Flashcards in Other Psychiatric Problems Deck (48)
What cardiovascular disorders can cause delirium?
What GI disorders can cause delirium?
What endocrine disorders can cause delirium?
What GU disorders can cause delirium?
What neurlogical disorders can cause delirium?
What is the NHS Tayside Protocol for pharmacological management of delirium?
Haloperidol 0.5-5mg PO then IM:
- Up to 10mg in 24 hours
What drug, in the NHS Tayside Protocol for pharmacological management of delirium, is used in Parkinson's, Lewy Body Dementia and Neuroleptic sensitivity?
Lorazepam 0.5-2mg, up to 2 times in 24 hours
What is the mean duration of delirium?
- Often longer in elderly
- Some can become chronic
What is the most common neuropsychiatric complication of a stroke?
How many patients have depressive symptoms following an MRI?
What is anterograde amnesia?
Difficulty in acquiring new material
Difficulty in remembering events since illness/injury onset
What is retrograde amnesia?
Difficulty remembering info prior to illness/injury onset
What is it important to assess in cognition of memory problems?
Attention and concentration
In individuals with suspected cognitive impairment, what should be carried out?
What examination approves initial testing?
Addenbrookes Cognitive Examination
What is MMSE scored out of?
What is the cut off for MMSE?
>27 vs <24
What are the 4 criteria assessed in an MMSE?
What are the advantages of MMSE?
What are the disadvantages of MMSE?
Not adjusted for age
Poor for executive functioning
Poor in severe cases -> 'Floor effect'
Poor in high premorbid functioning
Not sensitive in early stages
Exclusion of non-verbal skills
What domains are assessed in the Addenbrookes Cognitive Examination III?
How long does the Addenbrookes Cognitive Examination III take?
What domains are assessed in Neuropsychological Assessments?
Orientation and attention
Memory and new learning
Visuospatial and constructional functioning
What is the diagnostic triad in ADHD?
What do the triad of features in the diagnosis if ADHD have to be to diagnose 'combined-type' ADHD (aka Hyperkinetic Disorder)?
What structured diagnostic questionnaires can be used in the diagnosis of ADHD?
Conners Rating Scale
ADHD Rating Scale
What are some risk factors for ADHD?
What are the first line psychological therapies for ADHD?
Parent training (New Forest parenting programme)
What are the second line psychological therapies for ADHD?
Sleep and diet
When might psychological therapies be useful and not sufficient?
Useful for secondary difficulties at home
Not sufficient in most cases
What are the first line pharmacological treatments for ADHD?
How do the first line pharmacological treatments for ADHD work?
- Increase DA transmission in executive functioning networks to prefrontal cortex
- Directly improve symptoms
What are the side effects of the first line pharmacological treatments for ADHD?
What is the second line pharmacological treatment for ADHD?
What are the third line pharmacological treatments for ADHD?
What weeks of the New Forest Parenting Programme are parent only?
What weeks of the New Forest Parenting Programme are parent and child?
What techniques do parents learn during week 2 of the New Forest Parenting Programme?
Ability to avoid confrontation
How can a parent learn to manage a child's temper during week 3 of the New Forest Parenting Programme?
What do parents learn to use during week 4 of the New Forest Parenting Programme?
During weeks 6 and 7, how long does the practitioner of the New Forest Parenting Programme observe the parent and child alone for?
How common is Autism Spectrum Disorder?
Is Autism Spectrum Disorder more common males or females?
What are the triad of impairments in Autism Spectrum Disorder?
1. Qualitative impairments in reciprocal social interaction
2. Language impairment
3. Thought and behaviour
How is Autism Spectrum Disorder defined in DSM-IV-TR?
>=6 symptoms including:
- >=2 of qualitative impairment in social interaction
- >=1 of qualitative impairment in communication
- >=1 symptoms of restricted/repetitive behaviour
When is Risperidone used in Autism Spectrum Disorder?
If there are ADHD symptoms in Autism Spectrum Disorder, what drug can be used?