Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Medicine > Psych > Flashcards

Psych Flashcards

(66 cards)

Start Studying
1
Q

Def Section 5 (4) + 5 (2)

A

Section 5 (4): inpatient kept for 6 hours for assessment

Section 5 (2): inpatient kept for 72 hours for MHA completion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Def Section 2, 3, 136

A

Section 2: detained for 28 days for assessment and treatment

Section 3: detained for six months for treatment

Section 136: police remove person for 72 hours for assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Def Section 17, 117, CTO

A

Section 17: patient allowed leave while under section 2/3

Section 117: patient entitled to after-care from local council after section 2/3

CTO: Community treatment order (patient allowed to live w/in community whilst being treated)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Def Depression + Sx

A

(Persistent low mood occurring on most days for > 2 weeks):

Low Mood,
Low Energy,
Low Enjoyment (Anhedonia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Conditions to Excl for Depression

A 
bereavement/adjustment disorder, 
dementia, 
mania/BPD, 
substance misuse, 
medical/organic cause
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Somatic + Cog Sx of Depression

A

Somatic Sx:
Sleep/Weight changes,
Reduced libido,
Psychomotor Retardation/Agitation

Cog Sx: 
Guilt, 
Hopelessness, 
Suicidiality, 
Hypochondrical thoughts, 
Poor concentration/attention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Def Mania + Hypomania

A

Hypo:
Sx present > 4 days

Mania:
Sx present > 7 days w/ marked Impairment or Psychotic features

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Def BPD 1 + 2

A

BPD 1:
1 episode of Mania/Mixed w/ 1 episode of Depression

BPD 2:
1 episode of Hypomania w/ 1 episode of Depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

BPD Mx

A

(Avoid Anti-D +/- => Mania),
Mood Stabilisers,
Anti-psychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mood D Ddx - 6

A 
(Normal fluctuations in mood)
Adjustment D, Bereavement, PTSD
Dementia (Cog decline)
Personality D
Anxiety D
Substance Misuse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Mood D Mx:
Bio
Psycho
Social

A

Bio:
Meds (Anti-D, Mood stabilisers, Anti-psychotics, Anxiolytics),
ECT,
rTMS (Repetitive Trans-cranial Magnetic Stim),
tDCS (Trans-cranial DC Stim)

Psycho: 
Psych Ed (Illness, Relapse, Mx)
Mindfulness,
CBT,
IPT (Interpersonal Therapy),

Social:
General coping strategies,
Targeted Interventions (Work, Family, Housing, Finance)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ECT Indications

A

Failed Medical Mx
Prolonged/Severe Mania
Stupor, Catatonia, Psychomotor Retardation
High-risk of Suicide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

ECT Contraindications
Anaesthetic risk - 3
CVS risk - 8

A

Anaesthetic risk
(Resp Inf, Heart D, Electrolyte Imbalance)

CVS risk
(MI < 3mo, Cerebral/Aortic Aneurysm, Raised ICP, Uncontrolled HF, DVT, CVA < 1mo, Unstable #, Uncontrolled Phaeochromocytoma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Psychosis Def + Sx

A

(Experience of reality different to everyone else) =>

Hallucinations (Perception of object w/out Ext Stimuli)
Delusions (Fixed, firmly-held beliefs despite evidence)
Formal Thought D
Disorder of Self (Thought broadcast/insertion, Passivity phenomena)
Lack of Insight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Schizophrenia Patho + (+) Sx

A

(Abnormal Act of Dopamine R => Early-onset, Gradual Mental Decline):

(+) Sx:
Hallucinations (3rd Person),
Delusions (Bizarre, Persecutory),
Disorganised Thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Schizophrenia (-) Sx

A 
Anhedonia (Lack of Enjoyment), 
Ambivalence (Flat Affect), 
Asociality (Lack of social interest), 
Avolition (Lack of motivation), 
Attention Def, 
Alogia (Lack of speech)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Schizophrenia Mx:
Bio
Psycho
Social

A

Bio
Anti-psychotics,
(Excl Organic causes: MRI/CT, Blood Cult, Endo Screen)

Psycho:
Supportive counselling,
Family Tx

Social:
Social Care/Carers,
Finance,
Housing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Anxiety Mx

A

Psycho-Ed, CBT
Anti-D (SSRi, SNRi)
Pregabalin
(Crises: Benzos)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

PTSD Criteria

A

(Sx occurring > 4wks)

Re-experience (Flashbacks, Memories)
Avoidance (People, Situations)
Hyperarousal (Restlessness/Hypervigilance/OCD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Self-harm Screening

A

SADPERSONS

Edinburgh Scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Def Parity of Esteem

A

Valuing MH as much as Physical Health to close inequalities in mortality, morbidity and Delivery of care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Organic Psychoses Types

A 
Type 1 (Hallucinations): 
Epilepsy, Migraines 
Type 2 (Delirium): 
Drugs, Hypoxia, Metabolic changes, Head Injury/Lesions, CVA 
Type 3 (Dementia): 
Dementia, PD, Huntington’s Chorea 
Type 4 (Delusions): 
Head Injury, Stroke
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Difference btw Somatization D, Conversion D, Hypochondriasis

A

Somatization D:
Multiple physical complaints w/ no med explanation
(Onset < 30yo, Sx last years, Excl all other DDx)

Conversion D:
Single physical complaint (Loss of Funct) w/ Psych explanation

Hypochondriasis: 
Illness Anxiety (Fear of having D w/ no evidence)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

SSRi Examples + SE

A

(Sertraline, Citalopram, Fluoxetine, Paroxetine)

Restlessness/Agitation 
N+V, GI disturbance 
Headaches 
Weight changes 
Sexual dysfunction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
SNRi Examples + SE
(Duloxetine, Venlafaxine) Sedation N+V Sexual dysfunction
26
Mirtazapine MOA + SE
(Nor-A/Histamine/Serotonin Antag) Sedation Weight gain
27
TCA Indication + SE
(Neuropathic Pain) Musc (Dry mouth, Urin retention, Hot dry flushed skin) Hist (Sedation, N+V)
28
MAOi Examples + SE
(Rasagiline, Selegiline) ``` Significant D-D Interactions Tyramine React (Cheese/Meat/Wine => Migraines + HT) ```
29
Discontinuation Synd Examples, Patho + Sx (SPINTH)
Interruption/reduction/discontinuation of Anti-D meds (Paroxetine, Venlafaxine) following continuous use > 1 month ``` Sweating Paraesthesia Insomnia N+V Tremors Headaches ```
30
Discontinuation Synd Mx
Switch to Fluoxetine + Titrate slowly
31
Serotonin Synd Patho + Sx
(Excess Fluoxetine/Serotonin) ``` Sweating Myoclonus Tremors TachyC Hyperthermia Hyperreflexia Headaches Hypomania ```
32
Serotonin Synd Mx
Reduce Fluoxetine, | Fluids and monitoring
33
Typical Antipsychotics Examples + SE
(Haloperidol, Chlorpromazine) Musc (Dry mouth, Urin retention, Hot dry flushed skin) Hist (Sedation, N+V) Sexual dysfunction EPSE (PD: Bradykinesia, Rigidity, Tremors)
34
Atypical Antipsychotics Examples + SE
(Clozapine, Olanzapine, Risperidone) Sero (Restlessness/Agitation, N+V, Headaches, Weight changes, Sexual dysfunction) Weight gain, Dyslipidaemia, DM
35
Clozapine MOA + Indication
(Dopamine/Serotonin Antag) Indication: 2 Failed Anti-psychotics (Each for 6-8wks, > 1 Atypical) in Schizophrenia
36
Clozapine SE
Hypersalivation Urin Incontinence GI Hypermobility (=> Constipation/Obstruction) Agranulocytosis (Req weekly FBC for 18wks) Myocarditis (Baseline ECG)
37
Neuroleptic Malignant Synd Patho + Sx
(Excess Anti-psychotics – High potency Dopamine Antag) ``` Sweating, Fever, Muscle rigidity, Rhabdomyolysis (+/- => Renal Fail), Seizures ```
38
Neuroleptic Malignant Synd Mx
Stop Anti-psychotic, Fluids, Anti-Inflamm
39
EPSE Patho + Sx
(Excess ACh compared to Dopamine w/in Nigostriatal pathway => Dystonic React) PD: Bradykinesia, Rigidity, Tremors Hot dry flushed skin Dilated pupils Delirium
40
EPSE Mx
Anti-cholinergics (Procyclidine, Benzatropine)
41
Mood Stabiliser (Li) MOA + SE + Contras
(Increase Serotonin synthesis, Decrease Nor-A release) => ``` Dry mouth/Metallic taste, Polydipsia/Polyuria, Weight gain, Fine Tremor (LT: HypoTh, Renal Fail – Req annual TFTs + U+Es) ``` Contras: NSAIDs, ACEi (Loop D safest)
42
Mood Stabiliser (AED) Examples + SE
(Na+Valproate, Carbamazepine, Lamotrigine, Pregabalin) Sedation, Weight gain, Thrombocytopenia (Check FBC)
