PSYCH COMAT Flashcards Preview

COMLEX Level 2 > PSYCH COMAT > Flashcards

Flashcards in PSYCH COMAT Deck (155)
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1

SSRI Drugs Tx ...AR ...

"City Parrots Flu South"CitalopramParoxetineFluoxetineSertalineTx: First-Line for Antidepressants AR: Dec libido, delayed ejaculation, GI dysfxn, Insomnia, Seretonin Syndrome

2

SNRI Drugs

"SN ... Venla Dulo"VenlafaxineDuloxetineCleaner but more expensive than SSRI

3

TCA Drugs

-"tryptiline"ImipramineDespiramineDoxepin

4

Bipolar Tx

Lithium or Valproate >> Add 2 gen Anti-psych >> d/c previous, use Lamotrigine (anticonvulsant)

5

Bupropion Class/Use/Adverse Reaction

Class: 2nd Gen AntipsychTx: Smoking cessation/DepressionAR: Dec seizure thresholdDO NOT GIVE TO ANOREXIC/BULIMIC PTS!

6

Smoker w/ Depression, Tx w/ ...

Bupropion

7

Depression w/ weight loss/under weight, Tx w/ ...

Mirtazapine

8

Depression w/ Insomnia, Tx w/ ...

TrazadoneAR: Priapism

9

Atypical Anti-Psyche with low metabolic effects

Aripiprazole and Lurasidone

10

Atypical Anti-Psyche MOA and Rx

D2 Antagonist and Seretonin AntagonistQuiet CARBOLIC ZAPQuetipineCariprazineAriprazoleRisperadoneBupropionOlanzapinelurasidoneIloperidoneClozapine ZiprazidoneAsenapinePaliperadone

11

How to abort a panic attack

Tx w/ Benzo

12

Munchausen by proxy is suspected, next step ...

call CPS

13

Polycyclic Aromatic Hydro carbons found in ... bind to ... and causes ... in antipsychotic meds, most notably ...

NicotineAHRInduction of the P450 1A2 metabolismOlanzapine

14

MDD w/ cc of memory impairment and cognitive impairment

Pseudodementia

15

Dx criteria of MDD

SIGECAPSAt least 4 of the following for 2 weeks + Low moodSleepInterestGuiltEnergyConcentrationAppetite PsychomotorSuicide

16

NMS presents with...

FeverRigidMydriasisCreatine KinaseD/T Anti-dopamine Med

17

Seretonin Syndrome presents w/ ...

Hyperreflex/ClonusMydriasis+/- Elevated CKD/T Seretonin Drugs

18

Pt lives vicariously by helping others

Altruism Mature Defense

19

Pt jokes with his Palliative care doctor about the disease

Humor Mature Defense

20

Pt shifts the blame and justifies his actions for the disease

RationalizationNeurotic Defense

21

Pt seems emotionless about his condition and reasons out the cause

Intellectualization Neurotic Defense

22

The Pt is adamant that they are in excellent health despite an A1c of 12

DenialImmature Defense

23

Pt is angry with his nurse and reports to the doctor that he is being treated poorly d/t the anger the nurses have for him

ProjectingImmature Defense

24

Pt w/ OCD is given an SSRI. Little effect occurs. In addition to CBT, the Pt should be perscribed ...

Clomipramine (TCA)

25

Tx for PTSD related nightmares

Prazosin

26

Motor immobility w/ mutism. Vitals Normal. Hx of schizophrenia. Dx?

Catatonia

27

First line Tx for PTSD

SSRI

28

First line Tx for Tourette

Aripiprazole

29

Specific phobia w/ highest FamHx

Injections/needles

30

Alpha-synuclein inclusions are found in

Lewy BodiesParkinson's