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NBME Psychiatry Shelf Exam
Antisocial PD - Must be > ___ years old
___ side-effect (long-term tx): hypothyroidism
Acute stress disorder: ___ days - __ weeks after life is in jeopardy.
Adjustment disorder: Within ___ months of life stressor, dissipating at ___ months.
Akathisia is a s/e of neuroleptics or prochlorperazine. Prevented by concurrent administration of ___
Rett syndrome: Age-appropriate development for 1st ___ months (at least).
3 long-lasting (depot) antipsychotics:
haloperidol, fluphenazine, risperidone
Narcolepsy: sleep attacks occuring DAILY for at least ___ months
Tx for Intermittent Explosive Disorder =
Of the TCAs, _____ is the most serotinergic, so it is used in OCD.
Prochlorperazine = ____. S/e = _____.
Brief psychotic disorder: time =
< 1 month
Delusional disorder: time =
at least 1 month (Function is not impaired. Delusion = non-bizarre. Hallucinations may be present.)
Bulimia tx =
Presence of an affective disorder (along with schizophrenia) ____ risk for tardive dyskinesia.
Antipsychotics: ACUTE DYSTONIA is a side-effect. Tx =
diphenhydramine, benztropine, trihexyphenidyl (tx acute dystonia caused by neuroleptics)
2 lab results in Neuroleptic Malignant Syndrome:
increased CPK, leukocytosis
3 S/Es of TCAs (e.g. imipramine):
blurred vision / pupillary dilation (antimuscarinic effect), dry mouth (anticholinergic effect), orthostatic hypotension (a1-adrenergic effect)
Nortriptyline: class =
Imipramine: class =
Leading cause of overdose-related deaths in psychiatric population
Nortriptyline (TCA. causes QT prolongation, cardiac arrhythmia, then death).
TCA that causes QT prolongation
Pseudoseizures vs. real seizures: If real, within ______ [prolactin] will double.
PTSD tx =
Prochlorperazine: S/e = ____ Tx = ____
akathisia, anticholinergics (i.e. benztropine) (PREVENTION = concurrent admin of IV benzo)
Hallucinations, insomnia, tremor, GI distress, seizures.
Dysphoria, psychomotor agitation or retardation, fatigue.
Abdominal pain, chills, myalgias, NVD, piloerection
Worst antipsychotic S/Es: Ziprasidone =
Worst antipsychotic S/Es: Clozapine =
Antipsychotic LEAST associated with movement problems =
Weight-neutral antipsychotic =
Worst lamotrigine S/E =
stevens-johnson syndrome (if titrated up too quickly. A rash is fairly normal, though... usually...)
Tx to relieve the autonomic sx of heroine withdrawal =
anticholinergic (benztropine, diphenhydramine, trihexyphenidyl)
Tx for PCP intoxication =
Nystagmus, HTN, coma, hyperacusis, agitation, psychosis
PCP intoxication (tx = midazolam)
Tx for ACUTE (acute!) mania =
___ withdrawal includes elevated temperature
If an antipsychotic (anticholinergic) ---> urinary S/Es, tx =
Enuresis: 1st-line tx =
DDAVP (S/E = water intoxication, so watch out. Technically behavior therapy should be tried first.)
Enuresis: 2nd-line tx =
____ = most common drug cause of depression