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NBME Psych 1

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ruhland1's version from 2016-01-23 19:05

Section 1

Question Answer
avoida "no homicide" contract
compliancwonly half fill their rx only half use as directed
side effectsmuch increased in panic d/o
lithiumnot metab by liver
gabapentinnot metab by liver
2D6 inh bupropion
2D6 inhfluoxetine
2D6 inhparoxetine
3A4seroquel, clozapine, ziprasidone
clozapineagranulocytosis
CYP 1A2Clozapine, Olanzipine
smokingmetabs clozapine, olanazipine
AAPD2 antag and 5HT-2C antag
Autismaripipazole and risperidone
tourettesAAP pimozide= gold
AAPup lb and metabolic synd (olanzipine/clozapine are greatest) Ziprasidone is ud lb
AAP up lb txmetformin/topiramate/stimulant
clozpineno known Tardive
Akathisiaziprasidone
parkinsonismrisperidone
EPS txbenzotropine of bennadryl
memorize

Section 2

Question Answer
congentinbenzotropione
akathsia txBB or cogentin
hyperprolactinrisperidone
tuberoinfundibular tractprolactin
agranulocytosisclozapine
QT prolongziprasidone
SSRIdouble aripipazole [ ]
iloperidoneQT and postural HTN, must titrate over 4 days
clomipramineOCD tca gold
trancypromineMAOI
MAOIatypical depression indic
fluvoxaminessri
escitalopramssri
duloxitineSNRI for pain
Mirtazipinemixed serotonin antag, more sedating at LOWER doses, neutropenia
smokingBuprop
szbuprop
bulimiaprozac
TrichotellimaniaSNRI or mirtazipine
memorize

Section 3

Question Answer
disconuation syndcommon in low t 1/2 venlafaxine and paroxetine
triptancombine with MAOI/SSRI = serotonin synd
paroxitinecontra in preg, pulm hypertn and defects
Li Clozapine and ECTproven to decrease suicide in adults
Li[ ] of 0.6 for maintainence and 1.0 for acute mania
Carbamzepineinduce OCP metab 3A4
preg avoidvalporate, carabzepine and oxacarbzepine = up NTD, Lithium= up Ebstein
ebsteindownward displacement of tricuspid valve
pregnant and mood disorderuse AAP
Mood goldLi and valporate
Carbazepineaplastic anemia, hyponatremia
Lamotriginesteven johnson
Valporatedoubles level of lamotrigine
Lihypothyroid
Valporateliver F, dn pl8, PCOS
anx1st line is SSRI
GADvenlafxine/duloxetine
BBsocial phobia
BuspironeGAD, and partial 5HT ag
memorize

Section 4

Question Answer
up anxup s.e * up dosing
remission70% or greater symptom reduction
Benzoup GABA a rec efficiency
Benzotaper 25% a week for 1st 2 wk, then 10% a week
LOT for liver dzloraz oxazepam and temazepam
OCD1st line is SSRI, 2nd line is clomipramine
OCD and ticsus AP
atomoxatineADHD non-stim
clonidine and guandacineA-2 ag
sleep hygiene1st line
Trazodoneblobk 5-HT2
Mirtazipinealog with prazosin helpful for nightmares
Ramelteonmelatonin recep agonist at suprachiasmatic nucleus
disulfirmblock acetaldehyde dehydrogenase
acamprosateblock NMDA for alcohol abstinence
buprenorphinepartial OP3 (mu) ag
varencyclinenicotine rec partial ag
buproprionnicotinic antag
memorize

Section 5

Question Answer
donepazilACHe inh for alzheimer
galantamineACHe inh for alzheimer
rivastigmineACHe inh for alzheimer
MemantineNMDA antag for demenatia, prevents glutamate induced neurotox
AP and alzheimersup risk mort
memorize