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Schizophrenia
Antipsychotics
ANTIDEPRESSANTS
Mood 1/10
ANXIETY
100
DAILY DOUBLE!!! 200 POINTS
Long-term use of antipsychotic medicines may increase the risk this "movement disorder" (repetitive, involuntary, purposeless movements) Eg: Lip smacking, grimacing, finger twitching
100
Besides schizophrenia symptoms, atypicals have been used "unofficially" for Insomnia, Behaviours and “sundowning”, and as an adjunct to anti-depressants. Is this true?
What is TRUE
100
The use of antidepressants—including SSRIs and especially older antidepressants like tricyclics —is associated with less pain, fewer sleep disturbances, and less depressed moods in people who suffer from fibromyalgia. TRUE or FALSE
What is TRUE according to a study published in the Journal of the American Medical Association.
100
This type of antidepressant medication seek to increase serotonin in the brain to improve mood and promote a feeling of calmness
What is SSRI's BONUS 50 POINTS: Name 3 SSRI's
100
Unwanted intrusive thoughts, persistent impulses or images that cause anxiety and distress = __?__ vs __?___ =repetitive behaviors performed in a ritualistic way to relieve anxiety
What is OBSESSIONS vs COMPULSIONS
200
Prodrome, Acute, Recovery
What are the 3 - First Episode Psychosis Phases
200
This __?__ generation antipsychotic slightly different than 2nd gen antipsych – also binds to dopamine and serotonin receptors with different affinities. May be preferred choice for negative symptoms as a result of additional serotonin activity Bonus 50 points: Give 1 example
What are 3rd GENERATION Antipsychotics Bonus: Aripiprazole (Abilify)
200
Name 4 side effects of SSRI's
What are sexual dysfunction, dry mouth, orthostatic hypotension, headache, agitation, nervousness, Serotonin Syndrome (GI distress, tremors, labile BP, confusion, sweating)
200
Can diet play a role in decreased mood? If so, what kind of foods interfere with mood?
What is SUGAR, ETOH, INCREASED PROTEIN
200
Extreme or irrational fear of crowded spaces or enclosed public places
What is AGORAPHOBIA
300
What neurotransmitter appears to be "hyperactive" in the brain contributing to psychosis
What is DOPAMINE
300
This medication is most effective option for "treatment-resistant schizophrenia", hostile and aggressive behaviours, reducing suicidality, but WBC needs to be closely monitored.
What is CLOZAPINE
300
This type of atypical antidepressant inhibits both serotonin and norephinephrine with mild effects on dopamine
What are SNRI's (Selective Serotonin Reuptake Inhibitors) Venlafaxine (Effexor) Desfenlafaxine (Pristique) Duloxetine (Cymbalta)
300
In a brain suffering from depression, there appears to be low levels of __?_____ neurotransmitters.
What is SEROTONIN
300
Everyone gets anxiety. But when does it become a problem?
What is Anxiety goes off when there is no real danger Increase in frequency, duration, intensity Anxiety stops you from doing fun and important things that you want to do (limits your life)
400
Paranoid, Disorganized, Catatonic (2), Undifferentiated, Residual
What are the 5 Schizophrenia Subtypes Paranoid (preoccupation c delusions/AH) Disorganized (speech, behavior, flat or inappropriate affect) Catatonic (2 of stupor, extreme -, posturing, grimacing, echolalia or echopraxia) Undifferentiated (sx but not specific/fits into subtypes) Residual (sx improved, less severe than 1st episode)
400
Give 3 examples of atypical (2nd generation) antipsychotic meds
What are Risperidone (Risperdal) Olanzapine (Zyprexa) Quetiapine (Seroquel) Clozapine (Clozaril)
400
Pt should avoid consuming cured and preserved meats, potent cheeses, wine when on this type of antidepressant
What are MAOI's Inhibit MAO-A and MAO-B. MAO-A metabolizes serotonin and norepinephrine. MAO-B metabolizes dopamine.
400
Depressed mood (but less severe that MDD) for most days for at least 2 YEARS + at least 2 (+/_ appetite, sleep, fatigue, hopelessness, low self-esteem, poor concentration)
What is DYSTHYMIC DISORDER
400
Extreme overwhelming form of anxiety or discomfort, physical palpitations, tachycardia, SOB, disorganized thinking...are all s & s of ____?____ disorder
What is PANIC DISORDER
500
These symptoms are associated with disruptions or loss of normal emotions and behaviors, aka _____ signs of schizophrenia Bonus 50 points: Give 3 examples of of these symptoms
What is NEGATIVE symtoms Bonus: Anhedonia (lack of energy, lack on interest), alogia (reduced fluency and productivity of speech) Flat affect, lack of hygiene, depessed mood,
500
Atypical side effects: Obesity, Hypertension, Hyperglycemia, Hyperlipidemia are all signs and symptoms of ___________ syndrome.
What is METABOLIC SYNDROME
500
Caution: Pt experiencing tremors, confusion, anxiety, mania, sweating, muscle rigidity, seizures - similar to NMS but faster onset due to excess ___?____ called ______ syndrome.
What is SEROTONIN SYNDROME
500
Depressed mood, anhedonia (loss of interest/pleasure) in almost all activities X 2 weeks, plus at least 5 additional sx of (insomnia or hyperinsomnia, wt gain/loss, fatigue, hopelessness/worthlessness, guilt, SI/attempts) What Dx am I?
What is MAJOR DEPRESSIVE DISORDER (MDD)
500
In order for this Dx, 2 criterion need to be met: anxiety & worry for at least 6 months + 3 of the following for 6 months (fatigue, restlessness, irritability, muscle tension, sleep distrubance)
What is GENERALIZED ANXIETY DISORDER (GAD)