Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

FINALS: PASSMED/QUESMED > Psych > Flashcards

Psych Flashcards

(90 cards)

Start Studying
1
Q

What should be considered in elderly patients with new onset psychosis?

A

Organic cause -> CT head

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

Patients ≤ 25 years who have been started on an SSRI should be reviewed when?

A

after 1 week

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

What is flight of ideas?

A

Jumping from idea to idea with links between these

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

What is Knights move?

A

Jumping from idea to idea with no links between these

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

What is the risk of SSRI in third trimester?

A

Persistent pulmonary HTN

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

What is a C/I to triptans for migraines?

A

Patients taking SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Patients under 25 starting an SSRI should be reviewed when?

A

After 1 week

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When do you get alcohol withdrawal symptoms, seizures and delirium?

A

symptoms: 6-12 hours
seizures: 36 hours
delirium tremens: 72 hours

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

Management of OCD?

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

OCD vs OCPD?

A

OCD must have functional component/impact of daily life

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

Management of SSRIs before ECT?

A

Dose should be reduced but not stopped

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When should lithium levels be checked after a change in dose?

A

One week after change and then weekly until levels are stable

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

Signs of alcohol addiction

A

Attempted and failure of abstinence, compulsion to drink, narrowing of drinking repertoire, increased tolerance to alcohol, alcohol is priority over oth e r aspects of life, physical withdrawal when alcohol is stopped

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

Why can antipsychotics cause elevated prolactin?

A

Prolactin release from lactotrophs is inhibited by dopamine released from the hypothalamus. Therefore, when this inhibition is lifted, prolactin release is increased

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

How can patients appeal against being sectioned?

A

Appeal must be applied for in writing to a mental health tribunal within 14 days o f detention

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

How does activated charcoal work?

A

Activated charcoal works by providing a large surface area to absorb a potential poison and stop it from being absorbed by the GI tract;

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

Lithium toxicity may be precipitated by what?

A

NSAIDs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Management of PTSD?

A
  • Trauma focused CBT
  • EMDR
  • Venlafaxine/SSRI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Triggers for lithium toxicity

A

Dehydration
Infection
Renal failure
ACE/ARB
NSAID
Diuretic

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

How long should symptoms be present for with PTSD?

A

4 weeks

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

What is the management of lithium toxicity?

A

Mild/Moderate: IV Fluid resus
Severe: Haemodialysis

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

Bipolar I vs Bipolar II

A

Bipolar I - mania and depression
Bipolar II - hypomania and depression

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

Purposefully causing symptoms such as hypoglycaemia?

A

Munchausen syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Hypomania in the community?

