psych Flashcards

(50 cards)

1
Q

De Clerambault’s syndrome

A

the patient has a specific, fixed, false belief that someone else is in love with them

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2
Q

What is Capgras delusion?

A

A delusion that either oneself or another person has been replaced by an exact clone

It may be part of a psychotic illness or a result of trauma to the brain.

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3
Q

What characterizes Ekbom’s syndrome?

A

A delusional belief where a patient feels that they are infested with parasites

Patients often complain of feeling ‘crawling’ in the skin. It can appear as part of a psychotic illness or a secondary organic disease such as B12 deficiency, hypothyroidism, and neurological disorders.

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4
Q

What does Cotard delusion refer to?

A

The belief that a patient is dead, non-existent or ‘rotting’

This delusion may occur in psychosis but can also appear as a result of parietal lobe lesions.

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5
Q

What is Othello syndrome?

A

A strong delusional belief that their spouse or partner is unfaithful with little or no proof

It is associated with alcohol abuse, psychosis, and right frontal lobe damage.

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6
Q

What is De Clerambault’s syndrome also known as?

A

Erotomania

It is a delusional disorder where the patient has a fixed, false belief that someone else is in love with them.

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7
Q

Who is typically affected by De Clerambault’s syndrome?

A

Usually a woman

The person they are fixated upon is usually of a higher social status, despite only a brief or non-existent acquaintance.

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8
Q

True or False: Capgras delusion can occur as a result of brain trauma.

A

True

It may also be part of a psychotic illness.

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9
Q

Fill in the blank: Ekbom’s syndrome involves the belief of being infested with _______.

A

parasites

This belief can lead to sensations of crawling in the skin.

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10
Q

What type of lesions can lead to Cotard delusion?

A

Parietal lobe lesions

This delusion may also occur in psychotic conditions.

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11
Q

serotonin syndrome differentiating factors?

A

Clonus- increased reflexes, Diarrhea, dilated pupils, faster onset

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12
Q

Neuroleptic malignant syndrome distinguishing factors

A

decreased reflexes- rigidity, normal pupils, slower onset, CK, WBC

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13
Q

cheese reation anti depression?

A

MAOis phenelzine, tranylcypromine- tyramine containing foods

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14
Q

What does tangentiality refer to?

A

Wandering from a topic without returning to it

Tangentiality is often observed in certain psychological conditions.

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15
Q

Define neologisms.

A

New word formations, which might include the combining of two words

Neologisms can be a symptom of certain mental health disorders.

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16
Q

What are clang associations?

A

When ideas are related to each other only by the fact they sound similar or rhyme

Clang associations are often seen in individuals with schizophrenia.

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17
Q

What is word salad?

A

Completely incoherent speech where real words are strung together into nonsense sentences

Word salad is a severe form of disorganized speech.

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18
Q

Describe knight’s move thinking.

A

A severe type of loosening of associations, with unexpected and illogical leaps from one idea to another

Knight’s move thinking is commonly associated with schizophrenia.

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19
Q

What is flight of ideas?

A

A thought disorder where there are leaps from one topic to another but with discernible links between them

Flight of ideas is a feature of mania.

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20
Q

Define perseveration.

A

The repetition of ideas or words despite an attempt to change the topic

Perseveration can occur in various psychological conditions.

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21
Q

What does echolalia mean?

A

The repetition of someone else’s speech, including the question that was asked

Echolalia is often observed in individuals with autism or some forms of schizophrenia.

22
Q

what do benzodiazepines do to the chloride channel?

A

increase frequency of chloride channel opening- BEN wants it more often. BARB wants it to last longer

23
Q

what do Barbiturates do to the chloride channel?

A

increase duration of chloride channel opening. BARB wants it to last longer

24
Q

How do you treat hypertensive crisis associated with MAO inhibitor use?

A

Phentolamine

Reversible alpha blocker - also useful for hypertensive crises in general (eg, phaeochromocytoma)

25
Hypothyroidism and weight gain are potential side-effects of [what psychiatric drug?].
lithium.
26
what is akisthesia
Feeling of extreme restlessness
27
Insomnia, GI upset, hypersalivation, akathisia (feeling of restlessness), and orthostatic hypotension are specific side-effects of what?
aripiprazole. But aripiprazole is particularly good for avoiding weight gain.
28
Peripheral oedema is a potential side-effect of [what antidepressant drug class?].
MAO inhibitors.
29
What SSRI is most appropriate in a patient with epilepsy?
Citalopram - but watch out for long QT
30
What SSRI is most appropriate in a patient with reduced cognitive function?
Fluoxetine - more alerting
31
What amino acid?] is the starting substrate of serotonin
Tryptophan
32
[What amino acid?] is the starting substrate of noradrenaline.
Tyrosine
33
[What psychiatric sign?] is a regular repeated movement involving a group of muscles, but without obvious significance.
A stereotypy
34
what causes postitive symptoms in schizophrenia
Too much dopamine in mesolimbic pathway
35
what causes negative symptoms in schizophrenia?
too little dopamine in the mesocortical pathway
36
where is the mesolimbic pathway?
From VTA---Nucleus Accumbens
37
where is the Mesocortical pathway
From VTA------Cortex
38
Where is the Nigrostriatal pathway
substantia nigra------ stratum (caudate + putamen)
39
what is the nigrostriatal pathway resonsible for?
coordination of movement- fucked up in Parkinson's
40
where is the Tubuluinfundibular pathway
Hypothalamus------ pituitary------> prolactin production
41
what will increased levels of dopamine cause the levels of prolactin to do?
decrease
42
what will decrease levels of dopamine cause the levels of prolactin to do?
increase prolactin---> amenorrhea and galactorrhea
43
what is associated with anorexia- metabolic acidosis or alkalosis?
metabolic alkalosis
44
what is associated with anorexia- metabolic acidosis or alkalosis?
Low levels of sex hormones: FSH, LH, testosterone and oestrogen Normal T4, low T3 Low levels of potassium, calcium and magnesium Metabolic alkalosis High levels of cortisol
45
lithium side effect: hypo or hyper thyroidism
hypo HyperPARAthyroidism
46
ECG: T wave flattening/inversion: what drug may cause this?
lithium
47
what drugs interact with lithium?
diuretics (especially thiazides), ACE inhibitors/angiotensin II receptor blockers, NSAIDs and metronidazole.
48
treatment of lithium toxicity?
IV fluids with isotonic saline, until euvolemic, then typically twice maintenance rate monitor serum sodium closely (every 4 hours with serial lithium concentrations) if there is a concern about lithium-induced nephrogenic diabetes insipidus haemodialysis may be needed in severe toxicity
49
nephrogenic diabetes insipidus- most common cause?
lithium
50
what electrolyte imbalance does refeeding syndrome cause?
Low phosphate Rapidly increasing insulin levels lead to shifts of potassium, magnesium and phosphate from extracellular to intracellular spaces.