Psychiatry - Liam Flashcards

1
Q

Extrapyramidal side effects

A

Parkinsonism

Acute dystonia (systained muscle contraction)

Akathisia (restlessness)

Tardiv dyskinesia (late onset of choreoathetoid mvoements)

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2
Q

Dystonia

A

Sustained muscle contractions

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3
Q

Akathisia

A

Restlessness

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4
Q

Dyskinesia

A

Involuntary movements

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5
Q

What pathway relates to prolactin

A

Tuberoinfundibular pathway

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6
Q

What pathway involed in parkinsonism

A

Nigrostriatal

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7
Q

What pathway leads to hallucinations

A

Mesolimbic

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8
Q

What pathway leads to negative symptoms

A

Mesocortical

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9
Q

Mechanism of antipsychotics

A

Block dopamine receptors

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10
Q

What anti-deppresant is contraindicated in anorexia nervosa or bulimia nervosa

A

Bupropion

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11
Q

Drugs for alcohol withdrawal syndrome

A

1 - chloradiaepoxide

2 - lorazepam if have hepatic failure

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12
Q

Granidose delusion

A

Self is superior to everyone else

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13
Q

Avolition

A

Decrease in motivation to perform purposeful activities

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14
Q

Catatonia

A

State of unresponsiveness

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15
Q

Neologism

A

Creation of new words

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16
Q

Passivity

A

Movements or sensations controlled by external force

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17
Q

Perseveration

A

Needlessly repeating a word they had previously expressed

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18
Q

Abergua

A

Lack of energy

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19
Q

Flight of ideas

A

Manic phase, rapid shifting of ideas

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20
Q

Circumstantiality

A

Over inclusive speech that is delayed to reaching final goal

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21
Q

What drugs are used for ADHD

A

Citalopram

Atomoxetine

Modafinil

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22
Q

Atomexetine mechanism

A

Norepinephrine reuptake inhibitor

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23
Q

Modafinil mechanism

A

Dopamine reuptake inhibitor

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24
Q

Metabolic state in bulimia nervosa

A

Metabolic alkalosis, hypokalaemia and hypocholeraemia

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25
Q

Reflex hallucinations

A

Normal sensory stimulus in one modaility precipitates hallucinations in another

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26
Q

Autoscopic hallucinations

A

Visual hallucinations where see yourself in external space

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27
Q

First person auditory hallucinations

A

Person hears own thoughts allowed

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28
Q

Elementary hallucinations

A

Simple, unstructured sounds

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29
Q

Haptic hallucinations

A

Tactile hallucinations, such as feeling of skin being touched

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30
Q

Suppresion

A

Intentional withholding an idea or feeling

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31
Q

Fixation

A

Partially remaing at a more childish level of development

32
Q

Regression

A

Involuntary turning back clock to earlier modes of dealing with the world

33
Q

Projections

A

Unacceptable internal impulse to an external source

34
Q

Identification

A

Unconscious assumption of characteristics of another person

35
Q

Displacement

A

Redirection of emotions to a neutral person or object

36
Q

Reaction formation

A

Replacing a warded off idea or feeling by an unconsciously derived emphasis on its opposite

37
Q

Repression

A

Involuntarily withholding an idea or feeling without conscious awareness

38
Q

Denial

A

Avoiding the awareness of a painful reality

39
Q

Sublimation

A

Replacing an unacceptable wish with a cource of action that is similar to the wish but does not conflict with ones value system

40
Q

Dissociation

A

Temporary, drastic change in personality or memory to avoid emotional stress

41
Q

Splitting

A

Believing that people are either all good or all bad at different times due to intolerance of ambiguity - often seen as borderline personality disorder

42
Q

Idealisation

A

Expressinv extremely positive thoughts of self and otehrs while ignoring negative ones

43
Q

Projection

A

Attributing uncomfortable thoughts or feelings to others

44
Q

What blood tests need to be arranged for patients on antipsychotics

A

FBC, glucose and calcium

45
Q

What tests are done when on lithium

A

FBC

TFT

Kidneys (U&Es, GFR)

46
Q

Delusional perception

A

Normal percetion acquires delusional significants

47
Q

Delusional intuitions (autochthonous delusions)

A

Happen suddenly “out of the blue”

48
Q

Delusional memories

A

Memories partially based on true events from past but with delusional beliefs attached

49
Q

Delusional atmosphere

A

Overwhelming feeling that something important is going on, but you dont know what

50
Q

Histrionic persoanlity disorder

A

Shallow and labile affectivity, theatrically, egocentricity, continual seeking of attention

51
Q

Anakastic personality disorder

A

Similar to OCD, becomes preoccupied with details, rules and scedules that hinders performance doing the tasts

52
Q

Nihilistic delusions

A

Belief that all or part of body, mind or world has ceased to exist

53
Q

Cotard syndrome

A

Patient believes they are dead

54
Q

Pareidolia

A

Vivid illusions from indistinct stimuli, such as seeing a face in the clouds

55
Q

Completion illusion

A

Due to inattention when reading, such as misreading words or completing faded letters

56
Q

Affect illusions

A

Associated with specific mood states, such as someone seeing there recently dead loved one

57
Q

Trailing phenomena

A

ASsociated with hallucinogenic drugs, changes in perception where person seeins moving objects in series of discontinuous images

58
Q

Lilliputian hallucinations

A

Visual hallucinations associated with micropsia (little things)

59
Q

Incongruity of affect

A

Inappropriate emotional responses

60
Q

Gustatory hallucination

A

Taste

61
Q

Hypnagogic hallucination

A

Hearing a voice upon waking up

62
Q

Echolalia

A

Repetition of words spoken by others

63
Q

Logorrhea

A

Excessive wordiness

64
Q

Paragrammatism

A

Loss of grammer mid sentence

65
Q

Paraphasia

A

Mispronunciation of fingle words or combination of words in inappropriate or meaningless ways

66
Q

Verbigeration

A

Monotonous repitition of parts of speech

67
Q

Undoing

A

Performing an act to make up for past behaviour or guilt

68
Q

Belle indiference

A

Indifferent emotional response to the level of impairment

69
Q

Agorophibia

A

Exaggerated feas that cannot be rationalised or controlled, usually associated with strong avoidance

70
Q

Hypnogogic hallucination

A

Hear someone whilst drifting off to sleep

71
Q

Alogia

A

Poverty of speech

72
Q

Bradyphasia

A

Slow speech

73
Q

Intellectualisation

A

Focus upon facts of a situation as opposed to the difficult emotions they may be fealing

74
Q

Rationalisation

A

To protect the ego, allows unacceptable behaviour to be justified in a logical manner

75
Q

Functional hallucination

A

Auditory stimulus cauyses an hallucination, but both are heard

76
Q

Catatonia

A

Severe form of psychomotor retardation where patient unresponsive to external stimuli despite being awake

77
Q

Extracampine hallucinations

A

Individual experiences an hallucination outside the limits of their own sensory fields, such as seeing someone standing behind them when looking directly ahead