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(Asope) STEP 2 > Psychiatry > Flashcards

Flashcards in Psychiatry Deck (45):
1

Most accurate test for alcohol in system

Blood or urine test

2

How long does cocaine stay in urine

2-4 days

3

How long does amphetamine stay in urine

1-3 days

4

How long does pcp stay in urine

4-7 days

5

What is also increased in people who take pcp

CPK and AST

6

How long does opioids stay in urine

1-3 days

7

What two opioids are not detected on regular screen

Methadone and oxycodon

8

Alcohol frigates what neurotransmitters

Gaba
Serotonin
Dopamine

9

Effects of alcohol intoxication

Decreased fine motor control
Impaired judgment and coordination
Poor balance
Lethargy
Coma (new drinker)
Respiratory depression

10

Alcohol withdrawal symptoms

Beigin 6-24hr
Irritability
Tremor
Diaphiresis
HTN
tachycardia
Tonic clinic seizures
Delirium tremens
Hallucinations

11

Treatment for alcohol withdrawal

Benzodiazepines
- lorazepam
- diazepam
- chlordiazepoxide

12

Two drugs that treat mild alcohol withdrawal

Valproic acid
Carbamazepine

13

what is the opioid receptor blocker that works by decreasing the craving associated with alcohol

naltrexone

14

what is the med that should be started before detoxification of alcohol to prevent relapse

Acamprosate (Campral)

15

what is the anticonvulsant that inhibits glutamate receptors and potentiates GABA, reduces alcohol cravigins

topiramate

16

cocaine blocks the reuptake of?

DA
epi
NE

causes stimulation effect

17

severe agitation seen in cocaine users treat with

haloperidol

18

for mild to moderate agitation seen in cocaine users treat with

benzodiazepines

19

cocaine withdrawl symptoms present how

depression "crash" everything is slowed and the pupils are constricted

20

amphetamines facilitate the release of

DA
NE

21

heavy use of amphetamines can mimic what disease

schizophrenia

22

when you combine amphetamine with SSRI what can happen

serotonin syndrome

23

amphetamine withdrawal can lead to

prolonged depression

24

amphetamine overdose can cause

hyperthermia, rhabdo, and renal failure

25

PCP antagonizes what receptor? and activates what neurons

NMDA
dopamine

26

overdose of PCP can cause

seizures, delirium, coma and death

27

rotator nystagmus is a good sign of PCP intoxication

PCP intoxication

28

what is the one opioid that causes pupil dilation

meperidine

29

opioid withdrawal shows

lacrimation
yawning
weakness
rhinorrhea
piloerection
dialated pupil
abd cramps
arthralgia

30

what does EEG show in delirium

generalized slowing

31

what does EEG show in alcohol or sedative hypnotic withdrawal delirium

fast low voltage activity

32

what does EEG show in hepatic encephalopathy

triphasic delta waves

33

what drugs treat acute dystonia

benztropine (dozentin) and benadrly

34

what treats the EPS akathisia (restlessness, can't sit still)

BB (propranolol) or benzodiazepine (Lorazepam)

35

what treats EPS parkinsonism

Benztropine (Cogentin) or Amantidine

36

what treats Tardive Dyskinesia an EPS

clozapine MAY help..

37

what is a second generation antipsychotic that has dopamine receptor antagonist activities and is the most likely out of the atypical antipsychotics to cause EPS

Risperidone

38

main risk with clozapine so this is why people don't use it till it is the last resort

agranulocytosis

39

treatment for neuroleptic malignant syndrome

dantrolene or bromocriptine

40

cyproheptaideine is used to treat

serotonin syndrome it is a 5HT antagonist

41

what is used to achieve a rapid response in depressed geriatric patients who refuse to eat or drink

electroconvulsive therapy

42

1st line treatment for MDD with psychotic features

ECT

43

what is a wakefulness promoting agent used to treat narcolepsy

modafinil

44

what two drugs treat ADHD

methylphenidate and atomoxetine

45

sedating agent that can also increase appetite

mirtazipine