Question | Answer |
evolution of EPS (extrapyramidal system) side effects | 4 h acute dystonia (muscle spasm, stiffness, oculogyric crisis).
4 d akinesia (Parkinsonian sxs).
4 wk akathisia (restlessness).
4 mo tardive dyskinesia (often irreversible) |
Toxicity: antipsychotics | extrapyramidal system side effects,
endocrine side effects (DA receptor antagonism -> hyperprolactinemia -> galactorrhea),
side effects arising from blocking muscarinic (dry mouth, constipation, alpha (hypotension), and histamine (sedation)receptors. |
Neuroleptic Malignant Syndrome: give symptoms and treatment | rigidity,
myoglobinuria,
autonomic instability,
hyperpyrexia
treatment: dantrolene and dopamine agonists |
treatment: Tourette's | antipsychotics (haldol) |
treatment: Schizophrenia | antipsychotics |
treatment: panic disorder | TCAs,
Buspirone |
treatment: OCD | SSRI |
Depression with insomnia | Trazodone,
Mirtazapine |
treatment: Depression | SSRI,
TCAs |
treatment: bipolar | Mood stabilizers:
Lithium,
Valproic Acid,
Carbamezapine |
treatment: Atypical depression | MAOI |
treatment: ADHD | Methylphenidate (Ritalin),
Amphetamine |
treatment: anxiety | Barbiturates,
BZD,
Buspirone,
MAOI |
treatment: anorexia/bulemia | SSRI |
treatment for alcohol withdrawal | BZD |
Difference between repression vs. suppression | withholding idea/feeling from conscious awareness. Repression=involuntary, immature defense vs. Suppression=voluntary, mature defense |
Describing murder in graphic detail with no emotional response. What defense mechanism is this? | Isolation = separation of feelings from ideas and events. |
Delerium Tremens. What is the order of symptom appearance and what is the treatment? | Autonomic system hyperactivity (tachycardia, tremors, anxiety), psychotic sxs (hallucinationn, delusions), confusion. Treat with BZD |
heroin addicts are at risk for what? | hepatitis, abscesses, overdose, hemorrhoids, AIDS, and right sided endocarditis. |