Psych

Question 1

High potency Anti-psychotics

Answer 1

Haloperidol, Fluphenazine

Question 2

Low Pot anti-psychotics

Answer 2

Thoridazine, Chlorpromazine

Question 3

s/e specific for thoridazine?

Answer 3

Dose-dept QT prolong

Irreversible retinal pigmentation

Question 4

Clozapine (atypical) specific s/e?

Answer 4

Agranulocytosis, monitor CBC

Question 5

NMS treatment?

Answer 5

Dantrolene or bromocriptine

Question 6

Extrapyramidal sympt and tx (4)?

Answer 6

Acute dystonia - Benzotropine
Akinesia - Amantidine
Akathisia - propanolol
Tard dyskinesia - none (permanent)

Question 7

Buspirone s/e?

Answer 7

Seizure if chronic use

Question 8

Paroxetine in pregnancy?

Answer 8

Can cause pulm HTN

Question 9

Atypical anti-depressants?

Answer 9

Bupropion
Mirtazapine
Trazodone

Question 10

SNRIs?

Answer 10

Venlafaxine

Question 11

Buproprion s/e?

Answer 11

Decrease sz threshold

NOT WITH EATING DISORDER

Question 12

Mirtazapine s/e?

Answer 12

wt gain

sedaiton

Question 13

Trazodone s/e?

Answer 13

High sedation

Priapism

Question 14

Serotonin syndrome?

Answer 14

SSRI + MOAI

Fever, Confused, myoclonus, CV collapse

Question 15

TCAs s/e?

Answer 15

Cardiac conduction arrhythymia (Go to ICU)

Question 16

Carbamazepine s/e?

Answer 16

Teratogenic
aplastic anemia (monitor CBC)
SJS
(nausea, rash, leukopenia)

Question 17

Valproic Acid

Answer 17

Teratogen
Pancreatitis, agranulocytosis, HEPATOTOX
GI, wt gain, tremor

Question 18

Lamotrigine

Answer 18

Blurred vision, rash (titrate slowly)

SJS

Question 19

Insomnia + depression best tx?

Answer 19

Mirtazapine

Question 20

Lithium toxicity symptoms?

Answer 20

Ataxia, lethargy
Delerium, dysarthria
ARF

NOT MANIC (this means they’re not taking it)

Question 21

Olanzapine, clozapine s/e?

Answer 21

DM

Wt gain

Question 22

Risperidone s/e?

Answer 22

Movement disorders

Question 23

Arpiprazole specific use?

Answer 23

Schzio + depression

Question 24

Lurasidone specific use?

Answer 24

Schizo + preg

Question 25

Flumazenil contraindication (even if benzo overdose)?

Answer 25

Chronic dependence (will cause seizure/DTs like alcohol withdrawal)

Question 26

Steroid withdrawal tx?

Answer 26

SSRI

Question 27

OCD tx?

Answer 27

SSRI + exposure and response prevention

Question 28

Test prior to starting Lithium? (s/e)

Answer 28

Thyroid (hypo or hyper) Creatinine (ARF) Pregnancy test Ca, Ua (parathyroid, DI)

Question 29

Venlafaxine specific s/e?

Answer 29

Diastolic HTN

Question 30

Bipolar 1 + psychotic features vs. Schizoaffective + bipolar type?

Answer 30

bipolar+psychotic = psychosis ONLY with mania | SchizoA + bipolar = ALWAYS psychosis

Question 31

MDD escalation of treatment options?

Answer 31

1. SSRI 2. different SSRI 3. SNRI or other (Not SNRI if already sedated)

Question 32

Treatment for phobias?

Answer 32

CBT

Question 33

Denial vs. Repression vs. Suppression vs. Rationalization? In the setting of a new cancer diagnosis

Answer 33

Denial - NOT TRUE Repression - IMMATURE, pretending Suppression - MATURE, ignoring Rationalization - Missing appts for other things

Question 34

Who gets lithium forever, who gets to maybe stop?

Answer 34

Forever - Bipolar | Maybe stop - if for schizo or depression with psychosis

Question 35

Specific phobia vs. social anxiety, performance only?

Answer 35

Specific phobia = Single object or action, not actual physical manifestations SA, performance = Panic attack but with speaking

Question 36

Somatic systems disorder vs. Panic disorder (key difference)

Answer 36

Somatic symptoms = constant complain Panic disorder = episodic (both use a lot of healthcare and may be unexplainable)

Question 37

Malingering vs. factitious disorder?

Answer 37

``` Malingering = tangible reward Factitious = intangible reward ```

Question 38

1st Line for bipolar I in Major Depression?

Answer 38

Quetiapine Lursadone Lamotrigine ***NOT anti-depressant

Question 39

Thalamic vs. Lobar stroke, PE difference (same hemiplegia/paresis)

Answer 39

Thalamic = Eyes TOWARDS lesion Lobar = LOOK AWAY

Question 40

Narcolepsy tx? Sleep stduy findings?

Answer 40

decreased REM latency SSRI --| Cataplexy Modafinil --| sleeping