Psychiatry for Denitst

Question 1

Anxiety vs pathological anxiety?

Answer 1

Anxiety normal when perceived threat/ danger

Pathological: increase intensity or freq - interfere with function of individual

Question 2

Symptom experienced with anxiety?

Answer 2

Psychological: sense dread, irritability, avoidance, panic, fear
Physical: palpitation, SOB, chest pain, sweating, dry mouth

Question 3

What is phobic disorder?

Answer 3

Situational, predictable w/ anticipatory anxiety and avoidance

Question 4

How can dental phobias present?

Answer 4

Late presentation, cancel or DNA

Specific phobia, anxiety about somatic reaction, generalise anxiety, social phobia

Question 5

Management and tx dental anxiety?

Answer 5

Manage: Dental health education, calm and relaxing environment, confident, honest and tactful explanation

Tx: relaxation technique, desensitisation, short term pharmokinetic (diazepam)

Question 6

What is hypochondriasis?

Answer 6

Abnormal preoccupation presence serious underlying disease - abnormal interpretation of normal sensation

Question 7

What is somatoformin pain?

Answer 7

Pain w/ psychological rather than organic physical cause
Inconsistent anatomical landmark, continuous and bilateral, prevent sleep - does not wake, repeat -ve investigations, analgesics

Question 8

What is depression?

Answer 8

Affective mood disorder - depressed mood 2+ week

Lack energy, loss enjoyment, poor appetite, sleep disturbance, poor conc, worthlessness

Question 9

What is bipolar affective disorder?

Answer 9

Affective mood disorder w/ mania
Elated or irritable mood + 1 week or admission
Over activity, loss inhibition, risk taking, reduced sleep, inflated self esteem, rapid loud speech, racing though, hallucination

Question 10

What is schizophrenia?

Answer 10

Psychotic disorder - abnormal thoughts and experiences
Decreased drive and social function - alteration personality
Onset early -mid adulthood

Question 11

+ve and -ve symptoms of schizophrenia?

Answer 11

+Ve - add behaviour or thoughts: delusion, hallucination, thought disorder

-ve- take thoughts or behaviour away: withdrawal, emotional blunting, apathy

Question 12

What is anorexia?

Answer 12

Eating disorder w/ BMI less 17.5

Self-induced weight loss due to body image distortion

Question 13

What is bulimia?

Answer 13

Eating disorder - morbid dread of fatness - cyclic binding and purging
Dental symptoms

Question 14

Screening tool for substance misuse?

Answer 14

CAGE
C- have you ever felt you should cut down?
A- are you annoyed if people comment?
G - do you ever feel guilty
E - even drunk early morn?

Question 15

What is dementia?

Answer 15

Personality disorder
Acquired impairment of global cognitive function
Progressive and irreversible

Question 16

What is delirium?

Answer 16

Reversible state - impaired consciousness, disturbed attention, emotional disturbance, disturbed sleep