Psychiatry Flashcards Preview

ITE 2015 + 2016 > Psychiatry > Flashcards

Flashcards in Psychiatry Deck (13):
1

Effective Maintenance for Bipolar?

Lamotrigine
Lithium
Quetiapine
Valproate Sodium

NOT Haloperidol! Only for mania but not for maintenance

2

Serotonin Syndrome
Signs and symptoms?
TX?

1. Agitation, confusion, tachy, High BP, dry mouth
2. Stop drug; give Lorazepam or Diazepam

3

Obsessive Compulsive behavior?
TX?

Repetitive stimuli exposure

4

Female who lost his husband in a car crash 2 weeks ago.
Unable to sleep; relived the event; refuse to go in a car
DX?

Acute Stress disorder!

Adjustment DO --> Acute Stress disorder --> PTSD ( more than 1 month)

5

Severity of Anorexia nervosa. Based on What?

BMI

6

Schizo patient on Haldol
Cannot sit still
DX?

Akathisia

7

Medication that decreases depressive symptoms in children and adolescence?

1. Fluoxetine (Prozac)
Paroxetine is associated with Suicide!

8

Patient with Post traumatic stress disorder.
TX?

1. SSRI or SNRI --> Sertraline or Paroxetine
2. 2nd line: Mirtazapine

9

Which Antidepressant can prolong QT interval and should be avoided with concomitant QT prolong in agents?

Citalopram + Escitalopram

10

Patient diagnosed with Somatization disorder.
Most Effective Drug?

TCA and SSRI
Amitriptyline is a TCA that has great success!

11

Adult Pt with significant depression; no other health problems
Best initial tx?

SSRI: fluoxetine!

Others:
SNRI: Cymbalta
TCA: Amitriptyline
Alpha 2 antagonist: Mirtazapine (remeron)

12

What is Boarderline Personality DX?
Tx if stable?

Maladaptive personality, highly emotional lability, intense anger, unstable relationship, internal sense of emptiness. Ha self injurious behavior. 1 out of 10 succeeds in vomiting suicide.
Psychotherapy if stable.
Inpatient hospitalization if extreme difficulties in living and daily functioning.

13

44 y/o female with Obesity, Seizure and now have Depression
Meds?

SSRI or SNRI!
Bupropion (Wellbutrin)-SNRI - good for obesity but CI in Seizure patients!!