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Clin Med 208: Psych
| Question | Answer |
|---|---|
| Mechanism of tricyclic antidepressants | Block norepinephrine and serotonin reuptake in the neuron |
| Mechanism of SSRIs | Block the reuptake of serotonin. Minimal side effects |
| What type of drug is Cymbalta? | SSNRI (blocks 5HT and Norepinephrine) |
| Mechanism of benzodiazepines | Enhance binding and effectiveness of GABA |
| Most commonly abused benzodiazepine | Xanax |
| Most commonly used benzodiazepine in hospitals | Ativan (Lorazepam). Available oral and IV. |
| Mechanism of antipsychotics | Blocks dopamine receptors. |
| Major Depressive Disorder is diagnosed with 5 or more of these criteria | decreased modd, insomnia/hypersomnia, agitation, fatigue, feelings of worthlessness, loss of interest, weight loss, etc. |
| Depressive disorder with ongoing symptoms that are less in severity lasting greater than 2 years | Dysthymic disorder |
| Patient with history of depressive disorder and then one episode of mania | Bipolar Disorder |
| Distinct period of abnormality and persistent mood lasting at least one week and of sufficient severity to cause impairment in functioning | Manic episode |
| Maintenance meds for Bipolar Disorder | Lithiium carbonate and anticonvulsants |
| Complex disorder that is rooted in abnormalities in the perception and expression of reality. | Schizophrenia |
| Typical course of schizophrenia | >6mos, initial psychotic break usually in 20's |
| Characterized by unrealistic or excessive worry about several life events or activities for a period of at least 6 mos. | Generalized Anxiety Disorder |
| Symptoms of Generalized Anxiety Disorder | Muscle tension, easy fatigability, irritability, restlessness, difficulty concentrating |
| Recurrent episodes of panic attacks, typified by discrete periods of intense fear or discomfort | Panic disorder |
| Intense fear of becoming helpless during a panic attack while in a public place | Agoraphobia |
| Characterized by intrusive thoughts that produce anxiety, by repetitive behaviors aimed at reducing anxiety | OCD |
| Defined by the presence of intrusive recollections related to a specific event that caused feelings of helplessness | Post-traumatic Stress Disorder |
| What percentage of war veterans suffer from PTSD? | 30% |
| What drug is contraindicated for the treatment of PTSD? | benzodiazepines (due to abuse potential) |
| Multiple physical complaints before the age 30 | Somatization disorder |
| Symptoms of somatization disorder include: | GI, GU, Pseudocardiac, Pseudoneurologic, sexual dysfunction |
| Pervasive feeling of ugliness or physical defect based on an overly exaggerated perception of a minor, or absent, physical abnormality | Body Dysmorphic Disorder |
| Loss or alteration in physical functioning during a period of psychological stress | Conversion disorder |
| Preoccupation of having a serious illness based on misinterpretation of physical symptoms that do not respond to physician and clinical reassurance | Hypochondriosis |
| CAGE questions regarding substance abuse. (problem if yes to 2 or more) | Feel you should CUT down on drinking? Are you ANNOYED when people criticize you about drinking? Do you ever feel GUILTY? Do you need an EYE-OPENER in the morning? |
| When does Delirium Tremens occur with alcohol withdrawl? | 2-5 days after last drink |
| What is the number one abused drug? | Opiods |
Created by:
LaurenLofdahl
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