Pharm
Which antidepressant can cause priapism?
Trazadone
What is the dx of an individual who has psychotic features only with MDD
Major depression with psychotic features
Which personality disorder is characterized by recurrent suicidal thoughts and unstable mood?
Borderline personality disorder
Which drug can presents with rotary, horizontal, or vertical nystagmus?
PCP
Flumazenil- competitive antagonist at benzo GABA receptor
Which antidepressant is contraindicated in anorexic patients and why?
Bupropion - due to the risk of seizure
What conditions may benefit from ECT?
MDD (especially psychotic features)
acute mania
catatonia
Are males or females more likely to have histrionic personality disorder?
Females
What's the difference with alcoholic hallucinosis and delirium tremens
delirium tremens is 48 hours after the last drink characterized by disorientation and sympathetic activity causing hyperthermia hypertension and tachycardia
alcoholic hallucinosis , is alcohol withdrawal within 40 hours of last drink the vital signs will be intact
Depressed pt with diabetic neuropathy what do you treat them with?
SNRI or TCA
Which Benzodiazepines are used in chronic alcohols who have liver disease
Lorazepam, oxazepam, temazepam
Which mood stabilizer reduces the risk for suicide ?
lithium
What's the difference between oppositional defiant disorder and conduct disorder?
Oppositional defiant disorder is less severe and does not include violence / stealing / blatant disregard for others rights
What type of drug use will lead to excoriations?
Skin picking = excoriations
tactile hallucinations due to methamphetamine use
depression
What is the MOA of memantine and what is it used for?
NMDA (glutamate) receptor antagonist used in neurocognitive disorders such as dementia
DOC for bipolar pregnant lady?
Lamotrigine
(Depakot highly teratogenic – neural tube defect)
What is the difference between Delusional disorder (persecutory type) vs Paranoid personality disorder?
Delusional disorder persecutory type – believe they are being conspired against >1 month (fixed and distinct)
Paranoid Personality Disorder- long-standing mistrust of others intentions
What is the mechanism of action of disulfiram?
blocks enzyme aldehyde dehydrogenase in the liver causing aversion to alcohol
What condition has an increased sensitivity to antipsychotic drugs
Dementia with Lewy bodies