LMR ACTUAL FINAL EXAM QUESTIONS AND ANSWERS
SURE A+
✔✔meds that induce depression - ✔✔Beta blockers
steroids
interferon
isotretinoin (ACCUTANE)
some retrovirals
atineoplastic drugs
benzos
progesterone
✔✔side effect of accutane - ✔✔birth defects
✔✔substance use neurotransmitters - ✔✔gaba and dopamine
✔✔stimulant abuse (monitor?) - ✔✔monitor irritability, insomnia, tremors
-stimulant abuse
✔✔anorexia (or omeprazole/famotidine) pain after eating - ✔✔delayed gastric emptying
✔✔antacids/PPI (omeprazole, protonix) and psychotropics - ✔✔decreased absorption
of psychotropics
give 2h or more before
✔✔paradoxical effect - ✔✔opposite of the intended drug effect
ex: benzo causes agitation, SSRI causes anxiety
✔✔2 meds that cause photosensitivity - ✔✔doxycycline, chlorpromazine
sun exposure
✔✔apoptosis - ✔✔neuronal loss
cell death
✔✔conversion syndrome - ✔✔neurological symptoms
parasthesia (pins and needles; tingling; numb)
mutism
paralysis
blindness
✔✔adjustment disorder - ✔✔reaction to life event
anxiety, depression
usually after a loss
,✔✔bipolar disorder - ✔✔digfast (mnemonic)
distractibility
impulsivity
grandiosity
flight of ideas
activity increased
sleep decreased
talkativeness
✔✔how to distinguish bipolar from borderline - ✔✔risk taking activities (e.g. reckless
driving)
✔✔borderline personality disorder - ✔✔use DBT (marsha linehan)
used to decrease suicidal behavior
✔✔factitious disorder - ✔✔ingest or inject to cause an issue; purposely getting sick
✔✔reactive attachment disorder - ✔✔commonly seen in foster care
withdrawn after foster care
✔✔conduct disorder - ✔✔aggressive
no remorse
therapy+meds
goal: mood/aggression tx (antipsychotics, mood stabilizers, SSRIs)
alpha 2 adrenergic receptor blockers
clonidine and guanfacine + therapy
✔✔Oppositional defiant disorder - ✔✔defiant
not aggressive with authority
family therapy with skills training
✔✔acute stress disorder - ✔✔less than one month
✔✔ptsd - ✔✔over 1 month
cluster of sx:
re-experiencing trauma, hyperarousal, avoidance
✔✔EMDR - ✔✔desensitization
instillation
body scan
, ✔✔EMDR Desensitization - ✔✔visualize trauma, verbalize negative thoughts remain
attentive to physical sensations. This process occurs for a limited time while the person
maintains a rhythmic eye movement he or she is the instructed to block out negative
thoughts to breath deeply and to verbalize what he or she is thinking, feeling, or
imagining
(verbalize negative thoughts; rhythmic eye movement; deep breathing)
✔✔EMDR installation - ✔✔the person installs and increases strength of positive thought
that her or she has declared as a replacement for the original negative thought
(add positive thoughts; replace negative thoughts)
✔✔EMDR body scan - ✔✔the person visualizes the trauma along with the positive
thought and then scans his or her body mentally to identify any tension within
(scan body for tension; thinking of trauma and positive thought)
✔✔CBT and EMDR - ✔✔used for PTSD
✔✔impending doom - ✔✔panic attack
panic disorder
✔✔Tourrette's - ✔✔2 motor tics
1 vocal tic
✔✔neurotransmitters in tourettes - ✔✔DNS
dopamine, norepinephrine, serotonin
✔✔treatment for tourettes (fda approved) - ✔✔haldol, abilify
✔✔treatment for tourettes - ✔✔FDA approved: haldol, abilify,
Off label: guanfacine, clonidine
✔✔amphetamine + tics - ✔✔stop stimulant, start intuniv
note: tics normal for children not adolescents
✔✔parts of brain involved in ADHD - ✔✔frontal cortex (dorsolateral PFC), basal ganglia
abnormalities of reticular activity
✔✔functions of dorsolateral prefontal cortex - ✔✔EXECUTIVE function
COGNITIVE process (working memory, problem solving, planning)
