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43 terms

NBME Psychiatry Shelf Exam

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Antisocial PD - Must be > ___ years old
15
___ side-effect (long-term tx): hypothyroidism
lithium
Acute stress disorder: ___ days - __ weeks after life is in jeopardy.
2, 4
Adjustment disorder: Within ___ months of life stressor, dissipating at ___ months.
3, 6
Akathisia is a s/e of neuroleptics or prochlorperazine. Prevented by concurrent administration of ___
IV benzo
Rett syndrome: Age-appropriate development for 1st ___ months (at least).
5
3 long-lasting (depot) antipsychotics:
haloperidol, fluphenazine, risperidone
Narcolepsy: sleep attacks occuring DAILY for at least ___ months
3
Tx for Intermittent Explosive Disorder =
carbamazepine
Of the TCAs, _____ is the most serotinergic, so it is used in OCD.
clomipramine
Prochlorperazine = ____. S/e = _____.
anti-emetic, akathisia
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 =
SSRI
Presence of an affective disorder (along with schizophrenia) ____ risk for tardive dyskinesia.
increases
Antipsychotics: ACUTE DYSTONIA is a side-effect. Tx =
anticholinergics
3 anticholinergics
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 =
TCA
Imipramine: class =
TCA
Leading cause of overdose-related deaths in psychiatric population
Nortriptyline (TCA. causes QT prolongation, cardiac arrhythmia, then death).
TCA that causes QT prolongation
nortriptyline
Pseudoseizures vs. real seizures: If real, within ______ [prolactin] will double.
1 hour
PTSD tx =
sertraline
Prochlorperazine: S/e = ____ Tx = ____
akathisia, anticholinergics (i.e. benztropine) (PREVENTION = concurrent admin of IV benzo)
Hallucinations, insomnia, tremor, GI distress, seizures.
benzo withdrawal
Dysphoria, psychomotor agitation or retardation, fatigue.
Cocaine withdrawal
Abdominal pain, chills, myalgias, NVD, piloerection
Heroin withdrawal
Worst antipsychotic S/Es: Ziprasidone =
QT prolongation
Worst antipsychotic S/Es: Clozapine =
neutropenia, myocarditis
Antipsychotic LEAST associated with movement problems =
clozapine
Weight-neutral antipsychotic =
ziprasidone
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 =
midazolam
Nystagmus, HTN, coma, hyperacusis, agitation, psychosis
PCP intoxication (tx = midazolam)
Tx for ACUTE (acute!) mania =
haloperidol
___ withdrawal includes elevated temperature
benzo
If an antipsychotic (anticholinergic) ---> urinary S/Es, tx =
bethanechol (cholinergic)
Enuresis: 1st-line tx =
DDAVP (S/E = water intoxication, so watch out. Technically behavior therapy should be tried first.)
Enuresis: 2nd-line tx =
Imipramine
____ = most common drug cause of depression
propranolol