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THIRD YEAR > Psych 2 > Flashcards

Psych 2 Flashcards

(48 cards)

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1
Q

drugs induced psychosis is similar to what

A

initial presentation similar to first presentation of schiz

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2
Q

causes of drug induced psychosis

A

coke, cannabi, LSD, amphetamines

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3
Q

schizoaffective disorder

A

F25

BPD and schizophrenia

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4
Q

antipsychotic treatment most block what

A

histamine - sedation and increased appetite
alpha receptor blocking - hypotension
block PS muscarininc receptors - dry mouth

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5
Q

CGT
carbohydrate deficient transferrin
MCV

A

liver injury
identifies men drinking over 5 units a day
goes up

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6
Q

FRAMES

A 
feedback
responsibility
advice
menu
empathy
self efficacy
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7
Q

alcohol inhibits what system and has an agonist effect on what
what others system does it have an affect on

A

glutamate inhibited, GABA agonist effect

dopamine reward system

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8
Q

alcohol withdrawal leads to what

A

excess glutamate and decreased GABA

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9
Q

first symp of alcohol withdrawal

A

within hours and peak at 24-48 hours

resolve in 5-7 days

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10
Q

delirium tremens who
when
mortality

A

5%
peak onset 2 days
2-5%

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11
Q

treatment for alcohol withdrawal
BZDs
what else

A

general support, hydrate, analgesia, anti emetics
BZDs - diazepam, chlordiapexodie - titrate against severity and reduce gradually over 7 days or more

thiamine - parental

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12
Q

naltrezone

A

first line for alcohol relapse prevention
opiode antagonist
decreases reared from alcohol

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13
Q

acts where
started when
SE

A

acamprosate
centrally on gluatamate and GABA systems and decreases craving
start as soon as detoxification complete
SE diarrhoea, headache, nausea

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14
Q 
Dusulfiram (antabuse)
what does it inhibit
alcohol consumption leads to what 
symptoms 
efficacy requires what
A

inhibits acetyldehyde dehydrogenase
so increased levels if alcohol is consumed
flushed skin, tachycardia, N/V, arrhythmia, hypotension, efficacy requires compliance

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15
Q 
borderline
mild
mod
severe
profound
A 
70-84
50-69 MA 7-12
35-49 MA 6-9
20-34 MA 3-6
<20 MA <3
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16
Q

most common LD

A

mild 50-69 MA 7-12

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17
Q

people with LD are how much more commonly likely to get psych disorders

A

3x

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18
Q

what can be given in aggression in ASD

sleep problems

A

risperidone short term

melatonin

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19
Q

ADHD

A

inattention
hyperactivity
impulsivity

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20
Q

treatment for ADHD

psycho

Study These Flashcards
A

parent training, behavioural classroom management

social skills, sleep and diet

21
Q

treatment for ADHD

pharma

Study These Flashcards
A

methylpheniate, dexamfetamine, lisdexamfetanime
atomoxetine
antipressants, anti hypertensive, anti psychotics

22
Q

ADD

Study These Flashcards
A

language impairment

thought and behaviour - restrictive and repetative

23
Q

ASD is what

Study These Flashcards
A

strongly heriditary

24
Q

commonest health problem in over 65s

25
how long does delirium last
1-4 weeks
26
treatment for delirium parkinsons, LB, neuroplastic sensitivyt alcohol/sedative withdrawal
underlying cause. haloperidol 0.5-5mg PO then IM up to 10mg/24h Lorazepam 0.5-2mg up to twice in 24 hours BZD after
27
lewy body hallucinations
rigvastamine
28
wenicjes
ophthalmoplegia ataxia confusion
29
picks bodies
tau positive spherical cytoplasmic neuronal inclusions composed of straight filaments
30
ballooned neurones with dissociation of chromatin
picks cells
31
causes of younger onset dementia
1 alzheimers 2 frontotemporal huntingtons, wilsons, downs
32
symptoms of serotonin withdrawal
myoclonus, agitation, restlessness, hyperreflexia, tremor, sweating, diarrhoea, shivering, ataxia, fever, confusion
33
brocas
expressive | have insight
34
wernickes
receptive aphasia | no insight
35
detoxification
self detox reduce prescribed opioids alpha 2 adrenergic agonists - lofexidine tailer dose add ons - lopermide, hypnotic, NSAIDs
36
opiod substitution therapies
methadone or buprenorphine (+/- neloxone)
37
sensory memory
<1s | out of cognitive control
38
short term memory
working memory | <1min
39
long term memory divided into what
explicit (conscious)-> declarative memory facts events implicit (unconscious) -> procedural - skills, tasks
40
what is declarative memory divided into
semantic - facts, concepts | episodic - events, experiences
41
what form is filled out for incapacity
certificate of incapacity section 47
42
>16 <12 12-16
presumed to have capacity presumed to not have capacity depends on understanding
43
HIV law england | scotland
bodily offense | capable and reckless behaviour
44
history of known cardiac disease, history of atypical antipsychotics, current illicit drug use
lorazepam 1-2mg PO unsuccessful or response needed in 30 mins lorazepam 1-2mg IM mixed 1:1 with water or NaCl wait 30 mins injection again if necessary
45
confirmed history of typical antipsychotic drug exposure
lorazepam 1-2mg PO and/or haloperidol 5mg unsuccessful or response needed in 30 mins lorazepam 1-2mg IM mixed 1:1 with water or NaCl in extreme lorazepam and haloperidol 5mg IM monster RR, BP, PR every 5-10 mins for an hour wait 30 mins injection again if necessary
46
emergency detention lasts fro how long who needs to sign the form does it authorise treatment
72 hours medical practitioner needs to consult MHO but not necessary no unless emergency
47
short detention lasts for how long who needs to sign does it authorise treatment
28 days requires MHO consent yes
48
compulsory treatment disorder who needs to sign lasts for how long where
2 medical reports one form AMP 6 months in community or hospital

THIRD YEAR (27 decks)

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