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Year 3 - Psychiatry (DP) > Other Psychiatric Problems > Flashcards

Flashcards in Other Psychiatric Problems Deck (48)
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1

What cardiovascular disorders can cause delirium?

Intracranial/Subdural bleed
MI
PE
CCF

2

What GI disorders can cause delirium?

Liver failure
Pancreatitis

3

What endocrine disorders can cause delirium?

Diabetic complications
Thyroid disorders

4

What GU disorders can cause delirium?

UTI
Renal failure

5

What neurlogical disorders can cause delirium?

Head injury
Meningitis
Encephalitis
Tumours
Epilepsy

6

What is the NHS Tayside Protocol for pharmacological management of delirium?

Haloperidol 0.5-5mg PO then IM:
- Up to 10mg in 24 hours

7

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

8

What is the mean duration of delirium?

1-4 weeks:
- Often longer in elderly
- Some can become chronic

9

What is the most common neuropsychiatric complication of a stroke?

Post-Stroke depression

10

How many patients have depressive symptoms following an MRI?

65%

11

What is anterograde amnesia?

Difficulty in acquiring new material
Difficulty in remembering events since illness/injury onset

12

What is retrograde amnesia?

Difficulty remembering info prior to illness/injury onset

13

What is it important to assess in cognition of memory problems?

Memory
Attention and concentration
Executive functioning
Visuospatial functioning
Language

14

In individuals with suspected cognitive impairment, what should be carried out?

MMSE

15

What examination approves initial testing?

Addenbrookes Cognitive Examination

16

What is MMSE scored out of?

30

17

What is the cut off for MMSE?

>27 vs <24

18

What are the 4 criteria assessed in an MMSE?

Orientation
Memory
Visuospatial
Language

19

What are the advantages of MMSE?

Quick
Different languages

20

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

21

What domains are assessed in the Addenbrookes Cognitive Examination III?

Orientation
Attention
Memory
Executive functioning
Language
Visuospatial functioning

22

How long does the Addenbrookes Cognitive Examination III take?

~15 minutes

23

What domains are assessed in Neuropsychological Assessments?

Pre-morbid functioning
Orientation and attention
Memory and new learning
Visuospatial and constructional functioning
Language
Executive functioning
Emotional status

24

What is the diagnostic triad in ADHD?

Inattention
Hyperactivity
Impulsivity

25

What do the triad of features in the diagnosis if ADHD have to be to diagnose 'combined-type' ADHD (aka Hyperkinetic Disorder)?

Developmentally inappropriate
Impairing
Pervasive
Longstanding

26

What structured diagnostic questionnaires can be used in the diagnosis of ADHD?

Conners Rating Scale
ADHD Rating Scale

27

What are some risk factors for ADHD?

Family history
Male gender
Socioeconomic status

28

What are the first line psychological therapies for ADHD?

Parent training (New Forest parenting programme)
Classroom strategies

29

What are the second line psychological therapies for ADHD?

Social skills
Sleep and diet

30

When might psychological therapies be useful and not sufficient?

Useful for secondary difficulties at home
Not sufficient in most cases

31

What are the first line pharmacological treatments for ADHD?

Methylphenidate ('Ritalin')
Dexamfetamine
Lisdexamfetamine

32

How do the first line pharmacological treatments for ADHD work?

'Stimulants'
- Increase DA transmission in executive functioning networks to prefrontal cortex
- Directly improve symptoms

33

What are the side effects of the first line pharmacological treatments for ADHD?

Reduced appetite
Reduced sleep
Dysphoria
Anxiety
Tics

34

What is the second line pharmacological treatment for ADHD?

Atomoxetine

35

What are the third line pharmacological treatments for ADHD?

Antidepressants
Antihypertensives
Antipsychotics

36

What weeks of the New Forest Parenting Programme are parent only?

Week 1
Week 2
Week 5
Week 8

37

What weeks of the New Forest Parenting Programme are parent and child?

Week 3
Week 4
Week 6
Week 7

38

What techniques do parents learn during week 2 of the New Forest Parenting Programme?

Routines
Clear communication
Limit setting
Ability to avoid confrontation

39

How can a parent learn to manage a child's temper during week 3 of the New Forest Parenting Programme?

Firm limits
Distraction strategies

40

What do parents learn to use during week 4 of the New Forest Parenting Programme?

Time out
Quiet time

41

During weeks 6 and 7, how long does the practitioner of the New Forest Parenting Programme observe the parent and child alone for?

15 minutes

42

How common is Autism Spectrum Disorder?

1/68

43

Is Autism Spectrum Disorder more common males or females?

Males

44

What are the triad of impairments in Autism Spectrum Disorder?

1. Qualitative impairments in reciprocal social interaction
2. Language impairment
3. Thought and behaviour

45

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

46

When is Risperidone used in Autism Spectrum Disorder?

Short-term for:
- Aggression
- Tantrums
- Self-injury

47

If there are ADHD symptoms in Autism Spectrum Disorder, what drug can be used?

Methylphenidate

48

If there are sleep problems in Autism Spectrum Disorder, what drug can be used?

Melatonin