Psychiatry Perguntas
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Prominent delusions and hallucinations with little disturbance in affect or speech
grandiosity, excessive need for admiration, superficial and exploitative relationships, lack of empathyare these in the DSM-5 for narcissists?
Long-standing pattern of odd/eccentric beliefs +/- perceptual disturbances that don't rise to level of hallucinations*HeritableLeft lateral temporal lobe affected
identity disturbance, difficulty with attachment and dependency, chronic feelings of emptiness and boredom, vulnerability to life changesare these in the DSM-5 for narcissists?
Which 2nd gen antipsychotic?seizures, fatal agranulocytosis, neutropenia, leukopenia, long QT, myocarditis, and cardiomyopathy, risk of neuroleptic malignant syndrome
What part of the brain is affected in schizotypal personality disorder?
Which gen antipsychotics?o Clozapineo Aripiprazole and Brexpiprazoleo Cariprazineo Iloperidoneo Lurasidoneo Pimavanserino Risperidoneo Paliperidoneo Ziprasidoneo Olanzapine
aggression / encephalopathicwhat are your ddx
major depressive episode + hypomanic episode (no mania)
Low potency 1st gen antipsychotic with high risk of neuroleptic malignant syndrome, cholestatic jaundice, and ocular manifestations
Which 2nd gen antipsychotic?D3 preferring D3/D2 receptor partial agonist
High potency 1st gen antipsychotic with high risk of neuroleptic malignant syndrome
Which 2nd gen antipsychotic?long QT (greatest risk), DRESS
Which 2nd gen antipsychotic?long QT moderate risk
exaggeration of normal processesex. hallucinations, delusions, disorganized speech/thoughts/behaviors
Which gen antipsychotics?Have active metabolites that extend the effective duration of activityUse p-450 metabolism
Which 2nd gen antipsychotic?seizures, elevation in prolactin
Which 2nd gen antipsychotic?d2 partial agonists (different MOA)
Which 2nd gen antipsychotic?DRESS, weight gain, lower risk of suicide, risk of neuroleptic malignant syndrome
Which 2nd gen antipsychotic?comes from risperidoneelevation in prolactin