Psychiatry

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Author:
pszurnicki
ID:
275614
Filename:
Psychiatry
Updated:
2014-05-29 14:19:51
Tags:
Psychiatry
Folders:
Psychiatry
Description:
Psychiatry
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  1. next step after olanzapine causes daytime sedation
    risperidone
  2. rx for a pt with schizo and insomnia
    any of the atypicals
  3. rx for tardive dyskinesia
    akathisia
    acute dystonia
    bradykinesia
    NBMS
    • TD--switch to atypics, give benztropine
    • akathisia--add bb or benzo
    • acute dystonia--benztripoine
    • bradykinesoa- benzotripine
    • NMS--stop antipsychotics and start benztropine
  4. rx for adjustement disorder
    counsel
  5. rx for panic disorder
    • cbt
    • ssri
  6. rx for phobias
    • exposure therapy
    • + bb or benzo for autonomic symptoms
  7. rx for ocd
    psychotherapy +ssri
  8. most effective therapy for ptsd
    therapy
  9. rx for gad
    psychotherapy + ssri
  10. rx for gad
    • buspirone
    • ssri
  11. rx for dysthymic disorder
    long term individual oriented psychotherapy
  12. for psychiatric conditions, what should be ruled out first
    medical conditions--pheo, cushings, hyper or hypothyroid
  13. most common cause of progression to rapid cycling
    use of anti-depressants
  14. how are rapid cyclers managed
    stop all anti depresseants, stimulants, caffeine, alcohol
  15. bipolar management of pregnant women
    etc in 1st trimester. then lamotrigenein 2nd and 3rd
  16. rx for cyclothymia
    psychotherapy
  17. indications for etc
    • responded well to etc in past
    • immediate suicide
    • mdd refractory to meds
    • cant take meds
  18. mdd and you dont want weight gain
    buproprion
  19. mdd + you want weight gain as in elderly
    mirtazapine
  20. rx for insomnia in mdd
    trazodone
  21. which ssri and tca are safe in pregnancy
    all of them exept paroxetine
  22. elderly man with agitation, next best step
    trazodone
  23. what depression meds lower seizure threshold
    • buproprion
    • inh
    • Trazodone, TCA
  24. first line drug for rapid cyclers i.e >4 episodes/year
  25. side effects of lithium
    • Limb tremor
    • Movement disorder
    • Nephrogenic DI
    • Ohypothyroid
    • Pregnancy
  26. rx for lithium toxicity
    dialysis
  27. rx for serotonin syndrome
    • cypraheptidine
    • IV fluids
  28. criteria for somatization disorder
    • 4 pain symptoms
    • 2 sexual
    • 1 gi
    • 1 pseudoneuro
  29. best rx for somatoform disorder
    regular visits
  30. conversion disorder
    neurological symptoms and the patient could care less
  31. rx for hypochondriasis
    • schedule visits
    • psychotherapy
  32. rx for facticious and malingering disorders?
    psychotherapy
  33. rx for anorexia
    • hospitalzise if electrolytes are off
    • olanzapine helps weight gain
    • ssri if co-existent depression
  34. rx for body dysmorphic

    body dysmorphic + weight

    body dysmorphic + gender
    ssr

    anorexia

    gender identity disorder
  35. intermittent explosive disorder rx
    • ssri
    • mood stabilizers
  36. rx for pathologic gambling
    group gambling
  37. most effective therapy for alcohol abuse
    aa
  38. how long after last drink does etoh halucinosis occur, withdrawal seizure, dt
    • 12-24 hrs hallucinosis
    • 24-48 withdrawal seizures
    • 48-76 hrs dt
  39. rx for long term withdrawal from etoh and opiates
    • long acting benzoes
    • methadone for opiods
  40. what drug is effective in etoh, opiate, poly drug dependance
    naltrexone
  41. what kind of sex problesm do the following cause
    • neuroleptics-sexual dysfunction
    • dopamine agonists--incrase ¬†erection and libido
    • alpha 1 blocker--cant ejaculate
    • ssri-cant orgasm
    • bb-ed
  42. rx for paraphilias
    • psychotherapy
    • aversive condition

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