43
Mood Stabiliser (Quetiapine) SE
Sero (Restlessness/Agitation, N+V, Headaches, Weight changes, Sexual dysfunction) Weight gain, Dyslipidaemia, DM
44
M2M Dementia Mx + SE
Acetylcholinesterase Inhib: (Donepazil, Galantamine, Rivastigmine) N+V, Diarrhoea, Anorexia Insomnia M cramps BradyC (ECG + HR)
45
M2S Dementia Mx + SE
Glutamate/NMDA Antag: (Memantine => Reduces challenging behaviour) Headaches, N+V, Insomnia, Drowsiness
46
ADHD Mx + SE + Monitoring
(CNS Stim): Methylphenidate, Dextroamphetamine +/- Dependence, (Monitor Weight, Height, HR) (Nor-A Reuptake Inhib): Atomoxetine
47
ADHD Criteria
Poor Attention/Concentration, Inattention Physical Overactivity, Impulsivity Occurs in > 1 environment, Sx > 6yrs
48
ASD Criteria
Social Diff, Comm Diff, Rigid Thinking/Behaviour Occurs in > 1 environment, Sx > 3yrs
49
LD Criteria
Sub-average IQ Funct (< 85) 2 areas of Adaptive Funct Skills limited/impaired concurrently Disability occurred before 18yo
50
LD Mx
Acute Liaison Nurse (Adjust Reasonable Adjustments), Primary Care Liaison Nurse Health Action Plan (Annual health check, Immunisations, Screening/Monitoring, Healthy Lifestyle)
51
Def Diagnostic Overshadowing
Believing current Sx is due to LD rather than another cause (Must seek alt DDx)
52
AN Features
(BMI < 17.5): Body-shape disturbance +/- Amenorrhoea, Osteoporosis Intense fear of gaining weight/Refusal to maintain ideal body weight
53
AN Types
Restrictive: Food avoidance, Eating rules, Calorie limits Binge w/ purging: Laxatives, Self-induced vomiting, Meds (Diuretics, Amphetamines)
54
BN Features
(Normal BMI): Self-perception of fatness Binging (Recurrent Overeating) and Cravings (Persistent strong desire to eat) +/- Purging
55
BN Types
Purging (Compensatory behaviour): Vomiting, Laxatives Non-purging: Fasting, Excess Exercise
56
Binge-eating Features
(Loss of control): Associated w/ guilt (Secretive, Isolating) Large amount, Calorie-laden, Forbidden foods
57
Refeeding Synd Patho
Rebuild of body => Reduced minerals/vitamins/electrolytes => Def of Phosphate, Potassium, Magnesium, Folate/B12 +/- => Organ failure
58
Refeeding Synd Mx
Specialist Mx (Refer if BMI < 13) Daily monitoring (U+Es) PO/IV Supplements
59
Eating D (AN/BN) Mx + Referral Criteria
CBT, Guided Self-help, Family Tx AN: Restore to healthy weight BN: Regular Eating w/ Binge Analysis Referrals: Pt wants to change but cannot progress, No adequate local Tx, Pt in immediate danger
60
Opiate Abuse Sx + Mx
Miotic (Constricted) Pupil, Reduced consciousness, Reduced RR Mx: Naloxone, Mech Vent
61
Opiate w/drawal Sx + Mx
Dil Pupil (w/ Lacrimation/Rhinorrhoea), Persistent yawning, TachyC, Restlessness Mx: Methadone, Buprenorphine (Agon-Antag), Detox (Come off) + Rehab (6 months Tx)
62
Anti-D Choices
1st line: SSRi, SNRi​ Major Weight loss/Insomnia: Mirtazepine​ Neuropathic pain: TCA (Amitriptyline)​
63
Anti-D Switching
SSRi/SNRi should be continued for 4wks If no benefit at typical dose: Switch​ If partial benefit: Titrate up​ (If used in Anxiety + no benefit: Titrate up)​ (If significant SE’s: Switch +/- Continue for few wks)​
64
Anti-psychotic Monitoring - 7
Baseline:​ | FBC, Lipids, LFTs, HbA1c, Weight, ECG, BP/HR​
65
Anxiolytics MOA
Pregabalin/Benzodiazepines Increase in GABA (=> Reduced excitability of N)​
66
Def Oppositional D + Conduct D
Oppositional D:​ Uncooperative/Unwilling to comply (frequent tantrums)​ Wilful, Defiant +/- Aggressive​ Conduct D:​ Lying, Stealing, Truanting, Violence​ Socialised (Less serious, phasic)​ Unsocialised (+/- => Crime, ASBOs)​

Medicine (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions