Meds
The reason for waiting to go into mild withdrawal before starting Suboxone.
What is to avoid precipitating severe withdrawal?
Name the B vitamins.
B Vitamins
The basic sections of the MSE.
What are you should know this cold?
An actual or real world advantage a patient gains from being ill.
What is a secondary gain?
"So, first of all, let me assert my firm belief that the only thing we have to fear is...fear itself".
Who is FDR?
Not a FDA approved treatment for mania:
A) Lithium
B) Olanzapine
C) Lamotrigine
D) Quetiapine
What is C, lamotrigine?
This nutritional deficiency causes a syndrome of "inflamed skin, diarrhea, dementia, and sores in the mouth".
What is niacin, vitamin B3?
A hallucination upon waking up:
A) Gustatory
B Hyperacusis
C) Hypnagogic
D) Hypnopompic
E) Somatic
What is D, hypnopompic?
Parrot like repetition of the examiner's words:
A) Echopraxia
B) Echolalia
C) Paraphasia
D) Echodystonia
E) They are really a parrot
What is B, echolalia?
“I have nothing to offer but blood, toil, tears and sweat.”
Who is Winston Churchill?
This medication is a CYP450 inhibitor:
A) Carbamazepine
B) Phenytoin
C) Valproic acid
D) Crack cocaine
What is C, valproic acid?
The others are inducers and crack is not a medication.
Deficiencies of this result in ineffective glucose utilization, resulting in processes which create lactic acid and cell damage, especially notable in periventricular parts of the brain.
What is thiamine?
Asking the patient to name Presidents or capital cities.
What is testing their fund of knowledge?
A patient who has a fixed belief of no longer having a brain is likely exhibiting a particular type of a delusion referred to as:
A) Delusion of poverty
B) Delusion of reference
C) Nihilistic delusion
D) Somatic delusion
E) Q Anon
What is C, a nihilistic delusion?
"In the future, everyone will be world-famous for 15 minutes."
Who is Andy Warhol?
True or false, modafinil and armodafinil are FDA approved to treat narcolepsy.
What is true?
W/ Xyrem, Ritalin, amphetamine salts.
Vayarin, a supplement loaded with this was FDA approved for the treatment of ADHD and later pulled due to lack of efficacy, although a diet low in sugar and high in this are still recommended.
What is am omega 3 FA?
How the MOCA tests for concrete thinking.
What is by using similarities?
"Whiskey kills more people than bullets".
"Well, that's because bullets don't drink".
What is concrete or 1 dimensional thinking?
"I came, I saw, I conquered".
Who is Julius Caesar?
Shown to be more effective in treating aggressive behavior in cluster B personalities than IED.
A) Fluoxetine
B) Depakote
C) Propranolol
D) Risperidone
E) Clonidine
What is B, Depakote?
Excessive consumption of this vitamin makes it a teratogen.
What is vitamin A?
"Do you spend a lot of time thinking about one thing?"
"Do you have some ideas that you hold very strongly?"
"Do others frequently disagree with your point of view?"
"What is it that is most important to you?"
What is probing for delusional content?
A large amplitude, fast, violent motion, usually unilateral.
What is ballismus/hemiballlismus?
"A relatively rare hyperkinetic movement disorder characterized by involuntary, violent, coarse and wide-amplitude movements involving ipsilateral arm and leg." Related to subthalamic nucleus lesions.
https://www.youtube.com/watch?v=NvF_SPLOnXc
“As Mankind becomes more liberal, they will be more apt to allow that all those who conduct themselves as worthy members of the community are equally entitled to the protections of civil government. I hope ever to see America among the foremost nations of justice and liberality.”
Who is George Washington?