PassMed learning Flashcards
Atypical antipsychotic associated with the least side effects
Aripriprazole (particularly good for patients with prolactin elevation using other APs)
Key side effects of antipsychotics
Prolactin elevation
Weight gain
Stroke/ VTE
Low white cells (clozapine)
Side effect profile of clozapine
Agranulocytosis and neutropenia
Reduced seizure threshold
Constipation
Hypersalvation
Myocarditis (baseline ECG before)
When can clozapine be introduced
Schizophrenia when 2 other antipsychotics have failed for 6-8 weeks each
Definition of somatisation disorder
Multiple physical symptoms present for 2+ years
AND
Patients refuses to accept negative results
Definition of hypochondriasis (illness anxiety disorder)
Persistent belief in presence of underlying disease
Patient refuses to accept negative results
Difference between somatisation and hypochondriac
Somatisation = symptoms (multiple for at least 2 years) Hypochondriac = disease belief
Both refuse to accept negative results
Conversion disorder definition
Patient loses motor or sensory function
Does not consciously fake the symptoms
What is Munchausens syndrome
Intentional production of physical or psychological symptoms
What is malingering
Fraudulent simulation or exaggeration of symptoms for gain (normally financial)
What is dissociative disorder
Separating off certain memories from normal consciousness
What psychiatric drug increases risk of VTE in elderly
Atypical antipsychotics
Name 2 main typical antipsychotics
Haloperidol
Chlorpromazine
When should lithium levels be monitored in a patient starting treatment today and continuing for 2 years
12 hours after dose
Every week until stable
Every 3 months then on
Catatonia definition
Inability to move correctly
Abnormal movements
First line treatment for anorexia in children
Focused family therapy
Two types of bipolar?
1: Depression and mania (psychotic beliefs lasting more than 7 days)
2: Depression and hypomania
Treatment for OCD if mild vs severe
Mild: CBT
Severe: SSRI
Fluoxetine for body dysmorphic disorder
Two common monoamine oxidase inhibitors
tranylcypromine and phenelzine
Why are monoamine oxidase inhibitors not really used
Cannot consume tyramine containing foods (cheese, marmite, broad beans)
As causes hypertensive reaction
What is rasagaline
Inhibitor or monoamine oxidaseB used to treat Parkinson’s
What are clang associations
Ideas that are linked by rhyme or similarity of word sounds alone. This is sometimes seen in schizophrenia or bipolar disorder.
What is avoidant personality disorder
Avoid social activities
Preoccupied with ideas that they are rejected in social situations
Isolate them self but crave interaction
What is key symptoms of borderline personality disorder
Emotionally unstable
Avoid abandonment
