schizophrenia | anxiolytics | ANTICONVULSANT | history of psychiatry | psychological theory |
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DIPHENHYDRAMINE
Severe or painful oculogyric crises can be treated acutely with benztropine, 2 mg intramuscularly or intravenously, or diphenhydramine, 50 mg intramuscularly or intravenously. A dose can be repeated in 30 minutes if there is no response. If these are unsuccessful, then diazepam, 5–10 mg intravenously, or lorazepam, 1 mg intramuscularly or intravenously, can be used.
25 yo pt hospitalized for an acute psychotic break, begins to
complain of thickened speech. Physical exam reveals eyes deviated to the upper right, grimacing, and posturing of the arms. The only meds taken were haldol and clonazepam. The most helpful treatment at this point would be: |
flumazenil
Which of the following reverses the effects of benzodiazepines?
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NEURAL TUBE DEFECTS
Teratogenic effect of both VPA and carbamazepine:
|
Aaron Beck
Cognitive therapy was developed by:
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voices arguing
Kurt Schneider’s first-rank symptoms Delusional perception Normal perception has a private, illogical meaning. Thought broadcasting The patient’s thoughts escape into the outside world and are experienced by others. Thought withdrawal The patient’s thoughts are being removed by an external force. Somatic passivity Experience of bodily sensations (including actions, thoughts, or emotions) imposed by external agency. Voices commenting on one’s actions Voices describe the patient’s activities as they occur. Audible thoughts Voices speaking the patient’s thoughts aloud. Voices arguing The patient hears two or more voices, talking to each other, in his or her head.
Which is a first rank symptom according to Kurt Schneider?
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BETA BLOCKERS (PROPRANOLOL, ATENOLOL)
Which med reduces the acute sx of neuroleptic induced akathisia?
|
lorazepam
35 yo patient presents with frequent panic attacks, which begin with
feelings of dread, sweating, shaking, fear of doom and death lasting 20 min. Which medication provides immediate relief |
TOPIRAMATE
Which of the following anticonvulsants may be associated with
kidney stones? |
HOW INDIVIDUALS LEARN AND UNDERSTAND THE WORLD
Piaget’s contribution to development was a theory explaining what
phenomenon? |
conservation
8 yo boy sees 2 bottles w same amount of liquid. The content of one
is poured in shorter wider glass and the other to a longer narrow glass. When asked which has more liquid he says it’s the same. According to Piaget he is exhibiting: |
RESUMPTION OF HEAVY SMOKING
Smoking increases the metabolism of the antipsychotic medications by inducing the cytochrome P450 1A2 isoform. Smoking lowers the blood levels of typical or atypical antipsychotic medication, in particular haloperidol, chlorpromazine, olanzapine and clozapine.
55 yo psychiatrically hospitalized pt with chronic schizophrenia
stabilized on Clozapine. Two weeks after d/c pt p/w impending signs of psychotic relapse. Assuming pt adherence to meds and negative serum/urine tox screens, what is the most likely explanation for relapse |
DECREASE IN REM
Which of the following sleep changes is produced by all benzos?
|
lamotrigine
After the psychiatrist adds a new med, pt turns bright red w/ sunburn
like rash, similar to SJS. Which med caused this? |
DEFENSE MECHANISMS
In terms of the normal functioning of the personality, Anna Freud’s
contributions were in the realm of: |
integrity
According to Erikson, person >65 w sense of satisfaction that life was
productive/worthwhile has successfully managed psychosocial task of developing: |
asenapine
Asenapine, sold under the brand name Saphris among others, is an atypical antipsychotic medication used to treat schizophrenia and acute mania associated with bipolar disorder. 5 mg SL q12hr initially; maintenance: after 1 week, may be increased up to 10 mg PO q12hr Bipolar Disorder Manic or mixed episodes associated with bipolar I disorder, either as monotherapy or as adjunct to lithium or valproate Monotherapy: 10 mg PO q12hr initially; may be decreased to 5 mg PO q12hr on day 2 and subsequent days if warranted by adverse effects or individual tolerance
Which antipsychotic medications is absorbed
primarily through the oral mucosa? |
librium
Which of the following benzos has an active metabolite?
|
valproic acid
Clinically significant increase in lamotrigine concentration may occur
if co-administered with: |
COGNITIVE DISTORTION
Cognitive distortions are thoughts that cause individuals to perceive reality inaccurately. According to Aaron Beck's cognitive model, a negative outlook on reality, sometimes called negative schemas (or schemata), is a factor in symptoms of emotional dysfunction and poorer subjective well-being.
According to Aaron Beck, the primary defect in depression involves
which of the following? |
INDUSTRY VS INFERIORITY
According to Erikson’s theory, people progress through a series of stages as they develop and grow. Unlike many other developmental theories, Erikson’s addresses changes that occur across the entire lifespan, from birth to death. Industry versus inferiority is the fourth stage of Erik Erikson's theory of psychosocial development, which happens after the third stage of initiative versus guilt. The stage occurs during childhood between the ages of approximately six and eleven.
According to Erikson, a child who strives to be competent by
learning new skills, taking pride in results is which stage? (Also correlated with the Freudian stage of latency) |
abilify
Which of the following augmentation agents is the best choice for
patients with OCD with inadequate response to SSRI? |
5HT-1A
Buspirone is thought to exert anxiolytic effects primarily due to its
actions at which receptor? |
leviteracetam
Of these meds (topiramate, lamotrigine, valproic acid, levetiracetam,
Oxcarbazepine), which is most likely to be free of any significant interaction with other antiepileptic medications? |
EARLY OBJECT RELATIONS
is the process of developing a psyche in relation to others in the childhood environment. It designates theories or aspects of theories that are concerned with the exploration of relationships between real and external people as well as internal images and the relations found in them.
Melanie Klein differed from Freud in her emphasis on what factor?
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Behavioralism
Behavioralism is a theory of learning based on the idea that all behaviors are acquired through conditioning, and conditioning occurs through interaction with the environment. Behaviorists believe that our actions are shaped by environmental stimuli.
A child with autism is placed in a therapeutic foster home where a
consistent response is made to a given action with the goal of improving the child's functioning. This technique derives from which of the following learning theories? |