Schizo
Hallucinations, delusions, or disorganized speech that persist for under a month and resolve completely. Define this short-lived psychotic illness.
What is brief psychotic disorder?
Highest risk factor for suicide.
What is previous attempt of suicide?
A GABA analog that reduces glutamate release, this drug is used to prevent relapse in alcohol use disorder, especially in those with liver disease and/or opioid use disorder
What is acamprosate?
*Alcohol use disorder: First line is Naltrexone (naltrexone is a mu-opiod receptor antagonist. if someone is going through opiod use disorder treatment or they have liver issues, don’t give them naltrexone - you give those individuals acomprosate). Remember naltrexone can cause a rapid opiod withdrawal in pts with long term opiod use. You can give naltrexone to an individual who is still drinking.
First sign: Visual Hallucinations + Parkinsonism (tremor, rigidity)
What is Lewy Body Dementia?
Treatment for serotonin syndrome.
What is cyproheptadine (5-HT2 receptor antagonist)?
This atypical antipsychotic is unique for its ability to reduce suicidal behavior in patients with schizophrenia or schizoaffective disorder.
What is clozapine?
Depression after delivery that lasts longer than 2 weeks and impairs functioning should raise suspicion for this diagnosis.
What is postpartum depression?
Intoxication with this drug class presents with pinpoint pupils.
What are opioids?
First sign: Anterograde Amnesia (forget recent). Long-term intact late.
What is Alzheimer's?
First-line therapy for bulimia nervosa combines CBT with this SSRI.
What is fluoxetine?
A patient has been on haloperidol for 2 weeks and develops fever, elevated creatine kinase, elevated WBCs, and lead-pipe rigidity. These drug(s) are used to reverse the life-threatening reaction.
What is dantrolene or bromocriptine?
A hypomanic episode alternating with depressive episodes for over 2 years defines this mild form of bipolar disorder.
What is cyclothymic disorder?
Treatment of choice for majority of stimulant(s) toxicity.
What are benzodizepines?
First Sign: Rude, disinhibited, apathetic. Memory preserved early.
What is Frontotemporal (Pick's)?
Initial management for insomnia.
What are lifestyle modifications (ex: good sleep hygiene)?
This atypical antipsychotic can cause galactorrhea, amenorrhea, and gynecomastia due to elevated prolactin levels.
What is risperidone?
Lithium is notoriously known to affect four organ systems (heart, kidneys, brain, etc). Name the last organ system it affects and the disease name.
What is the thyroid/Hypothyroidism?
Pt presents with a triad of confusion, opthalmoplegia, and ataxia after alcohol intoxication. Name the treatment for this syndrome.
First sign: Rapid progressive dementia (weeks-months)
What is Creutzfeldt-Jakob Disease (CJD)?
Treatment for Borderline Personality Disorder.
What is DBT?
This first-line pharmacotherapy is used for a patient on an antipsychotic for over 2 years who has started to experience involuntary, erratic, jerky, uncontrolled, and repetitive facial muscle movements.
What are VMAT2 inhibitors (valbenazine or deutetrabenazine)?
*adjunct therapy: benzo or botulinum toxin injections
Which anti-depressant is contraindicated in eating disorders?
Bupropion (Wellbutrin)
Pt took several rounds of Molly and currently presents with seizures. Name the hormone responsible for this patient's state.
What is ADH?
*Remember, MDMA (ecstasy; molly; 3,4 methylenedioxy-methamphetamine) presents with hyponatremia d/t ADH --> this leads to seizures or cerebral edema.
What is VP Shunt.
Treatment for Hypertensive Crisis after consumption of aged cheeses while taking MAO inhibitors.
What is Phentolamine?