Antidepressants
This atypical antidepressant should not be used in those with an eating disorder, seizure disorder, or alcohol use disorder.
Bupropion
This first generation antipsychotic is the most common first generation used, and can be given in PO, IM, and IV formulations
Haloperidol
A 15 year old girl is walking to City Market when she suddenly experiences chest tightness, shortness of breath, dizziness, and an intense fear of dying. She is brought to the ED where physical workup is unremarkable. What is the most likely diagnosis?
Panic disorder
This personality disorder is characterized by a need for excessive admiration, an inflated sense of importance, a lack of empathy, and by being interpersonally exploitative
Narcissistic personality disorder
This medication class is considered first line treatment for alcohol withdrawal
Benzodiazepines
All patients taking a monoamine oxidase inhibitor need to be counseled about to not eat foods rich in this substance
Tyramine
Metabolic side effects are unfortunately common when using an antipsychotic. Name one of the two worst medication offenders when it comes to these side effects.
Olanzapine or Clozapine
A 28 year old nonbinary person presents to your ED disorganized, paranoid, delusional, and responding to internal stimuli. Collateral confirms this has been occurring for two months. What is the most likely diagnosis?
Schizophreniform disorder
This common personality disorder has the highest rate of suicide among personality disorders.
Borderline personality disorder (8-10% eventually commit suicide)
This medication is a partial mu opioid receptor agonist, useful in the treatment of opioid use disorder
Buprenorphine
The SSRI class of antidepressants is typically first line for the treatment of depression for this reason
Safety (low adverse effects)
This lab is required weekly when starting the medication clozapine for schizophrenia (and why?).
CBCD, for agranulocytosis (low neutrophil count, risk of life threatening infection).
A 30 year old man presents to your primary care clinic with three weeks of sadness, difficulty sleeping, poor concentration, 5 lb weight loss, a lack of interest in playing with his children, and difficulty functioning at work. This is following the loss of his father one month ago. What's the diagnosis?
Major depressive disorder
This is the only personality disorder which, when diagnosed in an adult, requires evidence of disordered behavior prior to age 15
Antisocial personality disorder
This is the dopaminergic pathway responsible for the negative symptoms of schizophrenia
Mesocortical pathway
Tricyclic antidepressants are dangerous to overdose on, with severe outcomes commonly remembered by the nemonic, the "three Cs."
Cardiac (arrhythmias). Convulsions. Coma.
Akathisia is a movement disorder characterized by a feeling of inner restlessness and an inability to sit still. It is commonly caused by antipsychotics like aripiprazole. This common medication is used to treat akathisia.
Beta-blockers like propranolol
(Also accept reducing dose, benzodiazepines and anticholinergics like benztropine)
A 52 year old man presents to the ED saying, "I'm dead, doc. I have no lungs, no liver, no kidney. My heart is barely beating. I am waiting to die." He endorses fatigue. He denies all other symptoms.
Delusional disorder, somatic subtype (Cotard's delusion).
A 35-year-old female has recently quit her job in order to start a small business. She claims that the spirits have told her to sell trinkets each of which has a unique power. She is known for dressing oddly and due to her strange behavior has trouble making friends.
Schizotypal Personality Disorder
This sleep disorder often improves with the addition of iron pharmacotherapy
Restless leg syndrome
This antidepressant has dual indications for fibromyalgia and diabetic peripheral neuropathic pain, among others
Duloxetine
Name three medications approved for bipolar depression.
1. Quetiapine, 2. Lurasidone, 3. Olanzapine + fluoxetine (Symbyax), 4. Cariprazine, 5. Lumateperone.
This is the diagnosis made for patients who have severe, recurrent outbursts that occur on average 3+ times a week. Notably, these patients' moods are typically irritable between outbursts.
Disruptive Mood Dysregulation Disorder
This is the most common personality disorder
Obsessive-Compulsive Personality Disorder (7.9%)
This sleep disorder has a strong relationship to neurodegenerative disorders
Rapid Eye Movement (REM) Sleep Behavior Disorder