Step 2 Psych

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Author:
matt.hoffman
ID:
14214
Filename:
Step 2 Psych
Updated:
2010-04-23 15:41:49
Tags:
USMLE Step Psychiatry
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Description:
Psych cards for step 2 prep
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  1. Side effects of anti-psych meds
    • Acute dystonia
    • Akathisia
    • Parkinsonism
    • Tardive dyskinesia
    • Neuroleptic malignant syn
    • + Prolactin (dopamine blockade)
  2. Time periods for diagnosing psychotic diseases
    • 1 month = acute psychotic disorder
    • 1 to 6 months = schizophreniform disorder
    • > 6 months = schizophrenia
  3. Flat affect
    Alogia
    Avolition
    Anhedonia
    Dx?
    Schizophrenia Negative Symptoms
  4. Rx for mania
    • First line: Lithium and Valproic Acid
    • Second line: Carbamazepine, Olanzapine, Gabapentin
  5. Side effects of lithium
    • Renal dysfunction
    • Thyroid dysfunction
    • Tremor
    • CNS effects at high levels
  6. Side effects of Valproic acid?
    Liver dysfunction
  7. Side effects of carbamazepine?
    Bone marrow depression
  8. Clozapine use and side effects
    • Use: Schizophrenia
    • SE: Agranulocytosis
  9. What are the side effects of atypical antipsychotic medications?
    • Weight gain
    • Hyperglycemia
    • Dyslipidemia
    • HTN
  10. First line medications for Schizophrenia?
    • Atypicals:
    • Risperidone
    • Olanzapine
    • Clozapine
  11. What are the four categories for anti-depressants
    • TCA
    • SSRI
    • MAOI (rarely used except with atypical depression)
    • Trazadone
  12. Name two TCA's with Side Effects.
    • Nortryptiline, Amitriptyline
    • SE: hypotension, dizziness, fall; sedation, lower seizure threshold
  13. Name two SSRI and SE.
    • Fluoxetine, Paroxetine
    • SE: insomnia, anorexia, sexual dysfunction
  14. Name two MAOI and SE.
    • Phenelzine, Tranylcypromine
    • SE: HTN with wine and cheese, other SE
  15. Name SE of trazadone
    Priapism
  16. Rx for specific phobias?
    Benzodiazepines (Alprazolam)
  17. Rx for Agitation?
    Lorazepam or Haloperidol
  18. Rx for catatonic Schizo?
    Benzodiazepines or ECT
  19. First line Rx for Generalized Anxiety Disorder
    • Buspirone
    • 2nd line are Benzos
  20. Rx for Tourettes
    • Haloperidol or
    • Pimozide
  21. Rx for Delerium Tremens?
    Benzodiazepines
  22. Criteria for hospitalizing anorexic patient?
    • Dehydration
    • Starvation
    • Lyte disturbances
    • Cardiac arrhythmias
    • Physiologic Instability
    • Severe Malnutrition (75% of ideal body weight)
  23. What is Buproprion used for? What is an added SE?
    • Depression
    • Helps stop smoking
  24. Name three benzodiazapines.
    • Alprazolam
    • Chlordiazepoxide
    • ..azepams (Clonazepam, Diazepam, Lorazepam, etc)

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