21 November 2022 Flashcards
(30 cards)
Is cognitive behavioural therapy effective in treating vascular depression?
It may help to manage the manifestations, but does not treat the underlying cause.
What should you always consider regarding vascular depression?
It is not a recognised diagnosis in the DSM-5
What is a psychosocial disability?
A psychosocial disability arises when someone with a mental health condition interacts with a social environment that presents barriers to their equality with others.
What is schizophreniform disorder?
Schizophreniform disorder, like schizophrenia, is a psychotic disorder that affects how you act, think, relate to others, express emotions and perceive reality
What is a somatic hallucination?
A perception of being touched in the absence of a sensory stimulus
What is the role of Vitamin D levels in mental health disorders?
Vitamin D is considered to be a crucial factor that influences symptoms of depression, negative emotions, and quality of life, but to date, no systematic review has been conducted with regard to its effect on other domains of mental health.
Do auditory hallucinations always result in a diagnosis of psychosis?
No
Do psychotic symptoms always result in a diagnosis of psychosis?
No
When is a diagnosis of psychosis indicated?
When psychotic symptoms are primary (as a result of schizophrenia)
What is mania?
Extremely elevated and excitable mood usually associated with bipolar disorder.
Where must RAH staff present to ED?
Calvary Hospital
What does erroneous mean?
Wrong; incorrect.
What is disopyramide?
An antiarrhythmic
What is the mechanism of action of disopyramide?
Prolongs refractory period of myocardial tissue (atria, ventricles, ventricular conduction system, bypass tracts) and reduces automaticity in Purkinje fibres. It has significant anticholinergic activity, which may increase atrioventricular nodal conduction, and it also has a negative inotropic effect.
What is the indication of disopyramide?
Life-threatening ventricular tachyarrhythmias refractory to other treatment
What are 6 precautions of diSOPYRAMIDe?
- Electrolyte disturbances (eg hypokalaemia, hyperkalaemia, hypomagnesaemia): increase risk of arrhythmias; correct before starting treatment if possible.
- Risk factors for angle-closure glaucoma: acute angle-closure crisis may rarely be precipitated.
- BPH, bladder outlet obstruction: diSOPYRAMIDe may precipitate urinary retention.
- Myasthenia gravis: diSOPYRAMIDe may increase muscle weakness.
- Dementia, cognitive impairment: diSOPYRAMIDe may worsen cognitive function.
- Diabetes: hypoglycaemia may occur with diSOPYRAMIDe
What are 2 contraindications with diSOPYRAMIDe?
- Digoxin toxicity
- Treatment with flecainide
What is altruism?
Disinterested and selfless concern for the well-being of others.
What is amisulpride?
An antipsychotic
What is an indicator that a clozapine level is not a true steady-state level?
Unusual and/or fluctuating clozapine/norclozapine levels
What drug charts do TCP use?
NRMC Charts
What is the mechanism of action of carbamazepine?
Prevents repetitive neuronal discharges by blocking voltage-dependent and use-dependent sodium channels.
What are 3 indications of carbamazepine?
- Epilepsy, including simple and complex focal (partial) seizures, and generalised tonic-clonic seizures
- Trigeminal and glossopharyngeal neuralgias
- Bipolar disorder
What are 2 indications of aripiprazole?
- Schizophrenia
- Bipolar disorder as monotherapy (can be used with lithium or valproate in acute mania)
