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year 3 > Psych > Flashcards

Psych Flashcards

1
Q

Diagnosis of complex ptsd

A

Core ptsd symptoms plus:
Negative self concept
Emotional dyregulation
Chronic interpersonal difficulties (don’t trust etc)

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2
Q

Diagnostic criteria for scizophrenia

A

two of the following:
delusions
hallucinations
disorganised speech
disorganised/catatonic behaviour
negative symptoms

at least 1 has to be delus./hallu/disorg speech

ongoing for 6 months- active phase at least 1 month

not another condition

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3
Q

Diagnostic criteria for OCD

A

Obsessions (something you think about so much that it affects your life) or
compulsions (ritualistic act which has to be performed unless something “bad” will happen)

must be present

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4
Q

Diagnostic criteria for panic disorder

A

Episodic panic, with no substantial triggers

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5
Q

Diagnostic criteria for PTSD

A

1) intrusive experience reminiscent of traumatic event

2) avoidance of anything reminiscent of the traumatic event

3) hyper-vigilance/hyper arousal, always on edge

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6
Q

what are the extrapyramidal side effects of antipyschotics (4)

A

dystonia- continuous spasms/muscle contractions
akathisia- restlessness
parkinsonism- rigidity, tremors, bradykinesia (slowing of movement)
tardive dyskinesia- irregular jerky movements, often lower face and distal extremeties

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7
Q

most typical antipyschotics end in …

A

zine

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8
Q

what receptors do antisyphotics act on

A

both typical and atypical act on d2 receptors, atypical also act on 5HT2A receptors

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9
Q

what do most atypical antipsychotics end in

A

pine or done

eg. quetipine or risperidone

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10
Q

what antipsychotic has a risk of neutropenia/agrnulocytosis

A

clozapine

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11
Q

which type of antipsychotic (atypical/typical) has worse metabolic side effects

A

atypical antipsychotics- weight gain, dyslipidemia, hyperglycemia

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12
Q

extrapyramidal side effects are less common in atypical or typical antipsychotics

A

atypical

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13
Q

which pathway is responsible for positive symptoms of schizophrenia

A

mesolimbic- high levels of dopamine in this pathway = positive symptoms eg. hallucinations

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14
Q

what pathway is responsible for negative symptoms in schizo

A

mesocortical- low levels dopamine occur in this pathway in schizo = negative symptoms eg social withdrawal and loss of motivation

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15
Q

what pathway causes parkinsonism in schizo when treated

A

nigostriatal- low levels of dopamine = parkinsonism, high levels = dyskinathesia

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16
Q

what pathway in scizo is responsible for prolactinemia

A

tuberofundibular

17
Q

typical anti-pyschotics are categorised into

A

high potentcy and low potentcy

18
Q

give examples of low potentcy 1st generation anti-psychotics

A

most typical anti-psychotics (1st generation) are high potentcy

low potentcy- chlorpromazine

19
Q

side effects of low potentcy typical antipsychotics

A

bloackage fo alpha adrenergic, cholinergic and histamine pathways

adrenergic- orthostatic hypotension
cholinergic- dry mouth, blurred vision, constipation etc
histamine- sedation and weight gain

20
Q

which atyical antipsychotic has the highest likliehood of causing extrapyramidal side effects

A

risperidone

21
Q

which atypical antipsychotics have an increased affinity with h1 receptors and therefore cause…

A

clozapine, olanzapine, quetiapine- sedation and weight gain

22
Q

which atypical antipsychotics have the highest affinity for 5-HT2C receptors and therefore cause…

A

clozapine, olanzapine
inc glucose, inc lipids (metabolic)

23
Q

which atypical antipsychotics have a high affinity with a-1 receptors and therefore cause…

A

cloz and risperidone-= postural hypotension

24
Q

for insomnia to be classed as chronic what is required.

A

must be present for at least 3 months and only needs to be present for 3 out of 7 nights in the week

25
Q

blood result for purge-type bulimia

A

hypokalaemic metabolic acidosis

year 3 (5 decks)

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