ModC: Psychiatry Flashcards

(53 cards)

1
Q

Neuroleptic malignant syndrome

A

Symptoms develop up to 2 weeks after first starting antipsychotic medication

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2
Q

Serotonin syndrome

A

Associated with antipsychotic use

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3
Q

Depression

A

3 core symptoms: low mood, anhedonia, anergia
Common in ppl with learning disabilities
Other symptoms: sleep disturbance, social withdrawal

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4
Q

Generalised anxiety disorder

A

Anxiety without stimulus persisting for 3 months
1st line tx: SSRI (paroxetine)
2nd line tx: venlafaxine
Avoid benzodiazepines due to high risk of dependence

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5
Q

Panic attacks/disorder

A

Trigger before panic attacks

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6
Q

Schizophrenia

A

Positive symptoms
Negative symptoms
Cannabis use is associated with 5x increase in risk of schizophrenia
1st rank symptom: delusion of passivity

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7
Q

Psychosis

A

Psychotic symptoms

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8
Q

Hallucination

A

Auditory, visual, olfactory

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9
Q

Pseudo-hallucination

A

Hears voices within

Associated with personality disorders

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10
Q

OCD

A

Obsessive compulsive disorder

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11
Q

Bulimia

A

Binge and purge

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12
Q

Anorexia nervosa

A

BMI < 18.5kgm-2
Consider patient for admission if: proximal muscle weakness
Complications: refeeding syndrome (may cause serious metabolic disturbances e.g., hypophosphataemia

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13
Q

EUPD/BPD

A

Borderline personality disorder

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14
Q

Bipolar affective disorder

A

crazy

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15
Q

Frontotemporal dementia

A

Results in cognitive and behavioural changes

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16
Q

Alzheimer’s disease

A

Commonest form of dementia

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17
Q

Lewy body dementia

A

Alpha synuclein lewy bodies ?

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18
Q

Vascular dementia

A

Associated with vascular disease

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19
Q

Phobias

A

Fears

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20
Q

Post-partum depression

A

Post partum women

1st line tx (mild/moderate) = CBT

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21
Q

Post-traumatic stress disorder

A

Flashbacks and partial recollection of traumatic event more than 6 months after event

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22
Q

Somatisation

A

Type of somatoform disorder

23
Q

Hydrochondriasis

A

Type of somatoform disorder

24
Q

Yellow Card Scheme

A

Allows suspected side effects to be reported to MHRA

25
Cognitive behavioural therapy
CBT | 1st line for mild to moderate postnatal depression, anxiety disorders
26
DIT
Dynamic interpersonal therapy
27
IPT
Interpersonal therapy
28
Behavioural activation
Used for depression
29
EMDR
Eye Movement Desensitisation and Reprocessing
30
MBCT
Mindfulness-based cognitive therapy
31
IAPT
Improving Access to Psychological Therapies
32
Euthymic
Constant mood state in bipolar disorder
33
Normal lithium levels
1st time use of Lithium = 0.6-0.8mmol/L | If previous lithium use = 0.8-1.0mmol/L
34
Complex PTSD
PTSD symptoms and additional symptoms Cause: childhood abuse, witnessing abuse or violence, prisoner of war, torture, kidnapping, slavery Symptoms: difficulty controlling emotions,
35
Lithium toxicity
May be caused by ACEi, thiazide diuretics, NSAIDs | Px: seizure, confusion, disorientation
36
Electroconvulsive therapy (ECT)
Used as a psychiatric emergency in severe psychotic depression (e.g., pt who stops eating, drinking, and is at risk of life-threatening complications like dehydration, sepsis, renal failure, malnutrition) SE: short-term memory loss
37
Dialectal behaviour therapy
Talking therapy adapted for people who feel emotions very intensely Aims to: understand and accept your difficult feelings, learn skills to manage them, and become able to make positive changes in your life Used for depression, self-harming, suicidal attempts, borderline personality disorder
38
Psychodynamic psychotherapy
Primary focus is to reveal the unconscious content of a pt's psyche to alleviate psychic tension Based on the principle that the unconscious mind harbours deep-rooted feelings and memories that can affect our behaviour Used for people who feel they have lost all meaning in their life, and have difficulty forming or maintaining relationships
39
Alcohol withdrawal
Consider inpatient/residential support for pts who have had previous seizures whilst withdrawing
40
Social phobia
Px: autonomic symptoms when around people e.g., sweating, tremor, palpitations; concern about others' opinion; avoids leaving house
41
Echolalia
Meaningless repetition of another person's spoken words | May be associated with schizophrenia
42
Neologism
Words that have meaning only to the person who uses them | Associated with schizophrenia
43
Thought blocking
Pt begins answering question then stops and does not complete answer, needs question to be repeated to continue answer
44
Oppositional defiant disorder
Argumentative, spiteful, defiant, does not comply with requests
45
Conduct disorder
E.g., truancy, cruelty
46
Attention deficit hyperactivity disorder
Behavioural disorder associated with restless, trouble concentrating and acting on impulse
47
Autism
A neurodevelopmental disorder characterized by significant difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests
48
Asperger's syndrome
A neurodevelopmental disorder characterized by significant difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests Typically differentiated from autism by unimpaired language and intelligence
49
Delusion of passivity/passivity phenomena
Patient believes thoughts, actions, or feelings are controlled by an external agent 1st rank symptom of schizophrenia
50
Paranoid/persecutory delusion
Fears, anxieties, and suspicions centered on perceived victimisation
51
Incongruous affect
A mismatch between experienced emotion and its expression e.g., smiling whilst talking about something very sad
52
Nihilistic delusion
Delusional belief of being dead, decomposed or annihilated
53
Thought insertion
Believing your thoughts are not your own