PSYCH: first aid 205 pg 516-520 Flashcards

(37 cards)

1
Q

List the time line for

  1. GAD
  2. Adjustment disorder
  3. PTSD
  4. ASD
  5. Brief pysch
  6. Schizo affective
  7. Schizophreniform
  8. Schizophrenia
A
  1. GAD > 6 moths
  2. Adjustment disorder 1 months
  3. ASD 2 weeks
  4. Schizophreniform (1-6 months)
  5. Schizophrenia > 6 months
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2
Q

what is the refeeding syndrome?

A

occur in significantly malnourished people

in anorexia nervosa

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3
Q

what type of stress fractures you see in anorexia nervosa?

A

metatarsal stress fracture

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4
Q

which eating disorder is the one with normal body weight

A

bulimia nervosa

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5
Q

what is Russell sign

A

dorsal hand calluses from induced vomiting

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6
Q

transsexualism vs transvestism

A

vest = wear clothes of opposite sex

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7
Q

Persistent daytime sleepiness but he is not refreshed after nap

A

Hypersomnlence

narcolepsy does

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8
Q

what is the molecule in narcolepsy and where does it come from?

A
decreased hypocretin (orexin)
lateral hypothalamus
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9
Q

for nighttime treatment of narcolepsy

A

sodium oxybate GHB

GABAbR antag

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10
Q

what is varenicline and where is it used?

A

for nicotine withdrawal

its a partial agonist of nicotinic AchR

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11
Q

Pick out the drugs (when intoxicated) that can cause mydriasis and explain why

  1. Alcohol
  2. Opioids
  3. Barbs and BDZ
  4. Amphetamine
  5. Cocaine
  6. PCP
  7. LSD
  8. Marijuana
A

Just Amp and Cocaine

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12
Q

treatment of cocaine intox, and what would you have to avoid?

A

alphablocker, BDZ

No BB!!

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13
Q

where do you see “cold turkey”

A

opioids intoxication

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14
Q

opioids intoxi treatment

opioids withdrawal treatment

A

intox: naloxone, naltrexone
withdrawal: methadone, buprenorphine

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15
Q

which opioid antagonist is not orally available so withdrawal symptoms occur only if IV, so lower abuse potential

A

naloxone

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16
Q

why do you use clonidine for opioid withdrawal?

A

alpha2 agonist

17
Q

use flumazenil in where? can you use that in Z drug intoxication?

18
Q

List 3 symptoms of PCP intoxication

A
  1. Aggression (Belligerence)
  2. Vertical + horizontal nystagmus
  3. Acute brain syndrome (disorient, poor judgement, memory loss)
19
Q

treatment of PCP intox

A

BDZ, rapid acting antipyschotic

20
Q

College student at rave party comes in with symptoms of pyschosis. He said he sometimes find himself escaping from his body even though he is aware of everything around him. he is seeing color halos. what does he take?

21
Q

Patient with AIDS, complain of vomitting and decreased apeptite. After given a certain drug, he comes back with dry mouth, impaired time perception and conjunctival injection. what is the name of the drug

A

Dronabinol (cannobinoid)

22
Q

They are doing a urine test at your work, and you got high 2 weeks before. are you screwed?

A

yes

MJ can be detected in urine up to 1 month

23
Q

Heroin relapsed prevention once you are clean

A

Naltrexone PO

24
Q

detox and maintaince of heroin

A

methadone full agonist! long acting

25
what enzyme does disulfiram inhibit
aldehyde dehydrogenase
26
whats acamprostate, used in?
Alchoholism | MOA: modulate glutamate in NMDAR
27
what inhibit alcohol dehydrogenase
Fomeprizole
28
triad of Wernicke encephalopathy
confusion, ophthalmoplegia, ataxia
29
alcoholic hallucinations: visual or auditory | and how many hours after
visual | 12-48 hrs after
30
ADHD
methylphenidate
31
bipolar
lithium, valproic acid, atypical antipyschotics
32
tourette
fluphenazine, pimozide, tetrabenzaine, clonidine
33
Patient with stage fright what would you give
BB
34
PTSD
SSRI, SNRI (venlafaxine)
35
Venlafaxine also used for
panic disorder
36
OCD
SSRI, clomipramine
37
Bonus: elderly with insominia, what would you give?
Ramelteon (melatonin R agonist)