Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

4th Year SB > Psych > Flashcards

Psych Flashcards

(71 cards)

Start Studying
1
Q

what does emergency detention cover

A
  • up to 72 hours
  • for assessment only, NOT treatment
  • must be done by a fully registered doctor,
  • preferably also a mental health officer also present
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what does short term detention cover

A
  • for assessment and treatment
  • 28 days
  • need a psychiatrist and MHO to approve it
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does a Compulsory treatment order cover

A
  • lasts for 6 months, can be extended by 6 months again if required
  • must be approved by a tribunal
  • application = two medical professionals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are most common side effects of SSRIs

A

insomnia
nausea
reduced libido
headache

GI sx
“emotional numbness”
agitation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what SSRI is safest in epilepsy

A

citalopram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what SSRI is safest in cardiac problems

A

sertraline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what SSRI is associated with long QT syndrome

A

ciralopram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is an example of a NaSSA and when is it useful

A

mirtazepine

patients with insomnia and reduced appetite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are side effects of mirtazepine

A

weight gain [due to increased appetite]

sedation
constipation
dizziness
GI upset with alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

common side effects of TCA

A

Sedation, cardiotoxicity, tremor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the anti-muscarinic effects of TCAs

A

dry mouth, constipation, urinary retention, impotence, visual disturbance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

most lethal anti-depressant in overdose

A

TCAs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

safest SSRI in MI Hx

A

sertraline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

due to GI upset, what classes of drugs should SSRI be avoided co-prescribed with

A

NSAIDs, Warfarin, Aspirin, Triptans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how do SSRI work

A

selective pre-synaptic blockade of serotonin re-uptake pumps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how do TCAs work

A

pre-synaptic blockage of both noradrenaline and serotonin reuptake pumps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Side effects of TCA

A

sedation
weight gain
dry mouth, nose, urinary retention
postural hypotension

tachycardia
arrhythmia
heart block

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what changes on an ECG can be seen with TCAs

A

prolonged QT interval

ST segment elevation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

contraindications to TCAs

A 
recent MI
arrhythmia 
severe liver disease
mania 
high risk of over dose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is phenelzine an example of and what is it MOI

A

MOAI

inhibition of monoamine oxidase A and B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

when is a MOAI used

A

atypical depression, anxiety disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

SE of MOAI

A

can cause hypertensive crisis if mixed with foods containing tyramine

Sx = flushing, headache, increased BP, CVA

Tx = alpha blocker

If used with another anti-depressant can cause = serotonin syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

contraindications of MOAI use

A

phaechromocytoma
cerebrovascular disease
hepatic impairment
mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what are examples of SNRI

