psych

Question 1

Alcohol intox & withdrawal

Answer 1

SAM’s GNC
Slurring, inattention, memory, stupor, gait, nysta,

AASH NITES DT

Question 2

opioids intox & withdrawal & Mx

Answer 2

SADM
- slur, attention, drowsy, miosis

SIMPYFANG
GI, Nasal; fever; aches; insomnia; sweat, mydriasis;

methadone; Bupre

Question 3

Mx of schiz

Answer 3

hosp; agitation BZD 1-2mg loraz
1G/2G antipsychotics (halo, chlopromazine
CBT; psychotics

Question 4

oral antispsych & mechanisms

Answer 4

Oral antipsych
* 1G HC - dopamine antag
○ Halo, Chlopro
* 2G Sero & dopam antag
○ ROQ, P
○
Partial dopam serotonin ago and antag
aripip

Question 5

types of delusions in schiz vs in delusional disorder

Answer 5

GGPR
grand, guilt, persec, ref

EN JPG
erotomania, nihilism, morbid j, persec, grand

Question 6

alc intox & withdrawal

Answer 6

• Slurred
  
  • Attn
  • Memory
  • Stupor
    Gait; Nyst; Coma
  • > 2 AWS
    ○ Agit; anx; seiz; hall; NV; Insomnia tremor, excited, sweating
    ○ AASH NITES Dt (Vh, Conf, consc, tremor)
    ○ 48-72h

Question 7

mx of depression

mild

what are indications of the first lines and 2nd lines

Answer 7

Mx:
* Sx remission
* Mild - counselling and supporitve;
○ Sleep
○ Psychotehrapy
* Admit
○ Suciide
○ SSRI mono 4-6w take effect; 12w acute phase
○ TCA - avoid in suicidal
* SSRI
○ Depression; anx; OCD; Bulimia (fluox)
○ CI: mania
○ SE:
§ GAS
□ GI: N, D, Constipation, wt los
□ Autonomic: tremor,
□ Sexual dysfx
* TCA
○ CI: cardiac; epilepsy liver
○ MOA: serotonin, NA
§ H1, a-adrenergy, cholinergic
○ SE:
§ Anticholinergic
□ Blurred, constipation, dry mouth, dizzy
□ Sexual dysfx
□ hypoNa
Cardiac arrhythmia; QTc

Question 8

mx of delusional disorder

Answer 8

○ Admit
§ Suicie harm violence
§ Mental disorder treatment act
○ BZDs & antipsychotics
○ CBT - delusions, family therapy

Question 9

2G antipsychs causing metab

Answer 9

Cloz, Olan, Quet, Resp, Ari, Zip
COQ RAZ

Question 10

eating disorder dx & mx

Answer 10

Restriction
Fear
Distortion

Restrict/BEP

Mx
Hospitalisation:
<13, <40, suicide

Olanz - abnormal thoughts
Fluox - dep;
Vit D, Ca

CBT
IPT
Fam T

Calls: oral, NGR, IV fluids
Refeeding syndrome
1kg/wk, bed rest

Question 11

schiz 1st rank sx

Answer 11

Delusions (GGPR
Halluc (auditory EAR C- echoing argu, running commentary Command)
Schizo - speech disorder or catatonia
Broadcasting (insertion, withdrawal, broadcast)
Negative (apathy, anhedonia, academics)