Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

To Revise > Psych > Flashcards

Psych Flashcards

(58 cards)

Start Studying
1
Q

Serotonin syndrome presentation

A

Hyperthermia
Autonomic instability
Confusion
Twitching
Tachycardia
High BP

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

poor prognostic indicators in schizophrenia

A

gradual onset
male
low IQ
predominant negative symptoms

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

sneiders first ranks

A

passivity phenomenon
3rd person auditory hallucinations
thought interference
delusional perception eg traffic light is green therefore I am King

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

negative vs postive symptoms in schizo

A

negatives - anhedonia, low mood, apathy, algae, asocial
positives - delusions, hallucinations, passivity, thought interference

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

RX of schizo - bio, psycho, social

A

1st line - atypical anti-psychotic
2nd line - change to another anti-psychotic
3rd line - ie resistant schizo, give clozapine

CBT, family intervention, social skills training, support groups, supported employment programmes

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

rf for schizo

A

fhx, age 15-35, childhood trauma, cannabis, low socioeconomic status

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

types of delusions

A

grandiose, persecutory, nihilistic, reference

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

lithium monitoring timings

A

every week 12 hrs after dose until stable
then every 3 months

if change dose go back to step1

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

lithium side effects - short term and long term

A

short - fine tremor, GI upset, weight gain
long - hypothyroidism, hyperparathyroidism and hypercalcaemia, diabetes insipidus

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

what drugs co prescribed may trigger lithium toxicity

A

NSAIDs, ACEi, ARBs, loops and thiazides

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

how long should anti depressants be continued after the resolution of sx

A

6 months

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

what can untreated wernickes encephalopathy lead to and what is the triad

A

Korsakoffs
anterograde amnesia - can’t form new memories
confabulation - false memories
retrograde amnesia - can’t remember old memories

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

icd10 for ptsd

A

exposure to traumatic event
sx occurs within 6 months
persistent remembering
avoidance
either - inability to recall or persistent sx of increased psychological sensitivity and arousal

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

questionnaires for ptsd

A

trauma screening questionnaire
post traumatic diagnostic scale

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

rx of GAD - Bio psycho social

A

1st line - SSRI
2nd line - other SSRI or SNRI
3rd line - pregabalin

psychoeducation
CBT
Support groups
Charities eg mind

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

atypical vs typical antipsychotic side effects

A

Typical - EPS and hyperprolactinaemia, lower seizure threshold (clozapine also does this)
Atypical - Diabetes, weight gain, metabolic syndrome

Both - long Qt,

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

4 EPS and what are they

A

acute dystonia - oliguric crisis, torticolis
tardive dyskinesia - involuntary movements
parkinsonism
akathisia - restlessness

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

what pathway do antipsychotics work through?
which pathway causes hyperprolactinaemia?
which pathway causes EPS

A

meso limbic and meso cortical

tubuloinfundibular - prolactin

nigrostriatal causes EPS

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

obsession vs compulsion

A

o - repetitive unwanted intrusive thoughts images or urges that person recognises as absurd
c -repetitive behaviours that a person feels driven into performing, may be overt or covert. no enjoyment in this action

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

ocd questionnaire

A

Y-BOCS

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

Rx of OCD - bio, psycho, social

A

1st line: SSRI
2nd line: clomipramine

psychoeducation
CBT - exposure and response prevention (ERP)
distraction techniques

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

at what hours do the flowing most likely occur in alcohol withdrawal:
- symptoms
- seizures
- delirium tremens

