WITH SOLUTIONS GRADED A+
✔✔treatment for acute psychosis - ✔✔hospitalization if pt is at risk or hurting self or
others or can't care for self
antipsychotics
psychotherapy
✔✔what psych problems are seen in battered women - ✔✔dissociative identity disorder,
PTSD, sexual aversion disorder
✔✔what psych problems are seen in child abuse victims - ✔✔conduct disorder,
dissociative identity disorder, personality disorders, violence
✔✔indications for psych hospitalization - ✔✔suicidal or homicidal threats or behaviors
presence of mental illness, dangerousness, and disability
necessity of detailed evaluation and short-term psychiatric interventions
✔✔treatment for delirium - ✔✔decrease stimuli, establish routine
stop sedatives or hypnotics
haldol for agitation
benzos for pts with alcohol withdrawal
✔✔what is disturbed in delirium that isn't in dementia - ✔✔level of alertness
✔✔Apraxia - ✔✔inability to carry out complex motor activities
✔✔Agnosia - ✔✔failure to recognize or identify objects despite intact sensory function
✔✔what do you use to screen for dementia? - ✔✔MMSE
✔✔what percentage of hospitalized pts develop delirium? - ✔✔10-15%
✔✔which APO increases Alzheimer's risk - ✔✔APOE4
✔✔which APO is protective from alzheimer's - ✔✔APOE2
✔✔eosinophilic inclusion bodies=what type of dementia - ✔✔Lewy body
✔✔tau positive inlcusions=what type of dementia - ✔✔frontotemporal
✔✔neurofibrillary tangles, amyloid plaques=what type of dementia - ✔✔alzheimer's
, ✔✔what labs do you order for dementia - ✔✔CBC, CMP, TSH, BUN/Cr, LFTs, RPR,
HIV, B9, B12, UA, UDS
✔✔treatment for dementia - ✔✔donepezil, rivastigmine, and galantamine are 1st line-
replace Ach
memantine-NMDA blocker, moderate to severe disease
✔✔there is a high frequency of what disorder among drug abusers - ✔✔personality
disorders, especially antisocial and borderline
✔✔treatment for delirium tremens - ✔✔seclusion, restraints, diazepam and lorazepam
until patient is calm
✔✔treatment for alcoholic hallucinations - ✔✔haldol or risperidone
✔✔which substances are considered sedatives - ✔✔barbs, benzos, alcohol
✔✔which drugs are considered stimulants - ✔✔cocaine, amphetamine
✔✔what substances are considered hallucinogens - ✔✔LSD, ketamine
✔✔treatment for hallucinogen withdrawal - ✔✔remove from dangerous environment,
antipsychotics
✔✔nystagmus, mydriasis, slurred speech, unsteady gait, agitation, stupor, diaphoresis,
impaired memory - ✔✔sedative overdose
✔✔flashbacks, chronic psychosis - ✔✔hallucinogen withdrawal
✔✔sleep disturbance, depression, anxiety, seizures, autonomic hyperactivity -
✔✔sedative withdrawal
✔✔hallucinations, illusions, delusions, anxiety, paranoia, tachycardia, high BP,
sweating, blurry vision, tremors - ✔✔hallucinogen overdose
✔✔treatment for benzodiazepines overdose - ✔✔flumazenil
✔✔treatment for stimulant withdrawal - ✔✔benzos
✔✔treatment for benzodiazepines withdrawal - ✔✔benzos
✔✔depression, sweating, cramps, dysphoria, increased appetite, hyper somnolence,
suicidal - ✔✔stimulant withdrawal