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PCP-related disorders Answers are from DSM-IV-TR and from the First and Tasman text unless otherwise noted. As of 12Aug06.
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Types Q. Besides phencyclidine, name at least one other substance of this class.
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Types Ans. -- ketamine -- cyclohexamine -- dizocipline ONLY ketamine has much chance of being featured in an exam question.
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Other names Q. Some street names for PCP?
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Other names Ans. -- Angel dust -- Hog -- Tranq -- PeaCe [many others]
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Monoamine Q. PCP directly impacts which monoamine system?
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Monoamine Ans. Glutamine. Within the glutamine system, there is even a phencyclidine receptor site.
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Intoxication Q. DSM expects you to find at least two of eight signs. What are the 8 signs?
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Intoxication Ans. 1] nystagmus 2] hypertension or tachycardia 3] diminished responsiveness to pain 4] ataxia 5] dysarthria 6] muscle rigidity 7] seizures or coma 8] hyperacusis
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Urine + Q. After heavy use, how long will the urine be positive?
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Urine + Ans. “Several weeks” because fat soluble.
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Developed Q. PCP was developed, and katamine is still used, for what medical/veterinarian use?
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developed Ans. Anesthetic agent.
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PCP & schizophrenia Q. PCP’s impact on people with a hx of schizophrenia?
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PCP & schizophrenia Ans. Tends to bring on an acute schizophrenic episode.
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Talking down Q. You are called to the ER to see a pt who apparently has recently ingested PCP. How about talking him down?
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Talking down Ans. Not recommended as the increased stimuli involved in talking down is likely to agitate, which, in turn, may lead to violence.
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medications Q. What meds are recommended?
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medications Ans. None are very effective, but benzodiazepines are recommended for agitation. [While not indorsed by First and Tasman, acidifying the urine has been common and that may be your best choice on an exam.]
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