Passsmedicine - 3 Flashcards
(25 cards)
what is a risk factor for Charles-bonnet syndrome?
peripheral visual impairment
by persistent or recurrent complex hallucinations (usually visual or auditory), occurring in clear consciousness.
Charles-bonnet syndrome
types of visual hallucinations in CBS?
faces, children and wild animals
what are the risk factors for CBS? (5)
Advanced age Peripheral visual impairment Social isolation Sensory deprivation Early cognitive impairment
what are common ophthalmological conditions associated with CBS?
macular degeneration
glaucoma
cataract
when tyramine containing foods (e.g. cheese) are taken alongside MAO-i
hypertensive crisis can occur
what score is used to assess depressed patient?
PHQ-9
what type of amnesia is associated with benzodiazepiness/
anterograde amnesia
what is anterograde amnesia?
memory recall and creation go new memories is significantly impaired
benzodiazepines should be only prescribed for?
2-4 weeks
If patients withdraw too quickly from benzodiazepines they may experience
benzodiazepine withdrawal syndrome
up to how long after stopping the drug can you experience benzodiazepine withdrawal syndrome?
3 weeks
what are the features of benzodiazepine syndrome? (9)
insomnia irritability anxiety tremor loss of appetite tinnitus perspiration perceptual disturbances seizures
what is the most common endocrine disorder developing as a result of chronic lithium toxicity?
hypothyroidism
when does lithium toxicity occur leading to hypothyroidism?
6 and 18 months after initiation of treatment
Sleep disturbance, stress triggers and normal mini-mental test score with global memory loss suggests
depression rather than dementia
antisocial personality disorders more often affect
men
clozapine reduces ———- threshold making ———- more likely
seizure
anorexia can cause ———— in some individuals?
hypothyroidism
what is the SSRI of choice in children and adolescents?
fluoxetine
transient paralysis of skeletal muscles which occurs when awakening from sleep or less often while falling asleep.
sleep paralysis
sleep paralysis occurs as a natural part of?
REM sleep
what are the features of sleep paralysis?
paralysis - this occurs after waking up or shortly before falling asleep
hallucinations - images or speaking that appear during the paralysis
what is the management of sleep paralysis?
clonazepam
