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PA Psych EOR main topics - PANCE Prep Pearls 2024/2025 A+ grade assured
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PA Psych EOR main topics - PANCE Prep Pearls 2024/2025 A+ grade assured
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PA Psych EOR main topics - PANCEPrep Pearls
number of sx and time required for MDD - ANS5 sx
2 weeks
how do you tx seasonal affective disorder? - ANSSSRIs, light, bupropion
pt presents with depressive sx, but their mood elevated with positive events. what is this,
and how do you tx? - ANSatypical depression
MAOis
is ECT safe in preggos/elderly? - ANSyup
SSRIs have (high/low) toxicity if used in overdose - ANSlow
which SSRI can cause long QT syndrome? - ANScitalopram
pt with depression presents with AMS, seizures, restlessness, sweating, and unstable vitals -
ANSserotonin syndrome (often with combo of SSRIs + MAOis, or if st. john's wort is used
with SNRIs)
which class of antidepressants works on serotonin, norepi, and dopamine? - ANSSNRIs
(venlafaxine, desvenlafaxine, duloxetine)
pt presents with depression. They also have fatigue/pain. what's the big SE of their
recommended tx? - ANS(SNRI) --> HTN
amitriptyline, nortriptyline, clomipramine, desipramine, imapramine, and doxepin belong to
what class of meds? which neurotransmitters do they work on? - ANSTCAs
serotonin and norepi
TCA SEs - ANShigh overdose toxicity, anticholinergic, prolonged QT, wide complex
tachycardia
mirtazapine is (sedating/activating) - ANSsedating
patient experienced sexual dysfunction/GI SE from SSRIs. what are the CI for the the next
med they might try? - ANS(bupropion) --> CI with seizures, eating disorders
bupropion acts on which neurotransmitters? - ANSdopamine and norepi
what patient education point is important with MAOIs? - ANSno tyramine foods due to HTN
crisis
, #1 risk factor for bipolar - ANSFH
how do you tx bipolar? - ANSLi, haloperidol, benzos, antipsychotics
Bipolar I vs Bipolar II - ANSI: 1+ mania or mixed episode (mania = elevated/irritable mood,
thinking, or behavior for 1 week that causes impairment. doesn't have to be a week if causes
hospitalization). they may also have depression.
II: 1+ hypomania AND depression (hypomania = 4 days of sx without significant impairment,
psychosis, or hospitalization. no racing thought or psychomotor agitation).
time requirement and tx for PDD - ANS2+ years (or 1 for kiddos) of depression. it may be
milder than MDD
SSRIs
pt presents with alternating hypomanic and depressive sx, but they don't meet the full
requirements for each. what is the time requirement for this disorder, and how do you tx? -
ANS(cyclothymic)
2+ years (or 1 in kiddos)
basically same as bipolar
how many sx are required for a panic attack? - ANS4 (should be sudden)
how do you tx panic attacks? - ANSbenzos (lorazepam, alprazolam)
what is panic disorder, and how do you tx? - ANS2+ unexpected panic attacks with worry
about more panic attacks for 1+ month
SSRIs, benzos acutely
what is the time requirement and tx for GAD? - ANS6+ months of worry/anxiety
SSRIs, buspirone (no sedation!)
EXPECTED panic attacks are present in (social anxiety disorder/panic disorder) - ANSsocial
anxiety disorder
What is the time requirement and tx for social anxiety disorder? - ANS6 months
SSRIs, BBs, benzos
What is the time requirement and tx for phobias? - ANS6 months
exposure therapy
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