BH OSCE know

short acting bzds

midazolam, triazolam

intermediate acting bzds

alprazolam, lorazepam, temazepam, oxazepam, clonazepam

long acting bzds

diazepam, flurazepam, clorazepate, chlordiazepoxide

midazolam uses

procedures

triazolam uses

insomnia

alprazolam uses

GAD

panic disorder

lorazepam uses

anxiety

status epilepticus

preop sedation

temazepam uses

insomnia

oxazepam uses

anxiety

alcohol withdrawal

clonazepam uses

panic disorder

seizure disorders

diazepam uses

anxiety

muscle spasms

alcohol withdrawal

status epilepticus

flurazepam uses

insomnia

chloridazepoxide

anxiety

alcohol withdrawal

clorazepate uses

anxiety

seizure disorders

alcohol withdrawal

SSRIs

fluoxetine, sertraline, paroxetine, citalopram, escitalopram, vilazodone

SNRIs

venlafaxine, desvenlafaxine, duloxetine, levomilnacipran

atypical depressants

bupropion, mirtazapine, vortioxetine

MAOIs

tranycypromine, phenelzine, selegiline

TCAs

amitriptyline, nortriptyline, imipramine, clomipramine

fluoxetine (prozac) info

longest half life

least likely to cause weight gain

sertraline (zoloft) info

most effective

paroxetine (paxil) info

shortest half life

weight gain

citalopram (celexa) info

DOSE LIMIT

can cause QT prolongation

escitalopram (lexapro) info

drowsiness effects

vilazodone (viibryd) info

not common

venlafaxine (effexor) info

needs to be extended release

desvenlafaxine (pristiq) info

expensive

duloxetine (cymbalta) info

similar to gabapentin

risk of hypertension

bupropion (wellbutrin) info

won’t flip into mania so okay for not r/o BD

mirtazapine (remeron) info

risk of weight gain

first gen antipsychotic receptor action

D2 antagonist

second gen antipsychotic receptor action (antag)

D2 antagonist

5-HT2A antagonist

second gen antipsychotic action (dual)

D2 partial agonist

5-HT2A antagonist

FGAs

haloperidol, fluphenazine, chlorpromazine

SGA D2/5-HT2A antagonists

quetiapine, risperidone, paliperidone, ziprasidone, clozapine, olanzapine, lurasidone, asenapine, lumateperone

SGA D2 partial agonist/5-HT2A antagonists

arpiprazole, brexpiprazole, cariprazine

haloperidol to know

very aggressive

oxidative stress

quetiapine to know

weakest antipsychotic

orthostatic hypotension

often prescribed for sleep

risperidone info

gynecomastia common (prolactin)

fertility affected (FSH)

NOT for pregnant/trying

paliperidone info

active metabolite of risperidone

asenapine info

sublingual

olanzapine info

#2 most effective

SEVERE weight gain/diabetes risk

monitor A1c

lurasidone info

MUST be taken with 350+ calories

ziprasidone info

QT prolongation

clozapine info

most effective

never first line

arpiprazole info

akathisia

cariprazine info

longest half life

quetiapine brand

seroquel

haloperidol brand

haldol

fluphenazine brand

prolixin

chlorpromazine brand

thorazine

risperidone brand

risperdal

paliperidone brand

invega

asenapine brand

saphris

lumateperone brand

caplyta

olazapine brand

zyprexa

lurasidone brand

latuda

ziprasidone brand

geodon

clozapine brand

clozaril

arpiprazole brand

abilify

brexpiprazole brand

rexulti

cariprazine brand

vraylar

fluoxetine brand

prozac

sertraline brand

zoloft

paroxetine brand

paxil

citalopram brand

celexa

escitalopram brand

lexapro

vilazodone brand

viibryd

bupropion brand

wellbutrin

mirtazapine brand

remeron

vortioxetine brand

trintellix

venlafaxine brand

effexor

desvenlafaxine brand

pristiq

levomilnacipran brand

fetzima

duloxetine brand

cymbalta

triazolam brand

halcion

midazolam brand

versed

alprazolam brand

xanax

lorazepam brand

ativan

temazepam brand

restoril

clonazepam brand

klonopin

diazepam brand

valium

chlordiazepoxide brand

librium

flurazepam brand

dalmane

clorazepate brand

tranxene

psych ROS

appetite, sleep, mood, hallucinations, suicidality, homicidality, aggression, substance use

depression screener

PHQ-9

anxiety screener

GAD-7

bipolar screener

MDQ

schizophrenia screener

PANSS

MSE exam categories

appearance, behavior, speech, mood, affect, thought process, thought content, suicidal/homicidal, insight, judgement, cognition

gender dysphoria timeline

at least 6 months

FEP/SGA labs

fluid/electrolytes: CMP

infection: CBC, UA, cultures

liver abnormalities: CMP, ammonia, PIT, PT/INR

thyroid: TSH

HIV: HIV immunoassay

B12 deficiency: B12

substance use: UDS, serum ETOH

UTI: UA

syphilis: serum treponemal

substance use disorder timeline

12 months

alcohol screener

AUDIT

benzodiazepine/alcohol withdrawal screener

CIWA

labs to identify alcohol use disorder

GGT, CDT

persecutory delusions

one will be harmed by another person or group

referential delusions

gestures, comments, or environmental cues directed at oneself

grandiose delusions

one has exceptional abilities, wealth, or fame