compulsively correct
low energy, high steaks
yellow
green
blue
100
this describes tardive dyskinesia and which medications cause it
Antipsychotics
Bonus: AIMS
100
Depressed but reeaalllyyy wants to avoid sexual side effects (name 2 meds)
wellbutrin or mirtazapine
Daily double: describe the sexual side effect with SSRIs
100
use this to treat a patient with depression, insomnia, and poor appetite (does not only have to be little old ladies)
mirtazepine
100
this is serotonin syndrome (at least 2 classic features)
fever, myoclonus
100
this med that we commonly think of for other conditions can be used to augment partial response to SSRI but not great with buspar
gabapentin or pregabalin
200
this is how you treat someone who is depressed but has been manic
mood stabilizer or antipsychotic
200
this SSRI is reasonable for someone who is forgetful and might not take their med at the same time every day (and wants to avoid withdrawal symptoms)
fluoxetine (Prozac)
200
This class of antidepressants can cause hypertension
SNRIs
200
this class of mood medicines can have hyponatremia as a side effect
SSRIs
200
this class of meds treats OCD that is severe or accompanied by comorbid conditions such as social anxiety or depression
SSRI
- CBT ERP
- can add second gen antipsychotic**, clomipramine, buspar, ondansetron, glutamate modulator
300
Nurse message: "my dementia patient is acting up. He has been throwing things and impossible to redirect (although we have tried)."
What do you order next?
consider atypical antipsychotic
rexulti is FDA approved for this, but not on formulary. Risperidone is a good option.
300
FDA approved for diabetic peripheral neuropathy. Good for depression and chronic pain.
duloxetine
Bonus:
1. name side effects
2. does this help with anxiety?
300
this antidepressant may improve processing speeds in patient with cognitive impairment
vortioxetine (Trintelix)
300
which cardiac conduction abnormalities are associated with a lot of psych drugs and antiemetics
QTC prolongation
300
True or false: ECT safe during pregnancy
True
400
this antipsychotic is more stimulating
abilify/aripiprazole
400
this antidepressant should be avoided in people with seizures and eating disorders
wellbutrin
400
this antidepressant can cause hypertensive urgency when paired with clonidine
mirtazipine
400
Patient has fever, rigidity, altered mental status and elevated CK
Neuroleptic malignant syndrome (NMS)
400
Describe the principles of CBT
500
haloperidol, fluphenazine, olanzapine, paliperidone and aripiprazole have this in common
come in long acting injectable form
500
This is how mirtazapine works
NaSSA: Noradrenergic and Specific Serotonergic Antidepressant
Fun fact: antihistaminergic effects at lower doses and more noradrenergic neurotransmission with higher doses
500
tremor, confusion, ataxia due to psych med
lithium toxicity
500
serotonin syndrome can occur when SSRIs are taken with these non-mood medications
linezolid, tramadol
500
Name at least one psychiatric medication that is absolutely contraindicate in pregnancy
valproic acid - congenital malformation rates 9-20%
Avoid or d/c
carbamazipine - spina bifida and other malformations. Dose dependent.
topiramate - cleft lip, ~4%
Least teratogenic antipsychotic is quetiapine