SURE A+
✔✔meds that induce depression - ✔✔Beta blockers
steroids
interferon
isotretinoin (ACCUTANE)
some retrovirals
atineoplastic drugs
benzos
progesterone
✔✔side effect of accutane - ✔✔birth defects
✔✔substance use neurotransmitters - ✔✔gaba and dopamine
✔✔stimulant abuse (monitor?) - ✔✔monitor irritability, insomnia, tremors
-stimulant abuse
✔✔anorexia (or omeprazole/famotidine) pain after eating - ✔✔delayed gastric emptying
✔✔antacids/PPI (omeprazole, protonix) and psychotropics - ✔✔decreased absorption
of psychotropics
give 2h or more before
✔✔paradoxical effect - ✔✔opposite of the intended drug effect
ex: benzo causes agitation, SSRI causes anxiety
✔✔2 meds that cause photosensitivity - ✔✔doxycycline, chlorpromazine
sun exposure
✔✔apoptosis - ✔✔neuronal loss
cell death
✔✔conversion syndrome - ✔✔neurological symptoms
parasthesia (pins and needles; tingling; numb)
mutism
paralysis
blindness
✔✔adjustment disorder - ✔✔reaction to life event
anxiety, depression
usually after a loss
,✔✔bipolar disorder - ✔✔digfast (mnemonic)
distractibility
impulsivity
grandiosity
flight of ideas
activity increased
sleep decreased
talkativeness
✔✔how to distinguish bipolar from borderline - ✔✔risk taking activities (e.g. reckless
driving)
✔✔borderline personality disorder - ✔✔use DBT (marsha linehan)
used to decrease suicidal behavior
✔✔factitious disorder - ✔✔ingest or inject to cause an issue; purposely getting sick
✔✔reactive attachment disorder - ✔✔commonly seen in foster care
withdrawn after foster care
✔✔conduct disorder - ✔✔aggressive
no remorse
therapy+meds
goal: mood/aggression tx (antipsychotics, mood stabilizers, SSRIs)
alpha 2 adrenergic receptor blockers
clonidine and guanfacine + therapy
✔✔Oppositional defiant disorder - ✔✔defiant
not aggressive with authority
family therapy with skills training
✔✔acute stress disorder - ✔✔less than one month
✔✔ptsd - ✔✔over 1 month
cluster of sx:
re-experiencing trauma, hyperarousal, avoidance
✔✔EMDR - ✔✔desensitization
instillation
body scan
, ✔✔EMDR Desensitization - ✔✔visualize trauma, verbalize negative thoughts remain
attentive to physical sensations. This process occurs for a limited time while the person
maintains a rhythmic eye movement he or she is the instructed to block out negative
thoughts to breath deeply and to verbalize what he or she is thinking, feeling, or
imagining
(verbalize negative thoughts; rhythmic eye movement; deep breathing)
✔✔EMDR installation - ✔✔the person installs and increases strength of positive thought
that her or she has declared as a replacement for the original negative thought
(add positive thoughts; replace negative thoughts)
✔✔EMDR body scan - ✔✔the person visualizes the trauma along with the positive
thought and then scans his or her body mentally to identify any tension within
(scan body for tension; thinking of trauma and positive thought)
✔✔CBT and EMDR - ✔✔used for PTSD
✔✔impending doom - ✔✔panic attack
panic disorder
✔✔Tourrette's - ✔✔2 motor tics
1 vocal tic
✔✔neurotransmitters in tourettes - ✔✔DNS
dopamine, norepinephrine, serotonin
✔✔treatment for tourettes (fda approved) - ✔✔haldol, abilify
✔✔treatment for tourettes - ✔✔FDA approved: haldol, abilify,
Off label: guanfacine, clonidine
✔✔amphetamine + tics - ✔✔stop stimulant, start intuniv
note: tics normal for children not adolescents
✔✔parts of brain involved in ADHD - ✔✔frontal cortex (dorsolateral PFC), basal ganglia
abnormalities of reticular activity
✔✔functions of dorsolateral prefontal cortex - ✔✔EXECUTIVE function
COGNITIVE process (working memory, problem solving, planning)
