3 Flashcards

1
Q

IQ moderate learning disability

A

35-49

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2
Q

presentation amnesic syndrome

A

syndrome of impairment of recent and remote memory
immediate recall preserved
new learning decreased
anterograde and retrograde amnesia
confabulation
disorientation in time
perception and other cognitive function impaired

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3
Q

retrograde amnesia

A

loss of memory/ access to events and information from the past

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4
Q

causes hippocampal damage leading to amnesic syndrome

A
encephalitis
anoxia
removal of temporal lobes
bilateral post cerebral artery occlusion 
close head injury 
early Alzheimers
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5
Q

presentation hepatic encephalopathy

A
confusion
general psychomotor retardation 
drowsiness
fluctuating confusion 
asterixis
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6
Q

describe hepatic encephalopathy

A

related to build up of toxic blood products

normally in advanced liver disease

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7
Q

chronic examples organic mood disorder

A
  • dementia
  • amnesic syndrome
  • organic personality change
  • chronic drug/ alcohol dependance
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8
Q

define an organic mental disorder

A

due to a common, demonstrable aetiology in cerebral disease, brain injury or other insult leading to cerebral dysfunction

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9
Q

social consequences of eating disorder

A

isolation

other people viewed as obstacles

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10
Q

physical consequences of eating disorders

A
  • poor repair and resistance
  • heart damage
  • reduced immunity
  • anaemia
  • bone loss
  • fertility problems
  • arrhythmias
  • delayed puberty/ growth
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11
Q

psychological consequences eating disorders

A
  • extreme overvaluation of low weight
  • difficulty seeing the bigger picture
  • depression
  • anxiety
  • obsessionality
  • loss of concentration
  • anxious eating in company
  • guilt after eating
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12
Q

methods of avoiding calorie intake

A
  • diets
  • allergies
  • avoid eating in front of people
  • eating very slowly
  • pickiness
  • bizarre food combinations
  • medication abuse e.g. appetite suppressants like caffeine
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13
Q

describe binge eating disorder

A
similar to bulimia nervosa
absence of purging 
depression
fast eating, usually alone
large amounts consumed 
shame, guilt 
uncomfortably full
buzzed after eating
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14
Q

management anorexia nervosa

A
refeeding
SSRI
CBT
counselling
physio
exercise therapies
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15
Q

level and presentation of moderate lithium toxicity

A

2-2.5

  • N+V
  • anorexia
  • blurred vision
  • clonic limb movements convulsions
  • delirium
  • syncope
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16
Q

presentation phobic anxiety disorder

A

brought on by a specific circumstance/ to a certain thing
person behaves to avoid these
sufferer also experiences anxiety if there is a perceived threat of encountering the object/ situation

17
Q

drug tolerance

A

reduced responsiveness to a drug as a result of previous administration

18
Q

management alcohol dependancy

A

disulfiram (Antabuse)
acamprosate (campral)
naltrexone

19
Q

acetylcholinesterase inhibitor examples

A
  • donepezil
  • revastigmine
  • galantamine
20
Q

pharmacological treatment of dementia

A
  • acetylcholinesterase inhibitors
  • memantine
  • antipsychotics
  • antidepressants
  • anxiolytics
  • hypnotics
  • anticonvulsants
21
Q

dementia investigations

A
  • collateral Hx
  • FBC
  • flexible cognitive testing
  • B12
  • TFTs
  • exclude depression + delirium
  • brainscans (CT/ MRI/ SPECT)
22
Q

general features associated with dementia

A
  • memory loss
  • cognitive decline
  • tries hard to perform
  • conceals disability
  • insidious onset
  • slow, gradual, progressive, irreversible decline
  • disorientation late in illness
  • slight day to day variation
  • consciousness clouded late
  • normal attention span
  • disturbed circadian rhythm
  • mood fluctuation