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Flashcards in Curriculum Deck (16)
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1
Q
Describe the
aetiology and
epidemiology of
psychiatric illness,
and how these differ
with age, gender and
culture.
A
Moderate Depression
Severe Depression 
Depression with psychosis
Hypomania
Mania
Cyclothymic
Dysthymic
Generalised Anxiety Disorder
Panic Attack
Post Traumatic Stress Disorder
Social Anxiety Disorder
Type 1 Bipolar
Type 2 Bipolar 
Rapid Cycling Bipolar
Simple Scizophrenia
Hebrephrenic Scizophrenia
Catatonic Schizophrenia
Paranoid Schizophrenia
Amphetamine Abuse
Cannabis Abuse
Cocaine Abuse
Alcohol Dependence 
Korsakoff Syndrome
Wernicke Encephalopathy
Delirium
Alzheimers
Lewy Body 
Frontotemporal
Vascular
Parkinsonism
Somatoform Disorder
Factitious 
Malingering
Conversion
Borderline Personality Disorder
Emotional Personality Disorder
2
Q
Describe the current,
common
psychological,
physical and social
treatments for
psychiatric
conditions, including
the indications for
their use, their
method of action and
any unwanted
effects. This includes
ECT.
A
Psychological Therapy
CBT
CAT
PPT
FBT

SSRI (Anxiolytics)
Tricyclic antidepressants
Atypical Antipsychotics
Typical Antipsychotics

ECT

3
Q
Understand that
stepped care is often
appropriate.
Understand that
good treatment
should lead to
improved well-being
and growth for an
individual, not just
reduced symptoms.
A

Start on a low dose and gradually increase

4
Q
State the doctor’s
duties and the
patient’s rights under
the appropriate
mental health
legislation and
mental capacity
legislation.
A

Sectioning under the Mental Health Act

Section 2
Section 3 
Section 37
Section 45A
Section 47
Section 48
Section 117
Section 136
Community Treatment Order
Section 2 Up to 28 days can be appealed against
Section 3 Treatment Order up to 6 months
Section 37
Section 45A
Section 47
Section 48
Section 117
5
Q

Describe what may
constitute risk to self

Describe what may
constitute risk
to and from others

Understand how
such abuse (of adults
and children)
increases the risk of
psychiatric and
personality disorders.
A
suicide
self harm
neglect,
engaging in high risk
behaviour

child abuse,
domestic violence
protection of vulnerable adults

6
Q
Summarise the major
categories of
psychiatric disorders,
for example using
ICD-10.
A

ICD 10 Chapter 5

1 F00–F99 – Mental and behavioural disorders

  1. 1 (F00–F09) Organic, including symptomatic, mental disorders
  2. 2 (F10–F19) Mental and behavioural disorders due to psychoactive substance use
  3. 3 (F20–F29) Schizophrenia, schizotypal and delusional disorders
  4. 4 (F30–F39) Mood (affective) disorders
  5. 5 (F40–F48) Neurotic, stress-related and somatoform disorders
  6. 6 (F50–F59) Behavioural syndromes associated with physiological disturbances and physical factors
  7. 7 (F60–F69) Disorders of adult personality and behaviour
  8. 8 (F70–F79) Mental retardation
  9. 9 (F80–F89) Disorders of psychological development
  10. 10 (F90–F98) Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
  11. 11 (F99) Unspecified mental disorder
7
Q
Take a full psychiatric
history, carry out a
mental state
examination
(including a cognitive
assessment) and
write up a case (as
would be found in
medical records).
This includes being
able to describe
symptoms and
mental state
features, aetiological
factors, differential
diagnoses, a plan of
management and
assessment of
prognosis.
A
PC
HxPC
PMH
PPH
FHx mental illness
DHx + illicit + over counter
SHx part 1 FODSACHAM
SHx part 2 PEFFP

ABSMTPCI

Differential

Mgx + Prognosis

8
Q
Prescribe
psychotropic
medication (if
appropriate) safely,
effectively and
economically.
A

Antipsychotics
Antidepressant
Anxiolytics

9
Q
Provide immediate
care in psychiatric
emergencies, which
may occur in
psychiatric, general
medical or other
settings. In particular
be able to conduct a
risk assessment (risk
to self and others,
including from
abuse), act
appropriately based
on this risk
assessment; and to
be competent in the
management of
acute behavioural
disturbance.
A
Catatonia
Suicide Attempt
Acute psychotic episode
Substance Abuse
Depression
Violence
Rapid Change in Behaviour
Hazardous Drug Interactions
Anxiety
Abuse
Natural Disasters

Mgx

Suicidal Ideation
Self Destructive Behaviours
Previous Suicide Attempts
Haloperidol 10mg IM (Rapid Tranq) or Lorazepam 2mg 
Exits
Delirium Haloperidol 0.5 mg
Delirium Tremens ICU use BDZ thiamine and fluids
Oculogyric Crisis Promethazine
Seratonin Syndrome PC hyperthermia
10
Q
Plan which physical
and psychosocial
investigations should
be carried out when
patients present with
psychiatric symptoms
and when starting
psychotropic
medication.
A

Cognitive Assessment as part of MSE
Full Examination to rule out organic causes
FBC U&E and LFT to establish baseline renal and liver function

11
Q
Evaluate information
about family
relationships and
other relevant social
factors (including
work, education and
finances) and their
impact on an
individual patient,
This may involve
gaining information
from other sources.
A

Taken as part of Social History

12
Q
Evaluate the impact
of mental illness on
the individual, their
family and those
around them.
A

Taken as part of Social History and or Risk Assessment

13
Q
Recognise that
illnesses of the
brain/mind are of
equal importance as
illnesses of other
parts of the body.
A

Yes

14
Q
Demonstrate
understanding of
how patients’
opportunities may be
affected by
stigmatisation of
mental illness and
show sensitivity to
the concerns of
patients and their
families about such
stigmatisation.
A

Yes

15
Q
Recognise the
importance of
multidisciplinary
teamwork in the field
of mental illness in
psychiatric,
community, general
medical, primary care
and non-medical
settings.
A

Nurses

Receptionists

16
Q
Reflect on how
working in health
settings may impact
upon their own
health (including
mental health) and
that of colleagues.
Understand the
importance of
seeking professional
help if they
themselves develop
mental health
problems. Know
how/where to access
this help.
A

May be applicable in SJT