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Flashcards in Pass medicine learning points Deck (203)
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1

Antipsychotic side effects

Parkinsonism
Acute dystonia
Akathisia (restlessness)
Tardive dyskinesia (involuntary movements)

2

Charles bonnet risk factors

Peripheral visual impairment
Advanced age
Social isolation
Sensory impairment
Early cognitive impairment

3

How long before a PTSD diagnosis

2 months

4

Depression in winter

Seasonal affective disorder

5

Schizophrenia first rank symptoms

auditory hallucinations, thought disorders, passivity phenomena and delusional perceptions

6

Second rank symptoms of schizophrenia

impaired insight
incongruity/blunting of affect (inappropriate emotion for circumstances)
decreased speech
neologisms: made-up words
catatonia
negative symptoms

7

What should you do if there are symptoms of mania in primary care

Urgent referral to community mental health team

8

How is mania different to hypomania

Mania is persistently elevated mood state with psychotic symptoms (hypomania is normally 7-10 days)

9

Describe schizotypal personality disorder

Patients diagnosed with schizotypal personality disorder lack close friends other than family and can have odd or eccentric behaviour, speech and beliefs

10

What is the difference between schizoid and schizotypal personality disorder

Both loners but schizoid don't want sex whereas schizotypal are eccentric

11

Histiroinic personality disorder

Crave attention and are inappropriate

12

What is clozapine

Atypical antipsychotic

13

Clozapine side effects weight gain

weight gain
excessive salivation
agranulocytosis
neutropenia
myocarditis
arrhythmias

14

Hyperkalaemia, low chloride, alkalotic

Bulimia nervosa

15

Rapid speech and topics but no connection

Knights move, schizophrenia

16

Rapid speech and topics but with a connection

Flight of ideas, bipolar, mania

17

SSRI SE

GI symptoms
Drug interactions
QT elongation

18

TCA SE

drowsiness
dry mouth
blurred vision
constipation
urinary retention
lengthening of QT interval

19

After you've changed the lithium dose when do you need to recheck the levels

7 days and 12hours later

20

What class of antidepressant is venlafaxine

Serotonin and noradrenaline reuptake inhibitors

21

Clozapine life threatening SE

Agranulocytosis

22

Hand foot and mouth disease

Viral infection in a child. Mouth ulcers, rash on hands and feet. Sometimes legs and buttocks. Fever, anorexia, sore throat

23

Group B strep prophylaxis

BenPen IV

24

4 year constipation in child

Diet and exercise, osmotic laxative.

25

What is a red flag for hirschprungs disease

Passage of meconium after 48 hours, MEN2

26

Hip dysplasia red flags

Female
Breech
Family History
Oligohydramnios
Birth weight over 5kg

27

Which contraceptive can cause a delay in fertility returning

Progesterone only injection

28

What is the most effective form of emergency contraception

Copper intrauterine device (not affected by BMI)

29

Ovarian cyst early in pregnancy

normal

30

25-49 cervical screening frequency

3 years