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PA- FCM > Mental health > Flashcards

Mental health Flashcards

1
Q

severity classification for anorexia nervosa

A

Mild: BMI ≥17 kg/m²
Moderate: BMI 16-16.99 kg/m²
Severe: BMI 15-15.99 kg/m²
Extreme: BMI <15 kg/m²

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2
Q

physical clinical features of anorexia nervosa

A

BMI< 85% predicted
amenorrhea
delayed puberty
fatigue, fainting, dizziness
intolerance to cold
GI- constipation, Abdo pain
appearance - wearing baggy clothes

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3
Q

Psychological features of anorexia nervosa

A

fear/ dread gaining weight
distorted body image
social withdrawal
denial of problem/ resistance to treatment

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4
Q

Examination findings in anorexia nervosa

A

gaunt, lanugo hair , acrocyanosis , restless
Maybe have postural hypotension
peripheral oedema

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5
Q

What 2 MSK test are done in anorexia nervosa

A

squat tests and sit up test

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6
Q

Management in ED for anorexia nervosa

A

weight restoration
OT, psychology, medical groups
Olanzapine and fluoxetine

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7
Q

what is a potential complication of weight restoration in anorexia nervosa patients

A

refeeding syndrome

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8
Q

what is a potential complication of weight restoration in anorexia nervosa patients

A

refeeding syndrome

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9
Q

what are the 4 things that becomes low in refeeding syndrome

A

potassium
phosphate
Magnesium
Thiamine

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10
Q

what risk assessment tool is used in anorexia patients

A

MEED traffic light system

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11
Q

clinical features of bulimia nervosa

A

weight fluctuation
low mood
low self esteem
body image concerns
dental erosion
parotid hypertrophy
russell’s signs
arrythmias

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12
Q

Investigation for bulimia nervosa

A

bloods
ECG
BMs

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13
Q

Treatments for bulimia nervosa

A

psychotherapeutic : CBT
Diet : meal planning
Medical: manage physical risk and consider SSRI or SNRI

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14
Q

What is diabulimia and who does it occur in

A

misusing insulin to control weight
Occurs in type 1 diabetes

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15
Q

What is the ICD 11 criteria for depression

A

fiver of ten everyday, most of the day for 2 weeks and must include 1 and 2
1. depressed mood
2.anhedonia
3.reduced concentration
4.low self worth, inappropriate guilt
5.sucidal ideation
6.hopelessness
7.too little/too much sleep
8.too little/too much appetite
9.low energy
10.psychomotor retardation/agitation.

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16
Q

What are the mental state examination items

A

use pneumonic: A Bee Stung My Arm Today Pretty Crap
Appearance
Behaviour
Speech
Mood
Affect
Thought
Perception
Cognition

17
Q

Pharmacological treatment options for depression

A

SSRIs
Mirtazapine
Sertraline

18
Q

what is bipolar 1 and what is needed for a diagnosis

A

Hypomanic, manic and depressive episodes can occur
At least one manic episode required for diagnosis (no depressive
episode required)

19
Q

What is bipolar 2

A

Hypomanic and depressive episodes only
-At least 1 hypomanic episode and 1 depressive episode for
diagnosis

20
Q

what is the DSM-5 criteria for Bipolar (Manic)

A

A manic episode includes at leats 1 week of persistently abnormally elevated or (irritable mood)
3-4 of :
Inflated self-esteem or grandiosity
Intensified speech
Decreased need for sleep
Rapid jumping around of ideas or
racing thought
Distractibility
Increase in goal directed
behaviour or psychomotor
agitation
Excessive involvement in
pleasurable but risky activities

21
Q

symptoms of hypomania

A

must last for 4 days
- mild elevation of mood
- Symptoms of manic episode but less intense
-symptoms do not disrupt functioning

22
Q

Symptoms of depressive episode

A

Low mood
anhedonia
loss of energy /fatigue
disturbed sleep, guilt,
decreased conc
thoughts of death or suicidal ideation
somatic syndrome:
- decreased interest
-diurnal variation
-Early morning variation or mood
-Decreased libido
-Decreased appetite or weight loss

23
Q

what is cyclothymic disorder

A

people who experience hypomania, depressive symptoms but not enough t[ meet the threshold for the criteria

24
Q

what is mixed affective disorder

A

Co-existance of depressive,
hypomanic and manic symptoms

25
Q

what is rapid cycling in bipolar

A

> = 4 manic, hypomanic, depressive or mixed episodes occurring within 12 months

26
Q

symptoms of catatonia

A

Motor disturbance
immobility
mutism
posturing/rigidity
waxy flexibility
stereotypy
echolalia
echopraxia

27
Q

when should you refer for bipolar (new and existing)

A

New:
refer urgently if mania or severe depression is suspected or if there is a danger to them or other people
Existing :
refer urgently if there is an acute exacerbation of symptoms or an increase in risk

28
Q

what are some non-pharmacological management for bipolar

A

inpatient admission or HTT
ECT
Psychological therapy and education
support with sleep hygiene, nutrition status
Managing co-morbidities

PA- FCM (10 decks)

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