Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Phase 3A > Psych > Flashcards

Psych Flashcards

1
Q

EUPD Symptoms?

A
  • Fluctuating mood
  • Turbulent relationships
  • Self-harm.
  • Paranoid thoughts and visual or auditory hallucinations can also occur.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Schizophrenia symptoms?

A
  • Delusions
  • Auditory hallucinations
  • Disorders of thought perception.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Schizoid Personality disorder?

A
  • Difficulties forming close relationships
  • Prefer to be alone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Mania vs Hypomania

A

Distractability
Impulsivity
Grandiose Delusions
Flight of ideas
Activity increase
Sleep deficit
Talkative
Mania lasts > 7 days, Hypomania less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

First line for OCD with mild impairment?
Second line?

A

1st: CBT
2nd: SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Avoidant Personality Disorder symptoms?

A
  • Fear of criticism
  • Fear of being unliked
  • Fear of rejection/ridicule
  • Social isolated but crave social contact
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Antisocial personality disorder symptoms?

A
  • Failure to conform to social norms including illegal activities
  • Deception
  • Repeated lying
  • Lack of remorse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What type of drug is Duloxetine?

A

SNRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

SSRI discontinuation syndrome symptoms?

A

GI effects including diarrhoea, vomiting and abdominal pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

ECT side effects?

A

Memory impairment - retrograde amnesia (events before the therapy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Antipsychotics extra pyramidal side effects?

A

Tardive dyskinesia:
- Lip smacking
- Jaw pouting
- Chewing
- Excessive blinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

GAD first line?
second line?

A

1st: CBT
2nd: SSRI
3rd: SNRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is erotomania? (De Clerambault syndrome)

A

A form of delusional disorder that someone famous is in love with them with no other psychotic symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Narcissistic personality disorder symptoms?

A
  • Inflated self importance
  • Excessive need for admiration
  • Lack of empathy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Depression vs Alzheimers in elderly?

A
  • Can present very similarly
  • Loss of appetite
  • Early morning waking
  • Poor concentration
  • On MMS, depressive patients answer with ‘I don’t know’ whereas Alzheimers would try and answer questions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

MMS scores?

A

24-30 -> no impairment
18-23 -> mild impairment
0-17 -> severe impairment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What class of drug is mirtazapine?

A

Noradrenergic and specific serotonergic antidepressant which blocks alpha 2 adrenoreceptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is delirium tremens?

A

A state of confusion which usually occurs following alcohol withdrawal after dependency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Treatment for delirium tremens?

A

10-30mg of Chlordiazepoxide 4 times a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Treatment of paracetamol overdose?

A

Acetylcysteine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Psych side effect of corticosteroids?

A

Steroid-induced psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Side effects of typical anti-psychotics?

A
  • Tardive dyskinesia
  • Akathisia (inability to remain still)
  • Galactorohoea
  • Parkinsonism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Tricyclic antidepressant side effects?

A

Antimuscarinic SE:
- Drowsiness
- Dry mouth
- Blurred vision
- Constipation
- Urinary retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is circumstantiality?

A

Inability to answer a question without giving unnecessary detail but will usually return to the point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is flight of ideas?

A

Thought disorder where there are leaps from one topic to another with limited links between them

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is tangentiality?

A

Speech which wanders from a topic without returning to it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is clang associations?

A

Ideas being related by rhyme/similar sounding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is echolalia?

A

Repeating words or phrases of the person you are talking to

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Which antipsychotic is least likely to cause prolactin elevation?

A

Aripiprazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the SSRI of choice in child/adolescent?

A

Fluoxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

3 core symptoms of depression?

A
  • Low mood
  • Low energy
  • Anhedonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Examples of somatic symptoms?

A
  • Early morning waking
  • Loss of appetite and weight
  • Loss of libido
  • Diurnal mood variation
  • Psychomotor retardation/agitation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Which gender is affected by anti-social PD more?
Which gender is affected by EUPD more?

A

ASPD - Men
EUPD - Women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Schizoid PD symptoms?

A
  • Solitary behaviour
  • Anhedonia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Management of acute dystonia due to antipsychotic use?

A

Procyclidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What is a common endocrine disorder that occurs as a result of chronic lithium toxicity?

A

Hypothyroidism
Hyperparathyroidism -> Hypercalcaemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What should happen if clozapine doses are missed for 48 hours or more?

A

Dose should be restarted again slowly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Psych S/E of levodopa?

A

Psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What is the SSRI of choice post MI?

