Exam (elaborations)
Psych EOR exam
Exam of 18 pages for the course Psych at Psych (Psych EOR exam)
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Psych EOR examMental Status Exam - CORRECT ANSWER-"ABC STAMP"
A- appearance
B- behavior
C- cooperative?
S- speech
T- thought
A- affect
M- mood
P- perpceptual changes?
2 types of thoughts - CORRECT ANSWER-1. process/form- linear,
circumstantial, or tangential
2. content- hallucinations or delusions
anti-psychotics are which drug class? - CORRECT ANSWER-Dopamine (D2)
antagonists
what causes psychosis? - CORRECT ANSWER-increased dopamine (D2) in the
mesolimbic
anti-psychotics can block D2 in the tuberoinfundibular area causing: - CORRECT
ANSWER-increased prolactin
antipsychotics can block D2 in the nigro-striatal area causing : - CORRECT
ANSWER-EPS aka parkinson symptoms
how to reverse EPS (parkinson) - CORRECT ANSWER-anti-cholinergic agents
like benztropine or benadryl
which benzo is cleared by the liver? - CORRECT ANSWER-diazepam
which benzos are cleared Outside The Liver? - CORRECT ANSWER-OTL-
O- omazepam
,T- tomazepam
L- lorazepam
which anti-seizure med can cause depression? - CORRECT
ANSWER-Levetiracetam (keppra)
3 anti-suicidal treatments: - CORRECT ANSWER-1. lithium
2. clozapine
3. ECT
positive symptoms of schizophrenia caused by - CORRECT ANSWER-increased
D2
negative symptoms of schizophrenia caused by - CORRECT
ANSWER-increased 5HT
typical antipsychotics target positive sx by - CORRECT
ANSWER-non-specifically blocking all dopamine receptors
pros and cons of typical antipsychotics - CORRECT ANSWER-high potency but
many side effects
Name 4 typical antipsychotics - CORRECT ANSWER-1. haldol
2. fluphenazine
3. thioridazine
4. chlorpromazine
most dangerous side effect of typical anti psychotics - CORRECT
ANSWER-neuroleptic malignant syndrome
signs & symptoms of neuroleptic malignant syndrome - CORRECT
ANSWER-rigid, fever, AMS
in neuroleptic malignant syndrome you must check - CORRECT ANSWER-CK
level
how to treat neuroleptic malignant syndrome - CORRECT ANSWER-dantrolene
, pros of atypical anti psychotics - CORRECT ANSWER-1. increased specificity for
dopamine receptors
2. controls + and - sx by blocking D2 and 5HT receptors
3. less side effects
cons of atypical anti psychotics - CORRECT ANSWER-1. expensive
2. only available in oral
3. less potent than typical anti psychotics
name 6 examples of atypical antipsychotics - CORRECT ANSWER-1. risperdal
2. quetiapine
3. olanzapine
4. aripiprazole
5. ziprasadone
6. clozapine
top 2 side effects of atypical antipsychotics - CORRECT ANSWER-1. metabolic
syndrome (diabates, wt gain)
2. prolonged QT
1. most sensitive for D2 and 5HT receptors
2. best at controlling + and - symptoms - CORRECT ANSWER-clozapine
4 EPS symptoms (side effect) of anti psychotics - CORRECT ANSWER-1.
akathesia
2. dystonia
3. dyskinesia
4. tardive dyskinesia
how to treat akathesia (restlessness) - CORRECT ANSWER-decrease dose of
anti psychotic
involuntary spasms (torda colles, hand wringing, ocular gyro crisis) = -
CORRECT ANSWER-dystonia
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