Psychiatry Flashcards
(170 cards)
1
Q
Anhedonia, weight loss, sleep changes, poor concentration, worthlessness, thoughts of death, fatigue. Dx? Rx?
A
Major depressive disorder (at least 5 SIGE CAPS.) SSRI is first line. (fluoxetine, paroxetine, citalopram, escitalopram, setraline)
2
Q
First line treatment for neuropathic pain and depression?
A
Duloxetine (SNRI)
3
Q
First line of treatment for depression when person has fear of weight gain and sexual dysfunction?
A
Bupropion (No sexual side effects)
4
Q
Mania and depression? Hypomania and depression? Rx?
A
Bipolar type I (mania > 1 week and affects functioning.) and Bipolar type II (Hypomania < 1 week and does not affect functioning). Acute mania give lithium or valproic acid.
5
Q
Depressed mood and mild sadness that last for more than 2 years. Dx? Rx?
A
Dysthymia. Psychotherapy.
6
Q
Hypomania and mild depression for more than 2 years. Dx? Rx?
A
Cylothymia. Lithium or Valproate.
7
Q
Increased sleep, weight gain and increase appetite. (Couch potato) Dx? Ex?
A
Atypical depression SSRIs or MAOIs.
8
Q
Weight gain, increase sleep, depressed mood during the winter months. Dx? Rx?
A
SAD Seasonal Affective Disorder. Light therapy (Phototherapy)
9
Q
Sadness and mood lability, tearfulness after giving birth up to 2 weeks. Dx? Rx?
A
Postpartum blues. “Baby blues.” Supportive. Self-limited.
10
Q
Depressed mood, weight changes, sleep disturbances and excessive anxiety within 1-3 months after giving birth. Dx? Rx?
A
Postpartum Depression. Almost a prolongation of postpartum blues with more severity. SSRIs.
11
Q
Depression, delusions and thoughts of harm towards baby within 2-3 weeks of giving birth. Dx? Rx?
A
Postpartum psychosis. Antipsychotics.
12
Q
When does grief considered major depression?
A
- Morbid preoccupation with worthlessness. 2 Symptoms last longer than 2 months and adversely affects functioning.
13
Q
Name the disorder: Delusions and hallucinations for <1 month? Rx?
A
Brief psychotic disorder. Self-limited.
14
Q
Name the disorder: Delusions and hallucinations for 1 to 6 months?
A
Schizophreniform disorder.
15
Q
Name the disorder: Delusions and hallucinations for > 6 months.
A
Schizophrenia.
16
Q
Name the type of schizo: Delusions or hallucinations. Grandiose. Most common type of schizophrenia. Dx?
A
Paranoid.
17
Q
Name the type of schizo: Psychomotor disturbances ranging from retardation to excitation. Stupor, posturing, mutism, rigidity. Dx?
A
Catatonic.
18
Q
Name the type of schizo: Marked regression to dis-inhibited behavior with little contact with reality. Disorganized speech and tangential thoughts. Pts look disheveled and have bizarre emotional responses. Worse prognosis and earliest age of onset. Dx?
A
Disorganized.
19
Q
Name the type of schizo: Lack of positive symptoms (hallucinations and delusions.) Still has presence of negative symptoms (flat affect, poor grooming, social withdrawal.) Dx?
A
Residual.
20
Q
Name the type of schizo: Does not meet criteria of other types of schizo. Dx?
A
Undifferentiated.
21
Q
Pt has correct interpretation of reality but thinks stuff is still going on in the background (extreme conspiracy theorist) Still obeys, goes to work and pays bills. Dx?
A
Delusional Disorder.
22
Q
Pt presents with sweating, CP, trembling, chills, fear of dying and doom. Symptoms come on quickly and go away quickly. Dx? Rx?
A
Panic Disorder. Acute: Benzo Chronic: SSRI.
23
Q
Thoughts that are intrusive, senselessness, distressing to the patient. Dx? Rx?
A
Obsessions. SSRI.
24
Q
Rituals, such as counting and check that are done to neutralize thoughts. Dx? Rx?
A
Compulsions. SSRI.
25
Anxiety about everything, money, cars, food, people, school. Dx? Rx?
Generalized Anxiety Disorder. SSRIs: Venlafaxine and buspirone.
26
1 symptom on most days for 12 months after death of loved one: Persistent longing for the deceased, Intense sorrow and emotional pain, preoccupation with the deceased, pre-occupation with circumstances of death. At least 6 symptoms on most days for 12 months: Can't accept the death, can reminisce on the good times, bitterness and anger, Self blame. Dx?
Persistent Complex Bereavement Disorder. Different from major depressive disorder because the symptoms occur after the death of a loved one.
27
Which is a relative contraindication to ECT?
Space occupying lesions (tumor, blood, aneurysm).
28
What is commonly seen on PET scan on a patient with depression?
Reduced metabolic activity and blood flow in both frontal lobes on PET scan.
29
An elderly man has been profoundly depressed for several weeks. He cries easily and is intensely preoccupied with trivial episodes from his past, which he considers unforgivable sins. This patient awakens every morning at 3 AM and cannot go back to sleep. Anything his family has tried to cheer him up has failed. He has completely lost his appetite and appears gaunt and emaciated. Dx?
Melancholic Depression (loss of pleasure in all activities, lack of reactivity (nothing makes them feel better), intense guilt, significant weight loss, early morning awakenings and marked psychomotor retardation.)
30
A young woman who has felt mildly unhappy and dissatisfied with herself for most of her life, has been severely depressed, irritable and anhedonic for 3 weeks. Dx?
Double Depression. (develops in a patient with dysthymic disorder.)
31
Non-bizarre delusions. Dx? Rx?
Delusional Disorder. Psychotherapy.
32
Hallucinations + delusions in absence of mood changes for at least 2 weeks. Dx?
Schizoaffective Disorder.
33
Anxiety about everything, money, cars, food, people, school. Dx? Rx?
Generalized Anxiety Disorder. SSRIs, Venlafaxine and buspirone.
34
Personality Disorder: Suspicious, mistrustful, secretive, isolated.
Paranoid.
35
Personality Disorder: Choice of solitary activities, lack of close friends, emotional coldness, no desire for close relationships.
Schizoid.
36
Personality Disorder: Magical thinking, odd thinking, eccentric behavior.
Schizotypal.
37
Personality Disorder: Must be the center of attention, inappropriate sexual behavior, drama queen, uses physical experience to draw attention.
Histrionic.
38
Personality Disorder: Failure to conform to social rules, deceitful, lack of remorse, impulsive, aggressive towards others. Must be over 18 years of age. What would be the disorder if the pt was under 18 years of age?
Anti-social. Conduct Disorder.
39
Personality Disorder: Unstable relationships, impulsive, recurrent suicidal behaviors, chronic feelings of emptiness, inappropriate anger.
Borderline.
40
Personality Disorder: Grandiose sense of self, belief that they are special, lack of empathy, sense of entitlement.
Narcissistic.
41
Personality Disorder: Unwilling to get involved with people. Want to have friends but can't. Feels inadequate.
Avoidant.
42
Personality Disorder: Difficulty making day to day decisions, unable to assume responsibility. Fear of being alone. Depends on spouse.
Dependent.
43
Personality Disorder: Preoccupied with details, rigid, orderly, perfectionist, excessively devoted to work, inflexible.
Obsessive compulsive.
44
A disorder that occurs within 3 months of a stressful life event and ends within 6 months of cessation of stressor.
Adjustment disorder. Supportive therapy. Group therapy. SSRI for depression or anxiety that is associated with it.
45
A disorder that occurs due to a stressful event that occurred within the last month and the disorder lasts for only < 1 month.
Acute Stress Disorder (being involved in a MVA last month.) SSRI. Therapy: Cognitive, Supportive, Family. - same as PTSD.
46
Stressful event that occurred at any time in the past and the symptoms last > 1 month. Dx? Rx?
Post-traumatic stress disorder (Rape that happened when you were younger affects you in your teens). SSRI. Therapy: Cognitive, Supportive, Family.
47
Therapy for OCD?
SSRI, CBT and Patient education.
48
Difference between OCD and OCPD?
1. (Ego-dystonic) OCD is obsessions and compulsions and recognize this as distressful and want to get rid of them. 2. (Ego-Syntonic) OCPD are excessively conscientious and inflexible and do not recognize this nor want to get rid of them.
49
Therapy for Specific Phobia and Social phobia?
1. CBT and desensitization 2. CBT, SSRI, low dose benzo or beta blockers for performance anxiety.
50
A young woman who has very limited memory of her childhood years but knows that she was removed from her parents because of their abuse and neglect, frequently cannot account for hours or even days of her life. She hears voices alternately plead, reprimand or simply comment on what she is doing. Occasionally, she does not remember how and when she arrived at a specific location. She finds clothes she does not like in her closet, and she does not remember having bought them. Her friends are puzzled because sometimes she acts in a childish dependent way and at other times becomes uncharacteristically aggressive and controlling. Dx?
Dissociative Identity Disorder.
51
Intoxication: Dis-inhibition, emotional liability, slurred speech, ataxia, aggression blackouts hallucinations, memory impairment, impaired judgement, coma. 1. Drug? 2. Withdrawal? 3. Rx?
1. Alcohol 2. Tremor, tachycardia, hypertension, malaise, nausea, seizures, DTs, agitation. 3. Benzo taper and Haloperidol for hallucinations and psychotic symptoms.
52
Intoxication: Euphoria leading to apathy, CNS depression, constipation, pupillary constriction, respiratory depression. 1. Drug? 2. Withdrawal? 3. Rx for intoxication? 4. Rx for withdrawal?
1. Opioids. 2. Dysphoria, insomnia, anorexia, myalgias, fever, lacrimation, diaphoresis, dilated pupils, rhinorrhea, pilorection, nausea, vomiting, stomach cramps, diarrhea, yawning. 3. Naloxone/Naltrexone. 4. Clonidine.
53
Intoxication: Psychomotor agitation, impaired judgement, hypertension, pupillary dilation, tachy, fever, diaphoresis, anxiety, angina, euphoria, prolonged wakefulness/attention, arrhythmias, delusions, seizures, hallucinations. 1. Drug? 2. Withdrawal 3. Rx?
1. Amphetamines 2. Post use crash with anxiety, lethargy, headache, stomach cramps, hunger, fatigue, depression, dysphoria, sleep disturbance, nightmares. 3. Haloperidol for severe agitation.
54
Psychomotor agitation, euphoria, impaired judgement, tachy, pupillary dilation, hypertension, paranoia, hallucinations, sudden death. ECG changes from ischemia. 1. Drug? 2. Withdrawal 3. Rx?
1. Cocaine 2. Postuse crash with hypersomnolence, depression, malaise, severe craving, angina, suicidality, increase appetite, nightmares, cocaine bugs. 3. Haloperidol for severe agitation.
55
Intoxication: Assaultiveness, belligerence, psychosis, violence, impulsiveness, psychomotor agitation, fever, tachy, vertical/horizontal nystagmus, hypertension, impaired judgement, ataxia, seizures, delirium. 1. Drug? 2. Rx?
1. PCP (Phencyclidine Hydrochloride) 2. Give Benzo or Haloperidol for severe symptoms. Acidification of urine and gastric lavage can help eliminate the drug.
56
Intoxication: Marked anxiety or depression, delusions, visual hallucinations, flashbacks, pupillary dilation, impaired judgement, diaphoresis, tachy, hypertension, heightened senses. 1. Drug? 2. Rx?
1. LSD 2. Supportive counseling, traditional antipsychotics for psychotic symptoms, benzos for anxiety.
57
Intoxication: Euphoria, slowed sense of time, impaired judgement, social withdrawal, increase appetite, dry mouth, conjunctival injection, hallucinations, anxiety, paranoia, amotivational syndrome. 1. Drug?
Marijuana.
58
Low safety margin, respiratory depression. 1. Drug? 2. Withdrawal?
1. Barbiturates 2. Anxiety, seizures, tremor, insomnia, hypertension, tachy, death.
59
Intoxication: Restlessness, insomnia, diuresis, muscle twitching, arrhythmias, tachycardia, flushed face, psychomotor agitation. 1. Drug? 2. Withdrawal?
1. Caffeine 2. HA, lethargy, depression, weight gain, irritability, craving.
60
Medication to help end heroin addiction?
Methadone.
61
16 yr old with a long record of arrest found dead with paper bag over his head. For several months he had been experiencing HAs, tremors, muscle weakness, unsteady gaits and tingling sensations in his hands and feet. These symptoms suggest that he was addicted to which of the following substances? Dx?
An inhalant.
62
Common side effect of MDMA?
Bruxism.
63
Next step in management after you suspect NPH?
CT and LP.
64
6 months of negativistic, hostile and defiant behavior during which at least 4 of the following: Loss of temper, arguments with adults, denying adults' rules/teachers/parents, deliberately annoying people, easily annoyed and anger and resentment. Dx? Rx?
Oppositional defiant disorder. Psychotherapy and behavior modification and problem solving.
65
A persistent pattern of behavior in which basic rights of others or social norms are violated (aggression towards others, destruction of property, deceitfulness or theft, serious violation of others) Dx? Rx?
Conduct Disorder. Consistent rules and consequences to reduce problematic behaviors. Antipsychotics/Mood Stabilizers/SSRIs for aggression.
66
At least 6 symptoms of inattentiveness (difficulty listening, following instructions, hyperactivity/impulsivity (restlessness, excessive talking, can't engage in quiet activities or both that persist for 6 months, maladaptive and onset prior to age 7. Dx? Rx?
ADHD Attention Deficit/Hyperactivity Disorder. Methylphenidate, Dextroamphetamine and Amphetamine salts. Atomoxetine. Clonidine if all else fails. Psychotherapy, Family, individual and group for behavior modification.
67
6 symptoms present by age 3. Problems with social interaction (lack of interest in sharing enjoyment, lack of social/emotional reciprocity.) Impairments of communication (delayed speech, inability to hold conversations.) Repetitive and stereotyped patterns of behavior and activities (narrowed interest, repetitive motor mannerisms). Dx? Rx?
Autistic Disorder. Supportive: Remedial education, behavioral therapy, antipsychotic medications to help control.
68
First line treatment for ADHD?
Atomoxetine. Clonidine if all else fails. Psychotherapy, Family, individual and group for behavior modification.
69
Diagnosis for 6 symptoms present by age 3 including problems with social interaction and communication?
Autistic Disorder. Supportive: Remedial education, behavioral therapy, antipsychotic medications to help control aggression, hyperactivity and mood lability.
70
Diagnosis for condition with same impairments as autism but no significant delay in language or cognitive development?
Asperger Disorder. Supportive: Remedial education, behavioral therapy, antipsychotic medications to help control aggression, hyperactivity and mood lability.
71
Diagnosis for normal development in first 5 months followed by loss of skills and stereotyped hand movements?
Rett Disorder. Supportive: Remedial education, behavioral therapy, antipsychotic medications to help control aggression, hyperactivity and mood lability.
72
Diagnosis for loss of previously acquired skills before age 10?
Childhood Disintegrative Disorder. Supportive.
73
Diagnosis for multiple daily motor or vocal tics with onset before age 18?
Tourette Disorder. Educational and supportive interventions. Supportive and behavioral therapy. Atypical neuroleptics: Risperidone and clonidine. Use typical neuroleptics for severe cases.
74
Diagnosis for involuntary voiding of urine after age 5?
Enuresis - make sure to r/o diabetes. Psychoeducation, psychotherapy, family therapy and behavioral therapy. Enuresis: bell and pad method, buzzer, imipramine.
75
Diagnosis for involuntary or intentional passage of feces in inappropriate places by age 4?
Encoporesis - make sure r/o hypothyroidism, IBD. Psychoeducation, psychotherapy, family therapy and behavioral therapy.
76
First line drug for tic disorder?
Haloperidol. Then clonidine or guanfacine (alpha agonist).
77
Side effect of Ritalin?
Tics.
78
Diagnosis for 8 year old girl with tearfulness and distress on school days?
Separation Anxiety Disorder.
79
Diagnosis for sleep disturbance, decreased appetite, and suicidal ideation?
Pseudodementia. Psychotherapy and low dose SSRI.
80
Diagnosis for feelings of guilt and sadness after loss of a loved one?
1. Bereavement - Normal grief.
81
Diagnosis for severe guilt and worthlessness after loss of a loved one?
2. Bereavement - Abnormal grief.
82
1 month milestones for gross motor, fine motor, language and social?
1. Raises head from prone position 2. Tracks to midline 3. Alerts to sound 4. Regards face.
83
3 months milestones for gross motor, fine motor, language and social?
1. Hold heads up 2. Tracks in circles 3. Coos 4. Anticipates feeling.
84
6 months milestones for gross motor, fine motor, language and social?
1. Sits up right 2. Transfers objects 3. Babbles 4. Stranger anxiety.
85
9 months milestones for gross motor, fine motor, language and social?
1. Crawls, pulls, stands 2. Immature pincer grasp 3. Mama and Dada non-specific 4. Plays pat-a-cake.
86
12 months milestones for gross motor, fine motor, language and social?
1. Walks alone 2. Uses mature pincer grip 3. Mama and Dad specific 4. Imitates actions, comes when called.
87
24 months milestones for gross motor, fine motor, language and social?
1. Walks up and down steps without help 2. Turns pages 1 at a time 3. Knows 200 words, uses 2 word sentences 4. Engages in parallel play.
88
Age 3 milestones for gross motor, fine motor, language and social?
1. Tricycle 2. Copies circle 3. Knows 300 words and 3 word sentences 4. Engages in group play.
89
Age 5 milestones for gross motor, fine motor, language and social?
1. Jumps over obstacles 2. Copies triangle, tells stories 3. Prints first name 4. Abides by rules.
90
Diagnosis for 7 year old boy with frequent abdominal pain and missed school days?
Separation Anxiety Disorder.
91
Diagnosis for 6 year old adopted child with no relationship with parents?
Reactive Attachment Disorder.
92
Diagnosis for 7 year old boy who cannot focus on chores or homework?
Normal behavior. ADHD kids cannot sit and watch cartoons for hours.
93
Comorbid conditions for ADHD?
1. ODD/CD.
94
Comorbid conditions for Tics?
2. OCD.
95
Comorbid conditions for Borderline Personality Disorder?
3. Eating Disorder.
96
Diagnosis for inability to recall important personal information?
Dissociative Amnesia.
97
Diagnosis for sudden unexpected travel away from home with identity loss?
Dissociative Fugue.
98
Diagnosis for presence of two or more distinct identities?
Dissociative Identity Disorder (multiple personality disorder).
99
Diagnosis for experiences of being detached from one's body?
Depersonalization Disorder.
100
Diagnosis for onset before age 30 with multiple symptoms?
Somatization Disorder.
101
Diagnosis for neurological symptoms not explained by medical disorder?
Conversion Disorder.
102
Diagnosis for preoccupation with fear of having a serious disease?
Hypochondriasis.
103
Diagnosis for preoccupation with perceived flaws in body parts?
Body Dysmorphic Disorder.
104
Diagnosis for pain at one or more anatomic sites?
Pain Disorder.
105
Diagnosis for intentionally producing signs of disorders?
Factitious Disorder.
106
Diagnosis for feigning symptoms for personal gain?
Malingering.
107
Diagnosis for recurrent outbursts of aggression?
Intermittent Explosive Disorder.
108
Diagnosis for uncontrollable urges to steal?
Kleptomania.
109
Diagnosis for recurrent pulling out of hair?
Trichotillomania.
110
Diagnosis for deliberate fire setting?
Pyromania.
111
Diagnosis for BMI below 17.5 with no binge-eating or purging?
Anorexia Nervosa Restrictive Type.
112
Diagnosis for BMI below 17.5 with binge-eating followed by purging?
Anorexia Nervosa Binge-Eating/Purging Type.
113
Diagnosis for BMI > 17.5 with vomiting or laxatives?
Bulimia Nervosa - Purging Type. SSRI.
114
Diagnosis for BMI > 17.5 with excessive exercise or fasting?
Bulimia Nervosa - Nonpurging Type. SSRI.
115
Diagnosis for recurrent binge eating with distress?
Binge Eating Disorder. Individual therapy, behavioral therapy with a strict diet and exercise program.
116
Diagnosis for difficulty initiating sleep?
Primary Insomnia. 1. Acute Insomnia. 2. Chronic Insomnia.
117
Diagnosis for irresistible attacks of refreshing sleep?
Narcolepsy. Sleep Hygiene Measures, Scheduled daytime naps, Modafinil.
118
Diagnosis for hypersomnia, hyperphagia, hypersexuality and aggression?
Kleine-Levin Syndrome.
119
Diagnosis for chronic delay in sleep onset with preserved quality?
Delayed Sleep Phase Disorder.
120
Diagnosis for normal sleep with earlier than desired awakening?
Advanced Sleep Phase Disorder.
121
Diagnosis for sleep deprivation due to nontraditional work hours?
Shift work disorder.
122
Diagnosis for sleep disturbances associated with travel across time zones?
Jet lag disorder.
123
Diagnosis for sudden arousal with terror from slow-wave sleep?
Sleep Terrors. Rx: Reassurance that this condition is benign and self-limited.
124
Diagnosis for recurrent frightening dreams?
Nightmare Disorders. Rx: Imagery rehearsal therapy.
125
Diagnosis for muscle atonia during REM sleep?
REM Sleep Behavior Disorder.
126
Name that therapy: Identifying maladaptive thoughts?
Cognitive Therapy.
127
Name that therapy: Changing behaviors that contribute to symptoms?
Behavior Therapy.
128
Name that therapy: Protocol-based treatment with homework assignments?
Cognitive Behavioral Therapy.
129
Name that therapy: Immediate feedback from peers?
Group Therapy.
130
First line treatment for neuropathic pain and depression?
Duloxetine (SNRI).
131
First line treatment for depression with fear of weight gain?
Bupropion (No sexual side effects).
132
Name the drug: Hypotension, dry mouth, constipation?
TCA (amitriptyline, nortriptyline, imipramine).
133
Name the drug: Monitor diet for tyramine?
MOA-I (Phenelzine, Isocarboxazid, Tranylcypromine).
134
Name the drug: HA, weight gain, sexual side effects?
SSRI (Fluoxetine, Paroxetine, Citalopram, Escitalopram, Sertraline).
135
Name the drug: Increased risk of seizures?
Bupropion.
136
Name the drug: HTN, HA, weight gain?
SNRI (Venlafaxine, duloxetine, desvenlafaxine).
137
Name the drug: Alopecia, teratogenic, hepatotoxic?
Valproic Acid.
138
Name the drug: Stevens-Johnson Syndrome?
Lamotrigine.
139
Name the drug: Transient memory loss?
Electric convulsive therapy.
140
Name the drug: Leads to obesity and metabolic syndrome?
Olanzapine.
141
Name the drug: HTN, HA, weight gain, GI and sexual side effects.
SNRI (Venlafaxine, duloxetine, desvenlafaxine)
142
Name the drug: Alopecia, teratogenic, hepatotoxic.
Valproic Acid
143
Name the drug: Stevens-Johnson Syndrome.
Lamotrigine
144
Name the drug: Transient memory loss.
Electric convulsive therapy.
145
Name the drug: Leads to obesity, weight gain, DM, metabolic syndrome.
Olanzapine
146
Name the drug: Prolongation of QT interval.
Ziprasidone
147
Which medication is safe to use after stroke and causes significant sedation. Dx?
Trazodone.
148
Name 4 drugs that are given to schizo who are noncompliant with their meds.
Fluphenazine deconate, haloperidol deconate, Risperidone and paliperidone
149
A young weight lifter receives IV haloperidol and complains that his eyes are deviated sideways. Dx? Rx?
Acute dystonia. Benztropine or diphenhydramine.
150
Name that therapy: Therapist as a guide. Reinforce coping skills. Listen foster and understand. Build up adaptive defense mechanisms.
Supportive Therapy.
151
Name that therapy: Unconscious conflicts cause symptoms. Explore past relationships and conflicts. Utilize transference. Breakdown defense mechanisms.
Psychodynamic Therapy.
152
Name that therapy: Address Ambivalence to change. Non judgemental. Enhance motivation to change. Acknowledge resistance.
Motivational interviewing.
153
Name that therapy: Acceptance and change. Improve emotion, regulation, mindful awareness, distress tolerance, manage self harm, group therapy component.
Dialectical behavioral therapy for borderline personality disorder.
154
Name that therapy: Improve awareness and control over physiological reactions, lower stress levels, integrate mind and body.
Biofeedback.
155
A common side effect of Alprazolam?
Seizure.
156
Confusion, flushing, diaphoresis, tremor, myoclonic jerks, hyperthermia, hypertonicity, rhabdomyolysis, renal failure and death. Dx?
Serotonin Syndrome (SSRIs + MAOIs)
157
Fever, tachycardia, hypertension, tremor, elevated CPK, lead pipe rigidity. Dx? Rx?
Neuroleptic Malignant Syndrome. Fluids, electrolytes and stabilize, Give Bromocriptine, Dantrolene or Amantadine.
158
This antipsychotic specifically raises Prolactin.
Risperidone.
159
What occurs after you discontinue an SSRI abruptly?
SSRI discontinuation syndrome (seen in short half-life drugs paroxetine and sertraline, not seen in fluoxetine because it has a longer half-life)
160
Next step in management after you read a lithium level of 4.5meq/L?
Emergency Dialysis.
161
Which antipsychotic can help suppress and ameliorate TD?
Clozapine.
162
When can flumazenil precipitate seizures?
When pt has preexisting seizure disorder.
163
Use and Side effects (2) of clozapine.
Treatment resistance schizophrenia. Agranulocytosis and lowers seizure threshold.
164
Name side effects (2) of carbamazepine.
Agranulocytosis, Stevens Johnson's
165
Side effects of Zolpidem, Zaleplon, eszopiclone.
Anterograde amnesia and sleep walking, eating, driving.
166
Drugs for sleep?
1. Melatonin (MT1 and MT2) 2. Diphenhydramine (H1) 3. Doxylamine (H1) 4. Ramelteon (MT) 5. Doxepin (TCA- H1) 6. Trazodone (H1, serotonin, alpha 1) 7. BZRA - Zolpidem, Zaleplon, eszopiclone 8. Benzos- Triazolam, temazepam, flunitrazepam
167
Name the drugs to treat each: 1. Akathisia 2. Acute dystonia 3. Neuroleptic Malignant Syndrome 4. TD
1. Benzodiazepine 2. Benztropine, Diphenhydramine 3. Dantrolene, Bromocriptine, Amantadine 4. Nothing this is irreversible can switch to atypical or start clozapine
168
Treatment for pregnant pt with bipolar disorder?
Clonazepam.
169
Treatment for Akathisia?
Propranolol or Lorazepam.
170
Weight neutral but increases akathisia?
Aripiprazole.
