Psychiatry Flashcards

(31 cards)

1
Q

signs and sx of TCA overdose, management

A

anticholindergic, cardiotoxicity, CNS toxicity

sodium bicarb

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2
Q

side effects of atypical antipsychotics

A

wt gain, DM

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3
Q

tx for nephrogenic diabetes insipidus caused by lithium tox

A

HCTZ

amiloride

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4
Q

tx of acute dystonia

A

benztropine

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5
Q

tx of tardive dyskinesia

A

stop neuroleptic, try atypical

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6
Q

antidepressant avoided in patient with risk for sz

A

bupropion

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7
Q

dx of mood disturbances while psychotic and periods of psychosis with normal affect

A

schizoaffective disorder

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8
Q

first line therapy for depression

A

SSRI

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9
Q

NT changes in depression

A

decreased NE, 5HT, dopamine

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10
Q

depression symptoms

A

SIG E CAPS

sleep disturbance
loss of interest
increased guilt
decreased energy
impaired concentration
appetite changes
psychomotor changes
SI
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11
Q

MDD duration

A

2 weeks

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12
Q

length of time for SSRI to work

A

3-4 weeks

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13
Q

antipsych meds

  • priapism
  • lowers sz threshold and smoking cessation use
  • appetite stim results in wt gain
  • works with SSRI and incr REM sleep
  • used in children for bedwetting
A
  • trazodone
  • bupropion
  • mirtazapine
  • trazodone
  • imipramine
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14
Q

sx of serotonin syndrome

A

autonomic instability
increased movements
AMS

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15
Q

drug of choice in bipolar disorder with renal failure

A

anticonvulsants (valproic acid, carbamazepine)

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16
Q

congenital malformation with lithium

A

ebstein anomaly

17
Q

length of time for anxiety and worry symptoms for generalized anxiety disorder

18
Q

tx of acute dystonia

tx of tardive dyskinesa

tx of NMS

A

benztropine

d/c drug, switch to less EPS

dantroline

19
Q

most serious side effect of clozapine

A

agranulocytosis

20
Q

medical conditions causing depression

A
hypothyroid
hyperparathyroid
parkinson
storke
CNS neoplasm
pancreatic CA
21
Q

drug of choice for alcohol withdrawal

22
Q

pathognomonic feature of PCP

A

belligerence and horizontal/vertical nystagmus

23
Q

drug used in HTN in patient with cocaine/amphetamine intoxication

A

phentolamine, benzo

24
Q

metabolic lab abnormalities in patient with vomiting/purging

A

hypochloremic metabolic alkalosis, increased amylase

25
length of times sx of PTSD for diagnosis
1 month
26
tx of NMS
dantrolene
27
three reasons for involuntary psychiatric hospitalizatyion
harm self harm others gravely disabled
28
tx of depression with neuropathic pain
duloxetine
29
medications for tourette syndrome
fluphenazine, pimozide, tetrabenazine
30
2 concerning side effects of atomoxetine
suicidal ideation liver injury
31
bipolar pt treated with mood stabilizer has depression, tx?
atypical antipsych