Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Step 2: Psych
Psych 1
| Question | Answer |
|---|---|
| How long does normal bereavement last? | PERIODICALLY for 6 months. Does NOT impair ability to function. (2wks continuously after 2m is considered depression) |
| Neurotransmitter change in: Anxiety d/o? | increased NE, low 5HT, low GABA |
| Neurotransmitter change in: Depression? | low NE, low 5HT, low DA |
| Neurotransmitter change in: Mania? | high NE, high 5HT |
| Neurotransmitter change in: Alzheimer's? | low ACh |
| Neurotransmitter change in: Huntington's? | low ACh, low GABA |
| Neurotransmitter change in: Schizophrenia? | high DA |
| Neurotransmitter change in: Parkinsons? | low DA, high ACh |
| After how long can Major Depressive Disorder be diagnosed? | 2 weeks w/ functional impairment |
| What medical conditions can cause depression? list of 6. | hypothyroidism, hyperparathyroidism, Parkinsonism, ACA stroke, CNS neoplasm, Pancreatic Ca |
| What anti-HTN drug can cause depression? | methyl-DOPA |
| Haloperidol (1st gen antipsychotic) can cause ____________ | Depression |
| What antiviral can cause depression? | a-IFN |
| T/F glucocorticoids can cause depression. | True |
| What antineausea drugs can cause depression | metoclopramide, prochlorperazine |
| What's the difference between Major Depressive Disorder w/ Psychosis and Schizoaffective Disorder? | MDD w/Psychosis = Depression always present, psychosis comes and goes. Schizoaffective = Psychosis always present, depression comes and goes |
| What does SIG E CAPS stand for? | Sx of Major Dep d/o: Sleep disturbance, Interest loss, Guilt, Energy reduction, Concentration impaired, Appetite changes, Psychomotor change, Suicidal ideas |
| What are the Sx of atypical depression? | hyperphagia, hypersomnia, hypersensitivity to rejection, leaden paralysis |
| Which is better for treating atypical depression: MAOi or TCA? | MAOi |
| First line Rx for seasonal affective disorder? | light therapy + SSRIs/bupropion |
| Name 6 SSRIs | Fluvoxamine, fluoxetine, sertraline, paroxetine, citalopram, escitalopram |
| What drug group do these belong to: Imipramine, amytriptaline, desipramine, nortrypitaline, clomipramine, doxepine | TCAs |
| The 3 MAOi's are? | Fenalzine, Tranylcypromine, selegiline |
| Bupropion is what drug class? | NDRI |
| What drug class are venlafaxine, duloxetine, milnacipran, nefazodone | SDRI |
| What are teh 2 tetracyclics | mertazapine, trazadone |
| What drugs, combine with SSRIs, can cause serotonin syndrome? | other SSRIs, MAOi's, SNRIs, along with: St Johns Wort, tryptophan, illegal drugs (cocaine, amphetamines), L-DOPA |
| What eye signs are present in serotonin syndrome? | ocular clonus (slow horizontal movements |
| If a pt is suffering from serotonin syndrome, and is agitated in spite of benzos given, what's the next step? | Give anti-serotonin agent (ciproheptadine) |
| SSRI withdrawal syndrome consists of what symptoms? What 2 SSRI's are nototious for it? | dizzy, nausea, fatigue, chills, anxiety. Paroxetine, venlofaxine are the worst offenders. |
| How do you treat SSRI withdrawal syndrome? | fluoexitine (long acting SSRI) |
| Children who are to be put on TCAs should be screened for _________ abnormalities. | Cardiac (arrhythmias, syncope, etc) |
| Mild depression is called ________. What is the Rx? | Dysthymic disorder. Rx = psychotherapy (SSRIs if that doesn't work) |
| 3 s/e's of TCAs? | cardiotoxic, neurotoxic, anticholinergic symptoms |
| First line Rx for depression and anxiety? | SSRIs |
| SSRIs require ______wks to take effect. | 3-4 wks. |
| s/e of SSRIs include? | sex dysfxn, suicidal in adolescents, low platelets |
| What's first line Rx for depression w/ neurologic pain? | SNRIs |
| What do you give after ABCs in TCA overdose? | charcoal. gastric lavage if w/i 2hrs of ingestion. |
| How do you treat QRS prolongation of TCA overdose? | Sodium bicarb trial, then infusion if effective |
| Depression with fatigue and ADHD is treated with ______________. | Bupropion |
| Bupropion is avoided in patients with _____(2)_______ disorders, or taking ______(2)_________ | eating disorder, seizure disorder, coming off EtOH or MAOi |
| Psychotic depression is treated with _____________. | electro convulsive therapy |
| Depression with catatonic stupor is treated with ________________. | ECT |
| Why is electroconvulsive therapy given to patients with severe suicidal ideation? | Because drugs take 3-4w |
| What's the difference between manic and hypomanic episode? | manic = >1wk, interferes with normal fxning. hypomanic = 3d+, no impairment. (bipolar II is hypomanic) |
| What are the first line drugs for bipolar disorder? (3) | lithium, carbamezapine, valproate |
| Rapid cycling bipolar is treated with which 2 of the 3 typical Rx? | carbamezapine, valproate |
| What specific kidney problem can lithium cause? | Nephrogenic diabetes insipidus |
| True/False: you should add an antidepressant to mood stabilizers during depressive stage of bipolar d/o. | False: no added benefit of giving anti depressants. It's better to add another mood stabilizer or antipsychotic. ECT if very severe depression |
| Adjustment disorder has the same causes as major depressive disorder, except for ___________. | Bereavement. |
| Adjustment disorder begins _______months after stressor, and is usually releived within ____months of onset. | 3months, 6 months |
| How do you treat adjustment disorder? | psychotherapy |
| Cyclothymic disorder is a mild form of ______________. It must last _____. | Bipolar disorder. (rapid cycling of mild depression and hypomanic episodes for >2y) |
Created by:
jsad
Popular USMLE sets