A

6-12 hrs
36 hrs
72 hrs

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

what med to use as alternative to risperidone if causing hyperprolactinaemia

A

aripiprazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

which antidepressant is useful for sleep and for weight gain

25
side effects of SSRIs
hyponatraemia GI upset increased suicidal thoughts erectile dysfunction
26
symptoms of ssri discontinuation syndrome
profuse diarrhoea electric shocks everywhere dizziness abdo pain restless sweating difficulty sleeping
27
side effect of citalopram to be aware of
long QT - tornadoes de pointes
28
what drug class can trigger mania or hypomania
Anti depressants - particularly venlafaxine (SNRI), SSRIs and TCAs
29
hypomania vs mania
hypo - 3-4 days, no delusions of grandeur, does not impair functionality mania - >7 days, delusions of grandeur, severely impaired functionality
30
rx of acute dystonia
procyclidine
31
somatisation disorder vs hypochondriac
somatisation is for symptoms but no investigations are positive hypochondriac is convinced they have cancer
32
how long should SSRIs be tapered down for once 6 months of sx resolution has passed
4 weeks
33
how long do you need symptoms for depression
2 weeks
34
indications for ECT
Euphoria - prolonged mania Catatonia Treatment resistant depression or severe life threatening
35
contraindications of ECT
Recent MI <3months or stroke <1mo increased ICP - ABSOLUTE CI Aneurysm
36
Side effects of ECT
amnesia status epilepticus headache arrythmias anaesthetic risks
37
common side effects of clozapine and 3 life threatening
1 - constipation 2 - agranulocytosis 3 - myocarditis hyper salivation weight gain sedation
38
when to use the mental health act
has a mental health condition and - refuses treatment - is a risk to others or self - community rx options are not appropriate
39
5 principles of capacity
- assume everyone has capacity until proven otherwise - give all the information in an accessible way - allow unwise decisions - always act in best interests - make decision with least restrictive option
40
2 stages of capacity assessment
identify that pt has a condition that will cause impairement then do the understand, weigh, retain and communicate
41
what are the following sections - section 2 - section 3 - section 5(2) - section 5(4) - 117 - 135 - 136 - CTO
2 - 28 days for assessment 3 6 months for treatment 5(2) Inpatient dr for 72hrs 5(4) Inpatient nurse for 6hrs 117 Care at home eg been released but need someone to help with meds 135 - Police can enter and remove from home 24 hrs 136 - Police can remove form streets 24hrs CTO - can be treated at home instead of a hospital but can be taken to hospital for treatment if required
42
physiological abnormalities in anorexia
hypokalaemia low FSH, LH, oestrogens and testosterone raised cortisol and growth hormone impaired glucose tolerance hypercholesterolaemia hypercarotinaemia low T3
43
features of anorexia
reduced body mass index bradycardia hypotension enlarged salivary glands lanugo hair
44
ICD10 for anorexia
FEEDD Fear of weight gain Endocrine disturbance eg amenorrhoea, low libido Emaciated - BMI <17.5 Deliberate weigh loss Distorted body image
45
Complications of anorexia
anaemia osteoporosis bradycardias pancreatitis hypokalaemia renal failure seizures hypothermia Refeeding syndrome!
46
Electrolyte imbalances in referring syndrome and how to monitor for
hypokalaemia, magnasemia and phosphataemia monitor bloods daily, start slow and look for signs of tachycardia and oedema (can cause cardiac failure)
47
ICD10 for bulimia nervosa
Behaviour to prevent weight gain Preoccupation with eating Fear of fatness Overeating - 2 ep per week for >3months
48
Signs seen in bulimia nervosa
Russelss sign (marks on hands from teeth) B/L parotid swelling dental erosion
49
rx of anorexia bio psycho social
treat complications SSRI psyched CBT MANTRA IPT anorexia focused family therapy first line in children self help groups charities
50
rx of bulimia bio psycho social
treat complications fluoxetine psychoed CBT - BN IPT eat in company, small reg meals self help programmes food diary charities
51
what is diabulimia
insulin ommitance to prevent weight gain leading to DKA
52
complications of repeated vomiting
mallory weiss hypokalaemia (tall p waves, flattened t waves) metabolic alkalosis parotid enlargement dehydration renal failure aspiration pneumonitis
53
ICD 10 for specific phobias
at least 2 sx of anxiety in feared situation that is restricted to feared situation,. Marked fear or avoidance
54
PRESENTATION OF NMS
Fever Muscle rigidity Tachycardia, HTN, tachypnoea Agitated delirium
55
Ix of NMS
CK - elevated AKI - due to rhabdo FBC - Leukocytosis
56
Rx of NMS
stop the meds!! IV fluids bromocriptine or dantrolene
57
SS vs NMS
NMS - hyporeflexia, lead pipe rigidity, normal pupils SS - hyperreflexia, clonus, dilated pupils
58
charities/support groups for - eating disorders - depression - schizo - alcohol, smoking, drugs - diabetes - parkinsons - dementia - weight loss
- mind, samaritans helplines, eating disorder hope, - mind, schizo research fund - mind, turning point, quit ready - DESMOND (T2) and DAFNE (T1) courses - Parkinsons UK, age UK - Age UK - nhs weight loss plan app, couch to 5k Look on ohs website for lifestyle stuff

To Revise (29 decks)

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