A

Routine referral to community mental health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
How do you define chronic insomnia?
Trouble falling asleep/staying asleep for 3 months or longer
25
What are risk factors for insomnia?
- Increasing age - Female gender - Lower educational attainment
26
Which medications can cause insomnia?
Corticosteroids
27
OCD vs psychosis?
OCD will have a level of insight of their actions
28
What can be protective factors against completed suicide ideation?
- Social support - Religious beliefs - Having children at home - Regretting an attempt
29
What are common PTSD symptoms?
- Flashbacks/nightmares - Avoiding people or situations - Hypervigilance/Sleep problems
30
Schizoid vs schizotypal PD?
Schizotypical will also have unusual beliefs/magical thinking
31
How should SSRI dose be stopped?
Over a 4 week period
32
What ophthalmic feature is associated with Charles Bonnet?
Age related MD
33
Flight of idea vs tangentiality?
In flight of ideas, they would answer the question then jump to another idea whereas in tangentiality, they would not answer the question
34
Sweating, tremor, confusion and hyperreflexia?
Serotonin syndrome
35
Which medications can cause serotonin syndrome?
- MAO - SSRIs + Tramadol/St Johns Wort - Ecstasy - Amphetamines
36
Which medications can be used as mood stabilizers?
- Lithium - Sodium valproate - Carbamazepine
37
5 stages of grief
- Denial - Anger - Bargaining - Depression - Acceptance
38
What is an hallucination?
Abnormal perception in the absence of external stimulus
39
Which deaths should be referred to coroner?
- Unknown cause of death - Death was violent or suspicious - Accidental death - Death due to self neglect - Death related to employment/industrial disease - Death during operation
40
What are risk factors for NMS?
- Use of neuroleptic medication - High dose medication - Depot - Previous NMS
41
Which receptor is blocked in NMS?
Dopamine
42
What are principles of the mental capacity act?
- Assume capacity - Decisions made in best interests - Help can be provided to make decision for themselves - People with capacity can make unwise decisions - Decisions made should be with the least restrictive option
43
Who can be a representative party for patients when no relatives during mental capacity discussions?
Independent Mental Capacity Advocates
44
What is an advanced decision?
Legally bound document allowing someone to state treatment they would not want in the future if they lack capacity to make the decision
45
What is panic disorder?
Regular, sudden or unexpected attacks of panic or fear
46
What questionnaires can be used for anxiety?
- Beck Anxiety Inventory - Hamilton Anxiety scale - General health questionnaire
47
Signs of anorexia on examination
- Bradycardia - Lanugo hair - Dry skin - Evidence of self harm - Acid erosion - Hypotension
48
What is a community treatment order?
Service user has to meet certain supervised conditions in the community, if they fail to do this, they may be recalled to hospital
49
Risk of using antipsychotics in elderly?
- Stroke - VTE
50
Recurrent vomiting can cause what?
- Russell sign - Erosion of teeth
51
Clozapine S/E
- Agranulocytosis - Reduced seizure threshold - Constipation - Dose must be adjusted if smoking if started/stopped
52
What assessment tools can be used for depression?
- HAD scale - PHQ-9 scale
53
Section 2
- Admission for upto 28 days - AMHP
54
Section 3
Treatment for 6 months - 2 doctors and AMHP
55
Section 4
- 72 hours order - GP and AMHP
56
Section 5(2)
Detained for 72 hours by doctor
57
Section 5(4)
Detained for 6 hours by nurse
58
Section 17(A)
Community treatment order
59
Section 135
Police order to retrieve someone from home to place of safety
60
Section 136
Police order to bring someone from public place to a place of safety
61
What is the most important prognostic indicator in paracetamol overdose?
Arterial PH
62
What is indication for liver transplant in paracetamol overdose?
pH < 7.3 more than 24 hours after transplant
63
What kind of reaction does N-acetylcysteine cause?
Anaphylactoid - non-IgE mediated mast cell release
64
What is high in anorexia?
- Growth hormone - Glucose - Salivary glands -> parotidomegaly - Cortisol - Cholesterol - Carotenaemia
65
When can paracetamol overdose become high risk to develop liver failure?
- Chronic alcoholic - HIV - Anorexia - Taking P450 inducers
66
Lead pipe rigidity is a sign of what?
Neuroleptic malignant syndrome
67
What is a Fregoli delusion?
Belief that everyone is the same person/strangers are familiar
68
What is a capgras delusion?
Relative/Friend has been replaced by an imposter
69
What are C/I to using anti-cholinesterase inhibitors?
- prolonged QT - 2nd/3rd degree heart block - Sinus bradycardia Use Cognitive stimulation therapy instead
70
What is logoclonia?
Where the patient gets stuck on a particular word and repeats it
71
What is Ekbom syndrome?
Believe they are infested with parasites
72
What test is used to assess muscle wasting in patients with anorexia?
Sit-up-squad-stand test
73
Postpartum depression has to be within when?
12 months after birth
74
Stopping of voluntary movement or staying still in an unusual position
Catatonia
75
Serotonin syndrome vs NMS
Serotonin: faster onset, increased reflexes, dilated pupils NMS: slower onset, decreased reflexes, normal pupils
76
Social phobia vs agoraphobia
Agoraphobia - fear of open spaces + crowds / difficulty of immediate easy escape to a safe place Social Phobia - feat of scrutiny in small groups e.g. public speaking
77
Lithium can cause a benign what?
Leucocytosis - raised WCC
78
Antipsychotics can increase the risk of what?
Stroke
79
Symptoms of aspirin overdose?
- Hyperventilation - Tinnitus - Sweating - N+V - Seizures - Causes respiratory alkalosis then metabolic acidosis
80
Conversion disorder?
Neuro symptoms without any underlying cause
81
Tahycardia, HTN, CNS stimulate, GI upset?
Think opioid withdrawal
82
What is agnosia?
Inability to recognise people, objects or places which were once known
83
Confusion screen bloods
FBC, U&E, LFTs, CRP/ESR, Ca2+, TFTs, B12, folate, syphilis, HIV
84
ophthalmoplegia, ataxia, and confusion
Wernickes
85
Personality disorders
Cluster A - Paranoid, schizoid, schizotypal Cluster B - Antisocial, EUPD, Histrionic, Narcissistic Cluster C - OCPD, Avoidant, Dependent
86
Fregoli delusion
Different people are the same person
87
How long should treatment for SSRI be continued before thinking about switching?
4 weeks - younger 6 weeks - elderly
88
What is schizoaffective disorder?
Schizophrenia with mood disturbance e.g. depression/mania
89

FINALS: PASSMED/QUESMED (22 decks)

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