A

Setraline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What food should someone taking MAO inhibitors be told to avoid?

A

Tyramine containing foods e.g. cheese, cured meats -> causes HTN and headache

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What is conversion disorder?

A

Neurological symptoms with loss of motor/sensory function which may be caused by stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What is a consequence of long-term atypical antipsychotics use?

A

Glucose dysregulation and Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What is an obsession?

A

An intrusive, unpleasant thought

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What is a compulsion?

A

A senseless action taken to reduce the anxiety caused by the obsession

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What is the risk of SSRI use during third trimester?

A

Persistent pulmonary HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What should be used to treat tardive dyskinesia?

A

Tetrabenzine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What can exacerbate mania?

A

SSRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What is a non-reassuring deceleration?

A

One that lasts between 2-3 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What is a abnormal deceleration?

A

One that lasts longer than 3 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What anti-depressant is reccomended for use in OCD after SSRI?

A

Clomipramine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

When might neuroleptic malignant syndrome present?

A

Shortly after starting anti-psychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What electrolyte abnormality can SSRIs cause?

A

Hyponatraemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What should you monitor in patients who develop infections whilst taking Clozapine?

A

FBC to check for neutropenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

What is Cotard syndrome?

A

A type of nihilistic delusion where they believe they are dead/do not exist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

What is the risk of SSRI use in the first trimester?

A

Congenital heart defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Management of patients with poor compliance of oral anti-psychotics

A

Switch to monthly depot injections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Management of patients with poor compliance of oral anti-psychotics

A

Switch to monthly depot injections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

What scoring system is used to assess alcohol withdrawal severity?

A

Clinical Institute Withdrawal Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

What is somatisation disorder?

A
  • Multiple physical symptoms presents for at least 2 years
  • Patient refuses to accept reassurance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

What is factitious disorder/Münchausen syndrome?

A

Intentional production of physical or psychological symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

What is malingering?

A

Fraudulent simulation/exaggeration of symptoms for gain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

S/E of benzo?

A
  • Antegrade amnesia
  • Drowsiness
  • Confusion
  • Dizziness
  • Slurred speech
  • Cant see/pee/spit/shit
63
Q

Metabolic S/E of antipsychotics?

A

hyperlipidemia, hypercholesterolemia, hyperglycemia and weight gain.

64
Q

What is schizoaffective disorder?

A

Combination of psychotic and bipolar disorder symptoms present most of the time for at least 2 weeks

65
Q

What is the difference between schizoid and schizotypical PD?

A

Schizoid generally does not have any paranoid ideation

66
Q

What is Pareidolia?

A

Perceiving a specific objection/meaning in an ambiguous pattern e.g. seeing faces in the clouds

67
Q

What are the first rank symptoms of schizophrenia?

A
  • Delusions
  • Auditory Hallucinations
  • Thought disorder (withdrawal, insertion and broadcasting)
  • Passivity experience
68
Q

What is the ICD-10 criteria for a delusional disorder?

A
  • Delusion present for at least 3 months
  • Ruled out schizophrenia
  • No persistent hallucinations
69
Q

How do you differentiate between mild, moderate and severe depression?

A

Severe - all 3 core symptoms + 4 other common
Moderate - 2 core symptoms + 3 other common
Mild - anything less

70
Q

Indications for ECT?

A

Euphoria
Catatonia
Tearful (treatment resistant depression)

71
Q

What is Charles-Bonnet syndrome?

A

Persistent or recurrent complex hallucinations associated with visual impairment

72
Q

What medication makes patients feel unwell if they drink any alcohol?

A

Disulfiram - increases acetyl dehydrogenase

73
Q

Another S/E of clozapine except agranulocytosis?

A

Constipation

74
Q

2nd line for mood stabilising in bipolar?

A

Valproate

75
Q

Signs of lithium toxicity?

A
  • Ataxia
  • Seizures
  • Slurred speech
  • Vomiting
  • Coarse tremor
76
Q

Lithium side effects

A
  • Fine tremor
  • Nausea
  • Diarrhoea
  • Dry mouth
77
Q

Signs of serotonin syndrome?

A
  • neuromuscular excitability
  • autonomic dysfunction (hypo or hypertension)
  • altered mental state
78
Q

Signs of neuroleptic malignant syndrome?

A
  • Change in mental state
  • Rigidity
  • Fever
  • Autonomic dysfunction
79
Q

What is agoraphobia?

A

fear of public spaces or fear of entering a public space

80
Q

What drugs are stimulants?

