psych passmed Flashcards
(45 cards)
which benzodiazepine is preferred in patients with liver cirrhosis
lorazepam
which anti depressant post MI
sertraline
cotard syndrome
person believes they are dead
schizoaffective disorder
presence of both schizophrenia symptoms and a significant mood episode occuring at the same time
managment of delirium tremens
long acting benzo
-chlordiazepoxide
malingering
faking illness for a gain like to get opioids or out of work
conversion disorder
functional neurological disorder
-paralysis etc
echolalia
repetition of someone else’s speech including the questions being asked
second line (after SSRI) for OCD
clomipramine
SSRI + NSAID
GI BLEEDING RISK
-give a PPI
PHQ-9 score for less severe depression
<16
schizotypal personality
lacks close friends other than family
-odd or eccentric behaviour speech and beliefs
schizoid
indeference to praise of affection, prefer time alone, lack of interest in companionship or sexual interactions (like an incel)
SSRIs in the first trimester effects
risk of congenital heart defects
SSRI during third trimester
persistent pulmonary hypertension of the newborn
histrionic personality
an excessive need for attention, shallow and shifting emotions, and a desire to be the center of attention, sometimes through seductive or dramatic behaviors
Erotomania (De Clerambault’s syndrome)
when you think you’re in love with a celeb
-form of delusional disorder
somatisation disorder
belief of multiple phsyical symptoms for 2 years
which drug would cause: back pain, constipation, headaches, low mood and difficulty concentrating
LITHIUM
-causes hyperparathyroidism then hypercalcaemia
interactions of SSRIs
-NSAIDs
-warfarin/heparin (give mirtazapine instead)
-aspirin
-triptans - increased risk of serotonin syndrome
-MOAI - serotonin syndrome
which SSRI for children and adolescents
fluoextine
which SSRIs cause long QT
citalopram and escitalopram
how long should SSRIs be gradually reduced over
4 weeks
which SSRI has higher incidence of discontinuation symptoms
Paroxetine
