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Wi l ke s U ni ve rsi t y
What happens to the brain during adolescence?
Dendritic pruning
Emotions are controlled by
amygdala By adulthood, PFC
involved as well
When do males typically present with schizophrenia?
10-25 yo
When do females typically present with schizophrenia?
25-35 yo
What does Erythromycin to trileptal?
You will need to decreases the level because Trileptal(inducer) and
erythromycin is a inhibitor
,ACE Inhibitors are the drug of choice for what?
Heart Failure
HTN
What are some psychiatric side effects seen with some asthma drugs
Leukotriene receptor agonists - singulair, accolade, zyflo = agitation,
aggression, anxiety, hallucinations, depression, insomnia, SI, tremor
What should you watch for with Tegretol?
Agranulocytosis and Hyponatremia
What are the 3 CK muscle enzyme tests?
CKBB, CKMM, CKMB
Which one of the 3 muscle enzymes are related to cardiac muscle
damage?
CKMB
What is the risk of a seriously elevated CKMB?
Polymyosi
tis Rhabdo
,What is a normal CKMB?
0.3 mcg/L
What psychoactives does Detrol interact with?
Topamax
KCL
Zonegran
What CN are you assessing when you have the patient shrug their
shoulders?
CN XI - Spinal Accessory
What do you see in labs with HIV & Dementia?
CD4 <200
Viral Load is high
<20% get it with antiretroviral treatment
What is the scoring with the Beck Depression Inventory?
Self-Report - 0-63
0-13 - minimal
14-19 - mild
20-28 - moderate
29-63 - severe
, What is sensitivity?
Helps rule-out disease = True Positive = Snout
What is specificity?
Helps rule-in disease = True Negative = Spin
What does a sed rate measure?
Inflammation (ESR - Erythrocyte Sedimentation Rate) = distance in
mm RBC's have descended in 1 hour.
What is a normal sed rate or ESR?
0-22 males
0-29 females
What is a retic count?
Measures % of reticulocytes in blood (immature RBC's) Indicates
whether enough RBC's are being produced by bone marrow.
What does a decreased retic count indicate?
Anemia - acute or chronic bleeding