A

Cocaine, methamphetamine, MDMA, khat, nicotine

81
Q

What type of drugs are LSD and ketamine?

A

Hallucinogens

82
Q

Blood tests seen for Neuroleptic malignant?

A

● Raised CK (creatine kinase) –> due to muscle rigidity
● Raised white cell count
● Deranged LFT’s
● Acute renal failure –> abnormal U&E’s
● Metabolic acidosis –> low pH, low HCO3

83
Q

What is a phenomenon in which the patient has a fascination with repetitive mechanical tasks or with the ordering of objects

A

Punding

84
Q

Investigation of choice for bulimia nervosa?

A

U+E (look for metabolic alkalosis with hypokalaemia)

85
Q

Bloods to check before starting lithium?

A
  • TFTs
  • U+E
  • eGFR
  • FBC
86
Q

What is degenerated in Korsakoff syndrome?

A

The mammillary bodies

87
Q

Sign of Korsakoff vs Wernickes?

A

profound anterograde amnesia

88
Q

Pathology of Creutzfled-Jakob disease?

A

Spongiotic changes and neuronal death

89
Q

Alzheimers vs CJ disease?

A

CJ will have much more rapid onset deterioration of memory, symptoms etc

90
Q

First line feeding mechanism with anorexia nervosa

A

NG tube

91
Q

Bulimia vs Anorexia

A

Bulimia - normal BMI, anorexia - low BMI

92
Q

DSMV criteria for mild depression

A

5 or more symptoms present nearly every day for 2 weeks

93
Q

What is Munchausen syndrome?

A

Intentionally faking signs/symptoms

94
Q

OCD vs OCPD?

A

OCPD activités will be pleasurable rather than distressing

95
Q

Russell sign?

A

Scarring on fingers from inducing vomiting -> Bulimia

96
Q

Opiate withdrawal symptoms?

A

sweating, watering eyes, rhinorrhoea, yawning, GI upset, anxiety and irritability as well as general aches and pains

97
Q

Early symptoms of autoimmune encephalitis?

A
  • Fever
  • Headaches
  • Diarrhoea
  • URTI
98
Q

Later symptoms of autoimmune encephalitis?

A
  • Generalised seizures
  • Rigidity
  • Temperature dysregulation
99
Q

Which medications are associated with causing hyperprolactinaemia?

A

Dopamine antagonists

100
Q

What abnormality can lithium cause in pregnancy?

A

Ebsteins anomaly

101
Q

Lithium in pregnancy?

A

Stop in 1st trimester

102
Q

ECG findings with severe anorexia?

A

Prolonged QT

103
Q

Is re-feeding treatable under the mental health act?

A

Yes

104
Q

What is logoclonia?

A

Repeats last syllable/word of a phrase

105
Q

Symptoms of opiate overdose?

A

Drowsiness
Confusion
Decreased respiratory rate
Decreased heart rate
Constricted pupils

106
Q

Cannabis overdose?

A

drowsiness, impaired memory, slowed reflexes and motor skills, bloodshot eyes, increased appetite, dry mouth, increased heart rate and paranoia

107
Q

LSD overdose?

A

Labile mood
Hallucinations
Increased blood pressure
Increased heart rate
Increased temperature
Sweating
Insomnia
Dry mouth

108
Q

What electrolyte abnormality seen in anorexia?

A

Hypokalaemia

109
Q

Section 2 of MHA?

A
  • Admission for assessment for upto 28 days
  • Requires 2 doctors
110
Q

Section 3 of MHA?

A
  • Admission for treatment upto 6 months
  • AMHP and 2 doctors
111
Q

Section 4 of MHA?

A
  • Used in emergencies for OUTPATIENTS
  • 1 doctor + AMHP
112
Q

Section 5(2) of MHA?

A
  • Detained for 72 hours by doctor
  • Used for INPATIENTS
  • Cannot be used in ED
113
Q

Section 5(4) of MHA?

A
  • Detained for 6 hours by a nurse
114
Q

Section 135 of MHA?

A
  • Court order that allows police to enter property to remove person to place of safety (A+E)
115
Q

Section 136 of MHA?

A
  • Bring someone from public place to place of safety
116
Q

What test is used to assess muscle wasting in anorexia?

A

Sit-up-squat-stand test - failure to do this is a red flag

117
Q

Management of OCD after 12 week trial of SSRI/EMRD?

A

Another SSRI / Clomipramine

118
Q

What is a delusion of passivity?

A

Delusion of passivity is the delusion of being controlled, where someone experiences one’s
feelings/impulses/thoughts/actions as not one’s own, but as being imposed on by some external force

119
Q

Egodystonic?

A

thoughts that are very different to a persons normal thoughts/beliefs -? OCD

120
Q

What is 6CIT?

A

Brief cognitive function test

121
Q

Medications associated with delirium?

A
  • Furosemide
  • Oxybutynin
  • Propranolol
  • Ranitidine
122
Q

Symptoms of clozapine toxicity?

A
  • Precipitated by viral infection
  • confusion, drowsiness, ataxia and tachycardia
123
Q

2nd/3rd line for ADHD?

A

Lisdexamfetamine
Atomoxetine

124
Q

Blood tests for someone with anorexia?

A

Hypokalaemia
Low sex hormone levels (FSH, LH, oestrogen and testosterone)
Raised growth hormone and cortisol levels
Hypercholesterolaemia

125
Q

When is activated charcoal effective for paracetamol overdose?

A

When given within 1 hour of ingestion

126
Q

How should the first dose of acetylcysteine be given?

A

Over 1 hour

127
Q

Alcohol withdrawal symptoms?

A

6-12 hours: sweating, tachycardia. nausea tremor
36 hours - seizures
72 hours - Delirium tremens

128
Q

What are tactile hallucinations associated with?

A

Delirium tremens

129
Q

What types are in Cluster A?

A

Odd and Ecentric
- Schizoid
- Schizotypical
- Paranoid

130
Q

What type are in Cluster B?

A

Dramatic/Emotional/Impulsive
- EUPD
- Anti-social
- Narcissistic
- Histrionic

131
Q

What types are in Cluster C?

A

Anxious/Fearful
- Avoidant
- Dependent
- Obsessive-Compulsive

132
Q

What is alogia?

A

Lack of speech

133
Q

What is avolition?

A

Poor motivation

134
Q

Prognosis of schizophrenia?

A
  • 25% never have another episode
  • 25% improve substantially
  • 25% improve somewhat
  • 25% are resistant to treatment
135
Q

New onset neuro symptoms in a young person with no PMH?

A

Think autoimmune encephalitis

136
Q

Patient using Risperidone and then gets amenorrhoea, galactorrhoea etc

A

Think hyperprolactinaemia caused by Risperidone

137
Q

Which drug is often used for patients who are anorexic and need help with weight gain but have anxieties with eating?

A

Olanzapine

138
Q

PHQ-9 depression scores

A

5 - 9 - mild
10 - 14 - moderate
15+ - more severe
20+ - very severe

139
Q

What should be done before starting any ADHD medication?

A

Baseline ECG - cardiotoxic

140
Q

Electrolyte abnormalities of refeeding syndrome?

A
  • Hypophosphatemia
  • Hypokalaemia
  • Hypomagnesemia
141
Q

What is Ekbom syndrome?

A

Where you believe you are infested with parasites

142
Q

Indications for hospital admission for anorexia?

A

Low weight (85% or less of expected weight and/or less than the third percentile for BMI)
Lack of any weight gain
Significant oedema
Physiologic decompensation differential greater than 30/min
Temperature less than 36°C
Pulse below 45 beats per minute
Symptoms refractory to outpatient treatment

143
Q

MAO + SSRI can cause what?

A

Serotonin syndrome

144
Q

What is la belle indifference?

A

Feelings of indifference about a symptom/concern

145
Q

disulfiram + alcohol effects?

A

flushing, headache and anxiety

146
Q

acomprostate mode of action?

A

enhances GABA

147
Q

C/I to ECT

A

raised ICP

148
Q

What is dyspraxia?

A

Clumsiness

149
Q

Why is Fluoxetine the choice of SSRI in teenagers?

A
  • Higher half life -> due to increased risk of non-compliance
150
Q

SSRI to SNRI switch?

A

Cross taper - except fluoxetine

151
Q

Pathophysiology of GAD?

A

Over reactivity of noradrenergic neurons
Increased activity of 5HT neurons and decreased GABA

152
Q

CAGE Questions

A

C - Have people ever told you to CUT down on alcohol intake
A - Do you become ANNOYED if people criticise your alcohol intake?
G - Have you ever felt GUILT about drinking?
E - Do you ever need alcohol when you first open your EYES in the morning?

153
Q

Fregoli delusion
Capgras delusion

A

Fregoli - same person with different disguises
Capgras - imposter replaced a close friend/family

Phase 3A (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions