat Benzo withdrawal with ?

A

Diazepam

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17
Q

What do you treat a specific phobia with ?

A

Flooding or Exposure/Extinction

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18
Q

What do you treat a social phobia with

A

Beta blocker / Benzo

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19
Q

Gold Standard to treat OCD ? What is 1st line?

A

Clomipramine is gold standard, SSRI are first line. + Exposure Response Prevention

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20
Q

What do you treat PTSD with ?

A

Sertraline or Paroxetine combined with CBT

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21
Q

Sleep Spindles and K Complexes

A

Stage 2

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22
Q

Sleep walking and night terrors

A

stage 3

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23
Q

What causes Fragile X

A

CGG Repetes w/ anticipation. X-Linked. Seizure, MVP, Dialation of the aorta, tremors, ataxia,

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24
Q

Cafe- au - Lait, Seizures, Large Head

A

Neurofibramatosis

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25
Q

Coarse facies, short stature, cloudy cornea. Autosomal Recessive

A

Hurlers Syndrome

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26
Q

Smith Magenis ?

A

Broad, square face, short stature, deletion of chrome 17, self injurious behavior.

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27
Q

Hypotonia, hypogonadism, hyperphagia, skin picking, agression, chrom 15 deletion.

A

Prader-Willi (Paternal deletion / Prader Willi

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28
Q

Seizures, Strabismus, Sociable Episodic Laughter, Deletion on maternal chrom 15

A

Angelman.

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29
Q

Chromosome 7 deletion. Elfin appearance, Increased empathy and verbal reasoning

A

Williams

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30
Q

Person on an antipsychotic developed a grey rash and jaundice.

A

Chlorpromazine

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31
Q

Person on antipsychotics developes inc.QTc retinopathy

A

Thioridazine

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32
Q

Resistant schiophrenia

A

Clozapine.

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33
Q

Bipolar and Pregnant

A

Clonazapam

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34
Q

Bipolar and developed hepatitis

A

Valproic Acid.

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35
Q

SSRI with MOST Drug - Drug Interactions

A

Paroxetine

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36
Q

5HT discontinuation syndrome is common with ?

A

Sertraline and Fluvoxamine

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37
Q

Depressed patient with hypertension, should not get ?

A

Venlafaxane

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38
Q

What do you give a patient who is in a hypertensive crisis

A

IV Phenatolamine.

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39
Q

How do you treat the 2 forms of schizoaffective disorder ?

A

Atypical Antyipsychotic + Li if manic, and SSRI if depressive.

40
Q

SSRI for social phobia

A

Paroxetine.

41
Q

Rapid Cycling Bipolar

A

Carbemazepine

42
Q

OCD, What do you always rule out ?

A

PANDAS.

43
Q

What do you give for NMS

A

Bromocriptine

44
Q

Peripherazine

A

This is a high potency antipsychotic.

45
Q

Withdrawl dyskinesia

A

When haldol dose is decreased the TD will initially worsen.

46
Q

Antipsychotic for predominately negative symptoms

A

Olanzapine

47
Q

sibling of a schizophrenic has a ____% chance of getting schizo.

A

10

48
Q

Baseline Psychosis with episodic suicidal attempts

A

Schizoaffective disorder.

49
Q

Description of hallucinations but clear sensiorneum and absence of disorganized thinking. +UDS for cocaine

A

Malingering. Prob trying to avoid law ect.

50
Q

Hyponatremia in a psychotic patient, increased urine sodium

A

Psychogenic polydypsia

51
Q

Psychotic patient who has been symptom free for over a year. What do you do to her meds ?

A

Gradual reduction in medication with increased visit frequency.

52
Q

Delusions of persecution and visual hallucinations.

A

Amphetamine Intox.

53
Q

Difference in schizophrenia between males and females?

A

Males have an earlier peak onset and poor outcome.

54
Q

How do you treat akathasia ?

A

B-Block or Lorazepam. All other EPS get benzotropin and Diphenylhydramine are the standard treatments of EPS.

55
Q

What is a delusion

A

A disturbance in thought content.

