Random notes Flashcards

1
Q

Best treatment for psychotic symptoms of Catanoia

A

Benzos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the first line therapy for acute dystonic reaction?

A

IV Benadryl 50mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Taking what two medications can increase the risk of QT prolongation

A

Effexor and Haldol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When prescribing TCAs to patients, what medical condition is contraindicated for this type of treatment?

A

Hepatic impairment since TCAs are metabolized by the liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

GEM

A

Grief evaluation measurement tool is used to assess for complicated grief symptoms in a mourning adult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Other than neuroleptics, what other class of medications can cause epse (extrapyramidal side effects)?

A

Anti-emetics, anti-malarial, anticonvulsants, serotogenic agents, and stimulants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Maternal smoking and alcohol use during pregnancy

A

Has shown a strong correlation to increased aggression in childhood and adolescence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

opioid antagonist used to treat alcohol use disorder. It is FDA-approved for alcohol use disorder.

A

Naltrexone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

used to differentiate psychogenic non-epileptic seizures from epileptic seizures.

A

Video electroencephalography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Present in the third decade of life, are more common in females than males, and are not due to physiological disability to CNS

A

psychogenic non-epileptic seizures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the recommended first-line treatment of undifferentiated agitated delirium

A

Benzos with the option of Ketamine as adjunctive therapy if benzos are ineffective and the patient is not hypertensive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Presents with sedation, coma, anticholinergic effects, seizures, dilated pupils, blurry vision, confusion, and arrhythmias

A

TCA overdose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tinnitus is most strongly correlated with which mental health condition?

A

Anxiety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Sodium Bicarbonate

A

Treatment for TCA overdose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the most common emergency caused by marijuana ingestion?

A

Panic attack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Phencyclidine (PCP)

A

A.K.A Angel dust is a potent hallucinogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

NDMA receptor antagonist that behavioral effects resemble schizophrenia

A

PCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Include rage, reddish skin, dilated pupils, nystagmus, and excitation

A

PCP ingestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Best drug for methylphenidate poisoning

A

Benzos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Has serotonergic activity and has the potential to causes serotonin syndrome but is considered an analgesic

A

Tramadol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Cause anovulation and irregular menses in females due to decreased FSH

A

Increased Prolactin levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Most common age group is for fibromyalgia

A

females 20-55 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Medication FDA approved to treat adult depressive disorders and aid in smoking cessation

A

Bupropion (Wellbutrin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Echolalia is considered a disorder after what age?

A

After 3 years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Commonly presents in patients with autism, Tourette's, schizophrenia, dementia, transcortical sensory aphasia, catatonia, and epilepsy
Echolalia
26
May worsen psychosis or precipitate a change to mania or hypomania in bipolar patients
Paroxetine
27
How long does premature ejaculation have to be present to be diagnosed?
at least 6 months
28
What is the only fda approved drug for PMDD but not for more than 3 cycles
Drospirenone with ethinyl estradiol
29
True or False: Can MAOIs and Cocaine or MDMA precipitate serotonin syndrome if taken together?
True
30
Blurred vision, dry mouth, urinary retention, tachycardia, acute angle glaucoma, confusion, and delirium
Anticholinergic side effects
31
Approved for long term tx of GAD
Buspirone
32
Causes dizziness, headache, and nervousness
Buspirone
33
Psychiatric disorder characterized by symptoms affecting sensory or motor function
Conversion disorder
34
Combination may have an additive QT prolonged effect
Escitalopram and Risperidone
35
What has been shown to be the most effective in the treatment of conduct disorders
Multisystem Therapy
36
FDA approved for the treatment of bipolar depression
Olanzapine in combination with Prozac
37
Can help tx bipolar depression
Latuda Lamictal
38
Originated by Marsha Linehan
DBT
39
Helps with enuresis by reducing urine production
Desmopressin
40
What are the risk factors for suicide?
1. Previous suicide attempt 2. Age 45 in male 3. Age 55 in female 4. Divorced 5. Single/Separated 6. Caucasian 7. Living alone 8. Psych disorder 9. Substance abuse 10. Family hx of suicide 11. Recent loss 12. Male gender
41
Carotid bruits, fundoscopic abnormalities, and enlarged cardiac chambers
Hallmarks of Vascular Dementia
42
Hypnagogic & Hypnopompic hallucinations
Are sleep related hallucinations
43
Requires a separate release of information for the release of any information on chemical dependency
Federal Law 42 CFR
44
Involves providing resources to those with the least access and the greatest need
Social Justice
45
Usually based on smaller sample sizes and fewer outcome events and indicate reduced precision in estimate of effect
Wider confidence interval
46
Who is the policy maker deciding who has admitting privileges at a community health care facility
The hospital ( at the local level)
47
Process of quality improvement
Plan Do Study Act (PDSA)
48
Lithium therapeutic index
0.6-1.2
49
Depakote therapeutic index
50-125
50
Creatinine range
0.6-1.2
51
BUN
10-20
52
Pts with which disorder should not be given stimulants because it can potentiate/exacerbate more dopamine to be released thus worsening symptoms
Schizophrenia
53
Safer in pregnancy for anxiety
Buspar
54
Safest SSRI in pregnancy for depression
Zoloft
55
off label use for ADHD
Wellbutrin
56
What is the concept of when people engage in self-mutalilating behavior but have no desire to die?
Parasuicide
57
What mood stabilizer is also used for trigeminal neuralgia
Carbamezapine
58
What factors are different in malignant catatonia vs. Nms
Echolalia and no med use
59
NRI, non-stimulant that is FDA approved to treat ADHD in children and adolescences
Viloxazine (Qelbree)
60
Can treat premature ejaculation
SSRIs
61
FDA approved to improve depression in patients with fibromyalgia
Cymbalta; SNRIs
62
Which mood stabilizer causes the least weight gain
Lamictal
63
Which is the least sedating antipsychotic?
Abilify
64
Antipsychotics that cause the least weight gain
ZAL (Ziprasidone, Apriprazole, Lurasidone)
65
What medications are known for decreasing effectiveness of oral contraceptives
Tegretol, Topiramate, Dilantin
66
How can depression present differently in adolescence
Presents as anger and irritability