PA Psychiatry EOR EXAM Questions & Answers |
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Terms in this set (241)
Sleep disturbances
Interests are ↓
Guilt
Energy is ↓
SIGECAPS of Depression
Concentration is ↓
Appetite is ↓
Psychomotor Agitation
Suicidal thoughts
Depressed Mood or Anhedonia
Dx: 5 or more of the SIGECAPS Sxs for > 2 wks
effecting normal function
Major depressive disorder
Tx:
SSRI or SNRI > TCA/MAOi > ECT
Sexual Dysfunction
Wt gain
S/Es of SSRIs
Anxiety
Nausea
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Shivering
Hyperreflexia
Increased temp (fever)
Vitals, unstable
SHIVERS of Serotonin
Encephalopathy
Syndrome
Restless
Sweating
Tx: Cyproheptadine
Fluoxetine (Prozac)
1st line Tx of depression in - Longest Half-life of all SSRIs
children
- Caution ↑ SI in the 1st 2 weeks of use
SSRI known to cause QT Citalopram (Celexa)
interval prolongation
Screening tool or BPD: The Mood Disorder Questionaire
questionnaire used in
clinic for: MDD: Beck Depression Inventory
Bipolar Disorder
Major Depression
Disorder
Atypical Antidepressant Bupropion
which inhibits DA smoking cessation
reuptake, has less sexual
and wt-related side
effects, but decreases
seizure threshold
SNRI Trade Names SNRI Drug Names
Effexor Venlafaxine
Pristiq Desvenlafaxine
Cymbalta Duloxetine
Fetzima Levomilnacipran
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Desipramine - selective NET inhibitor
Imipramine - tx of enuresis
TCA antidepressants Amitriptyline- tx of neuromuscular pain
special characteristics Nortriptyline
QT Interval prolongation = arrythmias
MAO Inhibitors used as Tranylcypromine
antidepressants Phenelzine
Take Pride in Shanghai Selegiline
Antidepressant which Selegiline
inhibits MAO b - Can be added in Tx of Parkinson's
mechanisms and can ↑
dopamine concentrations
Sex (males)
Age (biphasic)
Depression
Suicide Risk Assessment
Previous attempts
SAD PERSONS
Excessive substance abuse
0-4 Low
Rational thinking, loss
5-6 Moderate
Social support lacking
7-10 High
Organized plan
No spouse
Sick (chronic)
Distractibility
Irresponsibility
Grandiosity
DIG FAST of Bipolar
Flight of ideas
Agitation
Sleep disturbances
Talkative
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Dx:
MDD + Hypomania (DIG ST) < 1wk
Bipolar II Function in not fully compromised
Tx: Risperdal
Dx:
MDD > 2wks + Mania (DIG FAST) > 1wk
Inhibits function of daily living
Bipolar I Disorder
Tx:
Acute Manic Episode: Antipsychotic + Mood Stabilizer
Chronic Cycle Episodes: Mood Stabilizer
Lithium
Mood Stabilizers to Tx Valproic Acid (Depakote)
Bipolar Disorder (4) Carbamazepine (Tegretol)
Lamotrigine (Lamictal)
Lithium Side Effects
Movements (tremors)
Side Effects of Lithium
Nephrotoxicity
LMNOP
hypOthyroid
Pregnancy problems (Ebstein's Anomoly)
Mood Stabilizer used to Tx Lamotrigine (Lamictal)
Bipolar I Disorder w/
predominant depressed
state and may cause an
itchy rash or SJS
Tx of Bipolar I Disorder by Valproic Acid (Depakote)
↑ GABA and ↓ Na+
C/I in pregnancy = ↓
Folate
Hepatic Necrosis
C/I with ASA or Warfarin =
↓ protein binding
availability
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