56
Q

Abreaction

A

Re-enactment of a painful event for a patient

57
Q

Error of thinking in MDD

A

Negative thoughts of self in the future

58
Q

Error of thinking in Anxiety

A

Overdetermined sense of psychological or physical danger.

59
Q

Patient in group therapy realizes he or she is not alone.

A

Universilazation.

60
Q

A patient has panic attacks, what will the therapist have the patient do in the office.

A

Have a panic attack. This will allow the patient to face his or her own fears.

61
Q

What do you monitor with a patient on lithium

A

Li (0.6-1.2) TFT, Cr

62
Q

Preg with Opiod Addiction

A

Methadone : Inc. QTc

63
Q

Opiod Antagonist that decreases morbidity

A

Methadone, if they are having withdrawals early in methadone treatment increase the dose.

64
Q

Opiod antagonist that will precip withdrawal if given acutely

A

Naltrexone.

65
Q

Given for the autonomic signs and symptoms in opiod withdrawal Given for muscle cramps during Opiod withdrawal

A

Clonidine. NSAID.

66
Q

Adjustment Disorder

A

Disproportionate response to a stressor

67
Q

Somatiform

A

4 Pain 2GI 1 Sexual 1 Pseudoneurologic all are feined by the patient.

68
Q

PP Blues, Depression, Psychosis

A

Blues

69
Q

Dystonia of back and neck

A

Retrocollius

70
Q

Timeline of EPS

A

Dystonia

71
Q

Management of TD

A

BNZ, Banclofen, Vit E.

72
Q

OCD after an infection

A

ASO and DNase B titers.

73
Q

Anorexia labs

A
74
Q

Patient has depression 2deg GMC. The GMC resolves and the patient still feels depressed.

A

Antidepressant

75
Q

ECT side affects

A

HA, nausea, muscle soreness. Anterograde and Retrograde amenesia

76
Q

Dysthymic disorder in an adolescent

A

Only one year of symptoms, adults require two.

77
Q

Alcoholism is present in ____% of depressed patients

A

30-40

78
Q

Study to confirm depression

A

PET scan shows decreased glucose utilization in the frontal lobes. REM Sleep latency is Prolonged in MDD.

79
Q

Contraindications to ECT

A

Anything that could disrupt the blood brain barrier. Aneurysm, MI, Bleeding disorder. OK in epileptics

80
Q

What can ECT treat ?

A

> 75% of patients with MDD,

81
Q

How does dissociative amnesia resolve ?

A

Reverts spontaneously

82
Q

depersonalization disorder

A

Detachment from a persons own body enough to cause distress.

83
Q

Patient has seizures on Clozapine, what next ?

A

Change to phenobarbitol and after stable clozapine can gradually be added.

84
Q

How long do you wait if a patient is not responding to SSRI’s ?

A

4 weeks

85
Q

A patient is on a TCA and they develop anticholinergic side effects but taking correct dose, yet blood levels are really high.

A

5-10% of people metabolize TCA’s at different rates.

86
Q

SSRI and they get sexual dysfunction, what do you add?

A

Cyproheptidate

87
Q

How does Fluoxetine slow metabolism of other drugs ?

A

It is not a CYP, it just does this.

88
Q

Pseudodementia with baseline dementia. How do you help this patient?

A

Trial of SSRI

89
Q

How long does it take to reach steady state of Li in the body ? What blood level is used in acute mania ?

A

5-7 days 1 - 1.5

90
Q

TD but mouth is moving really fast

A

Rabbit syndrome

91
Q

Rich in tyramine

A

Pepperoni and sausage

92
Q

Benzo for parasomias

A

Clonazapam

93
Q

Most sensitive lab for bulimia

A

Increased amylase activity

94
Q

Polysonogram finding in narcolepsey

A

Increased REM latency

95
Q

Cognitive Behavioral therapy is effective for which conditions ?

A

Focuses on the connection between thoughts and behaviors. SAD, Substance Abuse, Anxiety, Depression.

96
Q

Can marijuana cause substance induced mood disorder

A

NO, Any other substance can.

STEP 2 (9 decks)

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