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98 Cards in this Set

  • Front
  • Back
child is noncopmpliant in absence of criminality
oppositional defiant disorder
tx for tourettes
haldol
X linked disorder seen only in girls (why?)
mental retardation appearing at age 4
Rett's

boys die in utero
stereotyped hand-wringing in a little girl
Retts
gaba, NE and serotonin in anxiety
NE up
GABA down
serotonin down
decreased NE
decreased serotonin
depression
decreased GABA and Ach
Huntingtons
increased dopamine
schizzophrenia
decreased dopamin
Increased ach
parkinsons
anosognsoia
lack of awareness that one is ill
abrupt change in geographic location with inability to recall past
confusion about personal identity
assumption of a new identity
distress and impariment
not result of GME or substance abuse
dissociative fuge
formication
sense of ants crawling on one's skin
common in DTs and cocain abusers
hypnagogic
while GOing to sleep
psychosis 1-6 months
schizophreniform
psychosis les thn 1 month
brief psychotic disorder
how many positive symptoms are needed for schizo
2
schizo featuring atomatisms
catatonic
manic symtoms
no impairment
no psyhotic features
hypomanic episode
how long does dysthymia have to last
2 years
what aspects of sleep are slowed and sped up in depression
increased REM (early and total)
decreased slow-wave, REM latency
number of physical symptoms necessary in panic disorder
4, and they have to peak within 10 minutes
panic disorder criteria
recurrent
intense fear and discomfort
peaking in 10 minutes
4 physical symptoms
algophobia
fear of pain
gamophobia
fear of marriage
how long does acute stress disorder last
2-4 weeks
how long does PTSD have to last before it's official
1 month
difference between adjustment disorder and GAD
< 6 months ofr adjustment disorder
criteria for Muchausen's
assume sick role to get medical attention (primary gain)
multiple hospital admissions
willingness to receive invasive procedures
false belief of being pregnant associated with objective physical signs of pregnancy
pseudocyesis
tertiary gain
what the caretaker gets from a patients complaints (e.g., physician on an interesting case)
schizoid vs schizotypal
schizoid is withdrawn; schizotypal is odd, eccentric
Cluster A disorders
Cluster B disorders
Cluster C disorders
Weird - Aloof
Wild - Bad
Worried - Chattering Teeth
timing of psychotic symptoms in schizophreniform
1-6 months (less than 1 is brief psychotic disorder
what is a sensitivie test for alcohol use
serum GGT
tremor, tachycardia, HTN, malaise, nausea, seizures, delirium tremens, tremulousness, agitation, hallucinations
alchohol withdrawal
dilated pupils
piloerection
yawning
opioid withdrawal
psychomotor agitation, impaired judgment, pupillary dilation, HTN, tachycardia, arrhythmias, hallucinations
amphetamine intoxication
euphoria, tachycardia, hallucinations (including tactile), paranoid ideations, sudden cardiac death
cocaine intoxictaion
belligerence, impulsiveness, fever, psychomotor agitation, vertical and horizontal nystagmus, homicidality, psychosi
PCP intoxication
recurrence of intoxication symptoms due to reabsorption in GI tract, sudden onset of severe random, homicidal violence
PCP withdrawal
marked anxiety or depression, delusions, visual hallucinations, flashbacks, pupillary dilation
LSD intoxication
how long after last use can pot be detected in urine
1 month
anxiety, seizures, delirium, life-treatening cardiovascular collapse
barbiturate withdrawal
intoxication with a low safety margin, respiratory depression
barbiturate intoxication
amnesia, ataxia, somnolence, minor resporatory depression, additive effects with alcohol
benzo intoxication
rebound anxiety, seizures, tremor, insomnia
benzo withdrawal
how does ethanol cause hypoglycemia
increased NADH/NAD, inhibits gluconeogenesiss
when does delirium tremens peak
2--5 days
how to dreat deliriu tremens
benzos
learning in which a natural response is elicited by a learned stimulus
classical conditioning

pavlov
learning in which a particular action is elicited because it produces a reward
operant conditioning
negative reinforcement vs punishment
negative reinforcement uses removal of bad stimulus to elicit behavior that causes the removal

punishment is bad outcome from a behavior in the hopes of stopping it
effect of continuous reinforcement schedule
rapidly extinguished (you stop using a vending machine if it lets you down once)
partially remaining at a more childish level of development
fixation
separation of feelings from ideas and events, e.g., describing a murder in graphic detail with no emotional response
isolation
tx for anorexia
SSRIs
tx for bulimia
SSRIs
tx for anxiety
barbiturate
benzos
buspirone
MAOis
tx for ADHD
methylphenidate
amphetamine
tx for atypical depression
MAOi
tx for bipolar disorder
lithium
valproate
carbamazepine
tx for depression
SSRIs
TCAs
tx for depression with insomnia
Make like Tryptophan

trazodone
mirtazapine
tx for OCD
SSRIs
tx for panic disorder
Beat Terror

TCAs
buispirone
tx for schizophrenia
antipsychotics
tx for Tourettes
Haloperiodl
evolution of EPS side effects of antipsychotics
4h - acute dystonia
4d - akinesia
4w - akathisia
4 mo - tardive
pt on antipsychotics
rigidity
myoglobinuria
autonomic instability
hyperpyrexia
neuoleptic malignant syndrome
tx for neuroleptic malignant syndrome
dantrolene
dopamine agonists
low potency neurolpetics
thioridazine
chlorpromazine

Calm Treaters
high potency neuroleptics
haloperidol
trifluoperazine
atypical antipsychotics
clozapine
olanzapine
risperidone
quetiapine
aripiprazole
ziprasidone
MOA of atypicals
block 5HT2 and dopamine
uses of olanzapine
ol over the place!

its MOA deals with Depression and Tourrettes

OCD
anxiety
depression
mania
Tourettes
why are patients on clozapine monitored
agranulocytosis
lithium side effects
LMNOP
Lithium causes
Movement (tremor)
Nephrogenic diabetes insipidus
HypOthyroidism
Pregnancy problems
Buspirone MOA
5HT1A receptors
what causes serotonin syndrome
SSRIs plus MAO inhibitors
person on antidepressants
hyperthermia
muscle rigidity
cardiovascular collapse
SSRIs and MAOIs, causing serotonin syndrome
what kind of drug is doxepin
TCA
what kind of drug is amoxapine
TCA
rx for bedwetting
imipramine
TCA used for OCD
clomipramine

keeping everything neat in the closet
pscyh meds that cause atropine like effects
TCAs
rank in oder of decreasing anticholinergic effects:
nortirpytline
desipramine
amitriptyline
amitriptyline
nortriptyline
desipramine
TCA toxicity
the Three Cs of TCas
Convulsion
Coma
Cardiotoxicity
moa of venlafaxine
inhibits reuptake of
serotonin
NE
dopamine
oa of mirtazapine
alpha 2 antagonist (increases release of NE and serotonin)
and
potent 5HT2 and 3 receptor antagonist
side effects of mirtazapine
weight gain, sedation, dry mouth
moa of maprotiline
blocks NE reuptake
toxicity of maprotilne
orthostatic hypotenion

Can't change directions on the MAP
moa of trazodone
primarily inhibits serotonin reuptake
trazodone side effects
priapism
postural hypotension
rx that can be used for hypochondriasis
atypical antidepressants
what causes hypertensive crisis on MAOIs
tyramine inestion
beta agonists
drugs to avoid when you're on MAOIs
beta agonists (hypertensive crisis)

SSRIs and meperidine (serotonin syndrome)
moa of methylphenidate
increased presynaptic NE vesicular release

otherwise not known