Psych Flashcards by Phoebe McCarthy

First rank symptoms of schizophrenia?

Auditory hallucinations
Delusional perception
Passivity phenomena
Thought abnormalities

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Positive symptoms of schizophrenia?

Hallucinations, thought abnormalities, delusional perception, passivity, ideas of reference, persecutory delusions

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Negative signs of schizophrenia?

Alogia/poverty of speech
Anhedonia
Affective blunting
Avolition (reduced motivation)

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Monitoring for Clozapine?

FBC, Blood clozapine, lipids, weight, fasting glucose

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Treatment for tardive dyskinesia?

Tetrabenazine

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What is preferred over chlordiazepoxide for patients with liver cirrhosis?

Lorazepam

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What if miss clozapine doses for 48 hours?

Re-titrate the dose

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Example of tardive dyskinesia?

Lip smacking

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Example of acute dystonia?

Oculogyric crisis

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Treatment for acute dystonia?

Procyclidine

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What is Akathisia?

Restlessness

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Treatment for akathisia?

Propranolol

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Features of voices in schizophrenia?

Third person, hearing her own thoughts spoken aloud, running commentary

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Non blood test monitoring of Olanzapine?

Weight
BMI
Waist size
ECG
BP

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Blood tests for alcohol dependence?

GGT - gamma glutamyl transpeptidase
MCV
CDT - carbohydrate deficient transferrin

All raised

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Diagnosis of panic disorder?

Symptoms for 1 month

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First and second line sedation for delirium on the wards?

1st - Haloperidol IM/PO
2nd - Lorazepam PO/IM/IV

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Reversible causes of dementia?

DEMENTIA
Drugs
Emotional - depression
Metabolic - COPD, CKD, OSA
Endocrine - thyroid/parathyroid, hyponatraemia
Nutrition - B12 deficiency
Trauma - chronic SDH
Infection - UTI, sepsis
Arterial - vascular

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Which questionnaire screens for alcohol misuse?

AUDIT

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Which AUDIT score indicates harmful use?

8 or more

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Which questions can quickly screen for harmful alcohol use?

CAGE
Cut down?
Annoyed?
Guilty?
Eye opener?

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PHQ-9 scores and classifications?

5-9 = mild depression
10-14 = moderate depression
15-19 = moderately severe depression
20-27 = severe depression

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GAD-7 scores and classifications?

5-9 = mild anxiety
10-14 = moderate anxiety
15-21 = severe anxiety

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Which drugs may cause reversible dementia?

Benzodiazepines
Anticholinergics
Opioids

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What is Capgras delusion?

C = C Someone replaced by exact clone

What is Fregoli delusion?

Fregoli = Faces Everyone they meet is actually the same person

What is Ekbom delusion?

Ek = Ik Infested with parasites, crawling on skin

What is Cotard delusion?

COtard = COld Belief that they are dead, non-existent, or rotting

What is a Koro delusion?

Delusion that penis is shrinking/retracting and will dissapear

What is De Clerambault delusion?

De Clera = Declare Delusions of being the object of love

What is Charless Bonnet syndrome?

Visual hallucinations due to visual impairment

What is Othello's syndrome?

Belief their partner is cheating on them without any real proof >> pathological jealousy

Common side effects of Lithium?

N+V+D FINE tremor Nephrotoxicity Hypothyroidism Weight gain IIH Leucocytosis

Side effects of SSRIs in the first trimester?

Congenital heart defects

Side effects of SSRIs in the third trimester?

Persistent pulmonary hypertension

Korsakoff syndrome symptoms?

Anterograde amnesia (inability to acquire new memories) Retrograde amnesia Confabulation

SSRIs with ECT?

Reduce to lowest possible dose before ECT

Which antipsychotic lowers seizure threshold?

Clozapine

Which antidepressants cause hyponatraemia?

SSRIs

Section 2 of the MHA?

Admission for 28 days Cannot be renewed AMHP + 2 doctors

Section 3 of the MHA?

Admission for max period of 6 months Can be renewed AMHP + 2 doctors

Section 4 of the MHA?

72 hour assessment order AMHP + 1 doctor

Section 5(2) of the MHA?

Voluntary patient in hospital detained for 72 hours

Section 5(4) of the MHA?

Nurse can detain patient who is voluntarily in hospital for 6 hours

Section 135 of MHA?

Police can remove person from private property to a place of safety (court order needed)

Section 136 of MHA?

Police remove someone from a public place to a place of safety for 24 hours

Symptoms of neuroleptic malignant syndrome?

Pyrexia Muscle rigidity Agitated delirium with confusion Autonomic lability = hypertension, tachycardia and tachypnoea

Symptoms of serotonin syndrome?

Hyperreflexia Myoclonus Rigidity Hyperthermia Sweating Confusion

Which PHQ-9 score should be offered antidepressant along with CBT first line?

if >16

Onset of symptoms/seizure/delirium tremens from alcohol withdrawal?

Symptoms: 6-12 hours Seizures: 36 hours Delirium tremens: 72 hours

When should patients starting new antidepressants be reviewed?

2 weeks UNLESS under 25 - 1 week

Physical signs of anorexia?

Lanugo hair Parotidomegaly

Physical signs of bulimia?

Russel's sign - calluses on knuckles/backs of hand

Symptoms of opioid withdrawal?

N+V Myalgia Sweating/Chills/Tremors Anxiety/irritability/low mood Watery eyes/rhinorrhoea Diarrhoea Goosebumps

Features of frontotemporal dementia?

Disinhibition Personality changes Pick bodies

Histological findings in Lewy body dementia?

Alpha-synuclein cytoplasmic inclusions (Lewy bodies In the substantia nigra and paralimbic areas

1st line treatment for mild-mod Alzheimers?

Acetylcholinesterase inhibitors e.g. Donepezil, Galantamine, Rivastigmine

Treatment for severe Alzheimers?

NMDA receptor antagonist e.g. Memantine

How to treat severe lithium toxicity?

Haemodialysis

Blood results in anorexia?

Hypercholesterolaemia High growth hormone Low U+Es Low testosterone

Antidepressant used in those taking warfarin?

Mirtazapine

Antidote for paracetamol overdose?

Acetylcysteine

Antidote for benzodiazepenes?

Flumazenil

Antidote for beta blockers?

Glucagon/atropine

Antidote for calcium channel blockers?

Calcium chloride/gluconate

Antidote for cocaine?

Diazepam

Antidote for cyanide?

Dicobalt acetate

Antidote for carbon monoxide?

100% oxygen

Antidote for methanol/ethylene glycol?

Fomepizole/ethanol

Bloods findings in neuroleptic malignant syndrome?

Increased CK and increased WCC

What are the different pathways responsible for?

Mesolimbic = pleasure + positive sx of psychosis Mesocortical = cognitive/emotional regulation + negative sx of psychosis Nigrostriatal = voluntary movements + EPSE's Tuberoinfundibular = hormone release from pituitary gland + hyperprolactinaemia

Scale for classifying OCD?

Y-BOCS

Mechanism of action of disulfiram in alcohol dependence?

Inhibits aldehyde dehydrogenase

Definition for opioid use disorder?

Harmful pattern of use is evident over 12 months or at least 1 month if use is continuous

Psych Flashcards

(74 cards)