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MRCP 1 > Psych > Flashcards

Psych Flashcards

1
Q

Timeframe for acute stress vs PTSD

A

4 weeks

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2
Q

Treatment for acute stress disorder?

A

CBT
Benzos sometimes

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3
Q

Most things are low in anorexia nervosa, what is high?

A

The Cs and the Gs - cortisol and growth hormone, glucose tolerance, cholesterol
hypercholesterolaemia and hypercarotinaemia

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4
Q

First line treatment in schizophrenia? Which one is the exception?

A

Atypical antipsychotics. Clozapine - only when resistant to other drugs given the risk of agranulocytosis/FBC derrangement

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5
Q

Why are antipsychotics preferred?

A

Fewer extra-pyramidal SEs

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6
Q

Adverse effects of atypicals?

A

Weight gain
Agranulocytosis - clozapine
Hyperprolactinaemia

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7
Q

Clozapine SEs

A

Agranulocytosis
Neutropaenia
Reduced seizure threshold
Constipation
Hypersalivation

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8
Q

Examples of atypical antipsychotics

A

clozapine
olanzapine: higher risk of dyslipidemia and obesity
risperidone
quetiapine
amisulpride
aripiprazole: generally good side-effect profile, particularly for prolactin elevation

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9
Q

What are extra-pyramidal SEs?

A

Acute dystonia
Parksinsonism
Akathisia (severe restlessness)
Tardive Dyskinesia

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10
Q

What are anti-muscarinic SEs?

A

Dry mouth
Blurred vision
Urinary retention
Constipation

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11
Q

Galactorrhoea in someone on antipsychotics?

A

Think hyperprolactinaemia - more commonly typical antipsychotics
Due to dopaminergic tuberoinfundibular pathway inhibition

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12
Q

Pyrexia and muscle stiffness in antipsychotic use?

A

Neuroleptic malignant syndrome

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13
Q

GABA drugs, frequency vs duration of chloride channels?

A

Frequently Bend - During Barbeque
Benzos - frequency
Barbituates - duration

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14
Q

Personality disorder - inappropriate sexual seductiveness, suggestibility and intense relationships?

A

Histrionic

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15
Q

Highest incidence of discontinuation symptoms of SSRIs?

A

Paroxetine

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16
Q

Personality disorder - fearful of criticism, being unliked, rejection and ridicule?

A

Avoidant

17
Q

Compulsion vs obsession?

A

An obsession is an intrusive, unpleasant and unwanted thought. A compulsion is a senseless action taken to reduce the anxiety caused by the obsession

18
Q

The presence of a delusion that a famous is in love with them, with the absence of other psychotic symptoms?

A

Erotomania (De Clerambault’s syndrome)

19
Q

Schizophrenia treatment?

A

Atypical antipsychotics
CBT for all patients

20
Q

Most dangerous TCAs in overdose?

A

Amitriptyline and dosulepin

21
Q

Severe restlessness in antipsychotic?

A

Akathisia

22
Q

PTSD treatment?

A

Trauma-focused cognitive behavioural therapy or EMDR

23
Q

Generalised anxiety disorder first line?

A

Sertraline

24
Q

Only single contraindication to ECT?

A

Raised ICP

MRCP 1 (24 decks)

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