Psychiatry Comat/Boards II

ssri

Alcohol Withdrawal Symptoms

Physical and psychological symptoms that occur when a person with alcohol dependence suddenly reduces or stops drinking. Symptoms can include tremors, anxiety, hallucinations, and seizures.

Charles Bonnet Syndrome

Paraphillic Disorders

Rett’s Syndrome

Parkinson’s Disease Drugs

Delusional Disorder

MDD + Psychosis Tx

Antipyschotic Side effects Commonly tested

NMS

Malignant Hypererthymia

postpartum

Post Partum Psychosis: if mom should be admitted to hospital but can see baby occasionally under close supervision

Autism Spectrum Disorder

EEG findings in Neuropsychiatric Disorders

Multi-Axial System of Classification

Lithium Toxicity Ex.

can be caused by an acute overdose on lithium or more chronically from decreased renal perfusion (leading to decreased lithium clearance) via dehydration, thiazide diuretics, NSAIDs, ace inhibitors. Symptoms: GI: N, V, diarrhea, lethargy, confusion, agitation, ataxia, tremors, seizures. Tx: IV hydration, hemodialysis in severe causes

Sleep Cycle

MDD can also be related to hyperactivity-less sleep —> increased cortisol levels. Increased REM is associated with increased acetylcoline. Dopamine has no effect of REM sleep but does decrease total sleep time. NE: decreases total sleep time and REM sleep. Increased serotonin results in prolonged total sleep time and delta wave sleep and is not associated with increased REM. Alcohol will decrease the amount of REM sleep & decreased sleep latency and increased sleep fragmentation.

Brain Dead

Ganser Syndrome

Kleptomania

Acute Stress Disorder

Adjustment Disorder

MDD Adjuctive Treatment

BZD withdrawl

Amphetamine Intoxication

Acute Dystonia

Paradoxical Agitation via BZD

Extra-Pyramidal Effects of Anti-psychotics and treatment options

Low levels of 5-HIAA ?

Cognitive Impairment in Elderly Patients

Therapy Modalities

Reactive Attachment Disorder

Postpartum Blues, Depression, Psychosis

Withdrawl Symptoms

Narcolepsy

Synthetic Cathiones

Dopamine Pathways

Key Defense Mechanisms

Medication Induced Depression

Delirieum Tremens

Pt. has a neck mass do you bx or thyroid studies or Iodine uptake ?

Stages of Behavioral Change

Treatment for Fronto-Temporal Dementia ?

SSRIs may help manage behavioral symptoms.

Anti-NMDA Receptor Encephalitis

Opioid Withdrawal

Patients who are trying to get off opiods-but need acute pain managment, can also be treated with NSAIDs because they are a different Moa-like Ketorolac or ibuprofen, which help alleviate pain without affecting the opioid receptors. Symptoms of withdrawal include anxiety, agitation, and flu-like symptoms. But if a patient who is on chronic opiods and is in severe pain from a severe injury, don’t hold back the opiods.

Eating disorders + Tx.

anorexia patients can make themselves throw up-main differentating factor is the BMI, that is what makes it anorexia

Clonazipine

Schizophrenia or BD I

PD Pyschosis

Schizo.

Family therapy and CBT + social skills training are good therapy options

Somatic Symptom and Related Disorders

Somatic symptom disorder: when the primary complaint is pain related-medications like SNRIs and TCAs can be useful

REM Sleep Behavior Disorder

Anti-Depressant Discontinuation Syndrome

Alcohols effect on Neurotransmitters ?

Airirpoziles effects ?

Cotard Syndrome

Capgrass Syndrome

Fergoli Syndrome

Bipolar Disorder in Pregnancy

Dopamine Pathways

Reward Pathway: Dopamine increase in the VTA & Nucleus Acumbens & PFC. Associated with Cannibas-desire/craving for something. This pathway increases pleaseure and reward and encourages the desire for pleasure and reward behaviors. Different then physical dependence though,

PTSD

Dissociative Amnesia Ex

Disorganized Speech (with Schizophrenia)

Bipolar with Rapid Cycling

Fragile X

Fetal-Alcohol Syndrome

Epileptics and AE:

Cloparmine in OCD?

First Line is still Fluoxetiene in terms of meds.

Brain Antaomy/Phsyiology ?

Substances & MOA

Opiods vs BZD ?

More info on Anti-Pyschotics

Pseudodementia vs Dementia

Hypertensive Drugs associated with Depression ?

PMD & PDD

Bipolar Disorder & Pregnancy

Cannibus and Psychosis?

Serotonin Medication withdrawal

Specific Phobia or Social Anxiety ?

Therapy Modalities Part II

Part III Therapy Modalities (same question as Part II)

Cognitive Theory ?

Idiopathic Hypersomulance

Alzehiemer’s Vs Vascular Dementia? Part I

Answer Part II

Frontal Temporal Dementia

Beta Pleated Sheets ?

Histopathological findings associated with different Dementias ?

Anxiety Meds in the Elderly ?

Motivational Interviewing