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- CORRECT ANSWER: Vilazodone (Viibryd) is not an SSRI but rather a SPARI
(serotonin partial agonist reuptake inhibitor) and a serotonin multimodal (S-MM). It is not
FDA-approved for adolescents.
Vortioxetine (Trintellix) is not an SSRI but rather a serotonin multimodal (S-MM) and is
not FDA-approved for adolescents.
Buproprion (Wellbutrin) is not an SSRI but rather an NDRI (norepinephrine dopamine
reuptake inhibitor). It is not FDA-approved for adolescents.
1st generation antipsychotics - CORRECT ANSWER: chlorpromazine Cornea deposits,
sedation
fluphenazine
haldol EPS risk D2 bind
all antagonize D2
2nd generation antipsychotics schizophrenia gold standard - CORRECT ANSWER:
Blocks 5HT2A receptors(serotonin receptor that increases Dopamine0
Apripripazole (ABILIFY) DA & SE maintenance not acute & augments & partially binds.
Clozapine last choice ( D1, D4, 5HT2A, muscarinic, weak D2) baseline & serial ANC
Olanzapine (5HT2a>D2) wt gain
Quetiapine( weak D2, 5HTa) sedating
,Riperidone( 5HT2A) best in elderly metabolic SE
Geodon QT prolong
acute PTSD - CORRECT ANSWER: Acute PTSD onset and length of symptoms are
under three months. When a patient has symptoms lasting over 3 months, it is
considered chronic PTSD. Acute PTSD can be witnessed or experienced. Flashbacks
and distressing reactions to cues and triggers are a part of an acute episode of PTSD.
acute stress disorder - CORRECT ANSWER: a disorder in which a person experiences
fear and related symptoms soon after a traumatic event but for less than a month
Acute Stress Disorder (ASD) - CORRECT ANSWER: a disorder resulting from exposure
to a major stressor, with symptoms of anxiety, dissociation, recurring nightmares, sleep
disturbances, problems in concentration, and moments in which people seem to "relive"
the event in dreams and flashbacks for as long as 1 month following the event
ADHD - CORRECT ANSWER: a psychological disorder marked by the appearance by
age 7 of one or more of three key symptoms: extreme inattention, hyperactivity, and
impulsivity
ADHD hyperactive symptoms - CORRECT ANSWER: Fidgets
Leaves seat
Runs or climbs
Is unable to engage in quiet activities
Is always on the go
Talks excessively
Blurts out information
Has a difficult time waiting their turn
Interrupts others
, ADHD inattention symptoms - CORRECT ANSWER: Fails to give attention to details
Has difficulty sustaining attention
Does not listen when spoken to
Does not follow through on instructions
Is disorganized
Avoids or dislikes tasks that require sustained mental effort
Loses things
Is distracted
Is forgetful
ADHD treatment - CORRECT ANSWER: behavior therapy + methylphenidate or
amphetamines (both phenethylamines), or atomoxetine (NeRI)
Alcohol withdrawal symptoms - CORRECT ANSWER: -appear within 4-12 hrs
-abd cramping
-vomiting
-tremors
-restlessness
-inability to sleep
-TACHYCARDIA
-HTN
-transient hallucinations or illusions
-anxiety
-increased RR, temp
-tonic clonic seizures
-diaphoresis