Section 7: Miscellaneous Flashcards Preview

Psychiatry USMLE Step 3 > Section 7: Miscellaneous > Flashcards

Flashcards in Section 7: Miscellaneous Deck (26)
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1

CF of TCA toxicity?

  • Trembling (convulsions)
  • Coma
  • Arrhythmias

 

Use the mneumonic "TCA"

2

List the anticholinergic side effects of TCAs

  • Dry mouth
  • Blurry vision
  • Constipation
  • Urinary retention

3

List the contraindications to TCAs

  • Pt with history of heart block
  • Those with high risk of suicide

4

Give some examples of opioid

  • Heroin
  • Morphine
  • Oxycodone

5

Signs of opioid toxicity

Triad of

  • Coma
  • Respiratory depression
  • Miosis

 

Also

  • Bradycardia
  • Hypothermia
  • Diminished bowel sounds

6

List the cholinergic side effects

  • Diarrhea
  • Urination
  • Miosis
  • Bradycardia
  • Bronchospasm
  • Emesis
  • Lacrimation
  • Salivation

 

 

Use the mneumonic DUMBBELS

7

Give 6 examples of SSRIs

  • Fluoxetine
  • Sertraline
  • Paroxetine
  • Citalopram
  • Escitalopram
  • Fluvoxamine

8

List the indications for benzodiazepines

  • Anxiety disorders
  • Alcohol withdrawal
  • Insomnia
  • Anesthesia
  • Seizures
  • Muscle spasms

9

Neurotransmitters involved in ADHD

  • Norepinephrine
  • Dopamine

10

Neurotransmitter involved in Alzheimer

Acetylcholine

11

Neurotransmitter involved in Delirium

Acetylcholine

12

Neurotransmitter involved in Anxiety disorder

GABA

13

Neurotransmitter involved in schizophrenia

Serotonin

14

What is the most prevalent inhibitory neurotransmitter in the brain?

GABA

15

What is the most prevalent excitatory neurotransmitter in the brain?

Glutamate

16

Enumerate the better prognostic factors for schizophrenia

Good premorbid adjustment

Female

Married

Late age of onset

Precipitating events

Family history of mood disorder

Good inter-episode functioning

17

List the worse prognostic factors for schizophrenia

Poor pre-morbid adjustment

Male

Single

Earlier age of onset

Negative symptoms

Family history of schizophrenia

Poor inter-episode functioning

 

18

List six features of schizotypal personality disorder

Odd beliefs

Unusual perceptual experiences

Lack of close friends, suspiciousness

Odd speech

Inappropriate affect

Odd appearance

19

What is facilitation?

 

Facilitation involves giving the patient a verbal or nonverbal cue to help the patient continue his or her train of thought. Calmly asking the ptc to continue, or even waiting silently (sometimes), acts as facilitation

20

List the sexual dysfunctions caused by the following medications

  1. Alpha-1 blockers
  2. SSRIs
  3. Beta blockers
  4. Trazodone
  5. Dopamine agonists
  6. Neuroleptics

  1. Impaired ejaculation
  2. Inhibited orgasm
  3. Erectile dysfunction
  4. Priapism
  5. Increased erection and libido
  6. Erectile dysfunction

21

List the typical presentations in suicide

  • Recent suicide attempt
  • Complaints of suicidal thoughts
  • Admission of suicidal thoughts
  • Demonstration of suicidal behaviors (e.g., buying weapons, giving away possessions, or writing a will)

 

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 532). Kaplan Medical Test Prep. Kindle Edition.

22

Risk factors for suicide

  • Men
  • Older adults
  • Social isolation
  • Presence of psychiatric illness/drug abuse
  • Perceived hopelessness
  • Previous attempts

 

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 532). Kaplan Medical Test Prep. Kindle Edition.

23

Rx of suicide

  • Hospitalize patient
  • Take all threats seriously

Fischer, Conrad (2012-11-01). Master the Boards USMLE Step 2 CK (Page 532). Kaplan Medical Test Prep. Kindle Edition.

24

  1. What class of drugs are used for the first line Rx of restless leg syndrome
  2. List two examples of 1 above

  1. Dopamine agonists
  2. Pramipixole and Ropinirole

25

Rx for opiod withdrawal

  • Methadone
  • Clonidine

26

Treu or False:

Atypical antipsychotics are approved by the FDA for the Rx of dementia-related psychosis in the elderly

False. They may have utility in certain situations but physicians should always weigh the benefits and riskd before prescribing it