A

venaflaxine, duloxetine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
what are examples of NaSSA and MOI
mirtazapine presynapatic alpha 2 receptor blockade [get extra pyramidal SE]
26
what should not be prescribed in patients on lithium
NSAIDs ACEi Diuretics
27
lithium - contraindications
``` pregnancy breastfeeding impaired renal function thyroid disease cardiac conditions neurological conditions ```
28
lithium - side effects general
``` confusion, headache, concentration problems constipation dry mouth, thirst fine tremor hypothyroid weight gain ```
29
lithium - side effects toxicity
``` diarrhoea, N+v decreased potassium ataxia, myoclonus coarse tremor convulsions, coma ```
30
lamotrigine - side effects
N/V, diarrhoea | skin rash - steven johnson syndrome
31
carbamazepine - side effects
agranulocytosis aplastic anaemia hyponatramia , fluid retention
32
what are the two categories of anti psychotics
1st gen = typical [haloperidol, chlorpromazine] 2nd gen = atypical [clozapine, olanzapine, quitiapine, risperidone]
33
general side effects of anti psychotic
dry mouth, constipation, urinary retention postural hypotension sedation, weight gain prolonged QT interval arrhythmia ``` galactorrhea gynaecomastia amenorrhoea infertility sexual dysfunction ```
34
how should extra-pyramidal side effects and acute dystonia cause by anti-psychotics be treated
anticholinergics e.g. procyclidine
35
what time frame does acute dystonia appear after starting anti-psychotic and what is it
72 hours | involuntary sustained muscular contractions
36
what is akathisia, when does it appear and how can it be treated
restless legs, feel need to move around 6-10 days propanolol or short term BZDs
37
what is tardive dyskinesia
rhythmic involuntary movements of head, limbs, trunk
38
what disease is clozapine reserved for due to its side effects
treatment resistant schizophrenia
39
inheritance of huntingtons
autosomal dominant
40
types of dementia
``` vascular alzheimers dementia with lewy bodies fronto-temporal dementia alcohol related parkinsons related ```
41
1st line Tx of alzheimers
cholinesterase inhibitor i.e. donepezil, rivastigmine
42
what cannot be given in dementia with lewy body
haloperidol = can cause parkinsons
43
what are the parkinsonisms Sx
muscular rigidity bradykinesia resting tremor
44
how else can thiamine be written
B1
45
what is the effect of anorexia on blood results
G's and C's raised = GH, Glucose, Cortisol, Cholesterol Low FSH
46
1st line treatment for anorexia in kids
'anorexia focused family therapy'
47
treatment of GAD
1st line = SSRI 2nd line = SNRI 18 month treatment [panic disorder/phobias only 6 months]
48
how is GAD often described
free floating
49
time frame for acute stress response, acute stress disorder, acute PTSD, chronic PTSD
acute stress response = 48 hours acute stress disorder = 4 weeks acute PTSD = 4 weeks - 3 months chronic PTSD = more than 3 months
50
Tx of PTSD
Psychological - EMDR [eye movement desensitisation and reprocessing] Medication 1st line = SSRI 2nd line = SNRI or BZDs 3rd line = anticonvulsants duration of treatment = 12 months
51
Tx of OCD
Psychological - ERP > 20 hours [exposure and response prevention] Medication 1st line = SSRI 2nd line = SNRI or BZDs
52
positive sx of schizophrenia
delusions = bizarre, paranoid, grandiose, nihilistic persecutory ideas hallucinations = auditory; 3rd person, running commentary, discussing patient passivity phenomena though broadcasting, withdrawal, insertion, interference
53
negative sx of schizophrenia
apathy lack of motivation social withdrawal cognitive impairment blunting of affect [limited range of emotion] incongruent affect [laughing at sad story] catatonia
54
tx for schizophrenia
1st line = risperidone 2nd line = Aripiprazole treatment resistant = clozapine
55
hallmarks of delirium
acute and fluctuating inattention altered level of consciousness disorganized thinking
56
tx for delirium
haloperidol 1-10mg [0.5mg in elderly] if alcohol failure = BZDs i.e. Lorazapem [also use in patients with parkinsons]
57
what is conversion disorder
loss of sensory or motor function
58
what is somatoform disorder
physical symptoms suggestion a physical disorder with no evidence of organic disease
59
what are the cluster A PD and what harry potter character are they
Cluster A = weird Paranoid = mad-eye moody - distrust and suspicious Schizoid = snape - detachment from social relationships, restricted emotions Schizotypical
60
what are the cluster B PD and what harry potter character are they
Cluster B = wild Antisocial = bellatrix - disregard for others, occuring since age 15 Borderline/Emotionally Unstable = lavender brown - unstable inter-personal relationships, self-image, marked impulse, associated with ADHD, learning difficulties Histrionic = draco - excessive emotion, attention seeking, inappropriately sexual behavior
61
what are the cluster C PD and what harry potter character are they
Cluster C = worried Avoidant = neville longbottom - feeling adequate, hypersensitive to negative feedback Dependant = ron weasley - need to be taken care of, clingy, submissive Obsessive-Compulsive = Umbridge - inflexible to change, preoccupied with perfection
62
learning disability cutoffs IQs
Mild = 50-69 Moderate = 35-49 Severe = 20-34 Profound < 20
63
triad of Sx in autism
abnormal social interaction communication impairment rigid/restrictive or repetitive behavior
64
ICD-10 criteria for dependence
- strong desire to take - difficulty in controlling - physiological withdrawal state - increasing tolerance [need a higher dose] - neglect of alternative pleasures - persistence despite evidence of harm
65
pyscotherapy developed by frued and jung
psychoanalysis
66
what can CBT be used for
``` personality disorders - psychopathy generalised anxiety disorder panic disorder phobias acute stress disorder ```
67
neurotransmitter affected in schizo, depression and anxiety
``` depression = serotonin schizo = dopamine anxiety = GABA ```
68
list the panic disorders
``` panic disorder panic attack agoraphobia [fear of leaving house] specific phobia social phobia ```
69
what are the components of capacity
1) Understand and retain relevant information 2) Use and weigh that information to make a decision 3) Communicate that decision
70
what section of the adults w/ incapacity act can authorise treatment of a physical disorder in someone without capacity to consent to that treatment
section 47
71
what are the different sub headings of AWI act
Power of Attorney - grant when you have capacity Guardianship Section 47 certificate of incapacity

4th Year SB (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions