Psychiatry Flashcards

(51 cards)

1
Q

what anti-psychotic can be used in pregnancy?

A

olanzapine

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2
Q

what anti-depressant is licenced for use in children

A

fluoxetine

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3
Q

what are the absolute contraindications to ECT?

A
  • MI within the last 3 monhts
  • recent stroke/TIA
  • intracranial lesion
  • pheochromocytoma
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4
Q

what is the diagnostic criteria for anorexia nervosa

A
  • BMI <17
  • self induced weight loss
  • fear of fatness
    amenorrhoea
  • body image disturbance
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5
Q

what features make someone high risk with anorexia nervosa

A
  • BMI <13 with weight loss more than 1kg per week
  • prolonged QT, HR<40, BP <80
  • temp <34
  • unable to rise from squat without arms for leverage
    cognitive impairment
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6
Q

What are the PTSD criteria

A
  • traumatic event + 1 intrusive symptom + 2 increased arousal symptoms + 3 avoidance symptoms
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7
Q

what is the management for PTSD

A
  • CBT or eye movement desensitisation and reprocessing
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8
Q

when can you diagnose PTSD?

A

4 weeks

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9
Q

what are examples of SSRIs

A

fluoxetine, sertraline, citalopram

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10
Q

what are examples of SNRIs

A

venlafaxine, dluloxetine

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11
Q

what are examples of tricyclics

A

amitriptyline, imipramine, doselupin

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12
Q

what are examples of monoamine oxidase inhibitors

A

phenalzine - irreversible

meclobamide - reversible

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13
Q

what are examples of typical antipsychotics?

A
  • haloperidol, chlorpromazine
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14
Q

what are examples of atypical antipsychotics?

A

-olanzapine, risperidone, quetiapine, clozapine, aripiprazole

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15
Q

what are the 4 key side effects of typical antipsychotics?

A
  • acute dystonic reaction (spasms that present hours to days within starting med)
  • parkinsonism ( days-months)
  • akathisia (restless legs)
  • tardive dyskinesia (orofacial twitches/ movements years after starting drug)
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16
Q

what are side effects of clozapine

A
  • agranulocytosis
  • myocarditis
  • paralytic ileus
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17
Q

what is an emergency detention order?

A
  • 72 hour assessment
  • no treatment authorised
  • FY2 or above
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18
Q

what is a short term detention order?

A
  • up to 28 days for assessment/treatment
  • approved medical practitioner plus mental health officer
  • right of appeal
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19
Q

what is a compulsory treatment order

A
  • initially up to 6 months
  • mental health disorder present
  • mandatory tribunal
    treatment authorised
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20
Q

what is an advanced statement?

A

patient writes what they wish to happen in terms of illness. Must be witnessed, dated and signed when the person is well. Can be overruled

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21
Q

what is a named person

A

patients can choose someone to support them and protect their interests. They have the right to be notified of, attend and be represented at tribunal hearings

22
Q

what is a nursing holding power?

A
  • up to 3 hours of detention
  • by registered mental health nurse or intellectual disability nurse
  • patient needs to be in hospital receiving treatment
23
Q

what are policing powers

A
  • removal of a person from a public place to a place of safety
  • up to 24hrs to allow an assessment to be carried out
24
Q

what is the ADHD triad?

A

Inattention + hyperactivity + impulsivity

25
what perinatal factors are associated with ADHD?
tobacco and alcohol in pregnancy significant prematurity and perinatal hypoxia short or long labour, foetal distress, low forceps delivery, eclampsia
26
what is the treatment for ADHD
- psychosocial interventions (parent training etc) | - stimulants: methylphenidate, dexamphetamine
27
what are the core features of autism spectrum disorder?
- impaired social communication - impaired social integration - impaired social imagination - impaired repetitive behaviours
28
what is capgras delusion
people you know have been replaced by imposters
29
what is fregoli delusion
see different people as the same person
30
what is a nihilistic delusion
feel you have already died
31
what is de clerabault delusion
delusion that a celebrity is in love with you
32
what is othello syndrome
delusion that your partner is having an affair
33
what are the learning disability ranges
Normal = 70-120 mild LD = 50-70 moderate LD = 35-50 severe/profound LD = <35
34
what is paranoid personality disorder
- suspicious of others | - bears grudges
35
what is schizoid personality disorder
- few activities provide pleasure - emotionally cold, detached - indifferent - likes to bbe alone
36
what is schizotypal personality disorder
- ideas of refernce - odd beliefs and magical thinking - peculiar behaviour
37
what are the cluster B personality disorders
- antisocial - emotionally unstable - histrionic - narcicisstic
38
what is antisocial personality disorder
- callous unconcern for feelings of others - blames others - cannot maintain lasting relationships - low threshold for aggression - does not feel guilt
39
what is emotionally unstable personality disorder?
- acts without consideration of consequences - rapidly cycling mood changes - conflicts with others
40
what is histrionic personality disorder
- exaggerated expression of emotions - shallow - overly concerned with physical attractiveness - inappropriately seductive
41
what is narcissistic personality disorder
- grandiosity - fantasies of infinite success - they are extraordinary - wants admiration - no empathy
42
what are the cluster C personality disorders?
- avoidant/anxious - dependent - obsessive compulsive/ Anankastic
43
what is avoidant personality disorder
- persistant feeling of tension/apprehension - beleif that they are inferior to others - crippling fear of rejection
44
what is dependent personality disorder
- encourgaing or allowing others to make most of their important life decisions - helpless when alone - cant make decisions
45
what is anankastic personality disorder
- feeling of excessive doubt and caution - preoccupation with details, rules, list, schedule - perfectionist - wants things done their way
46
what is anankastic personality disorder
- feeling of excessive doubt and caution - preoccupation with details, rules, list, schedule - perfectionist - wants things done their way
47
what symptom is pathopneumonic for schizophrenia
form of thought disorder
48
what drug is most likely to cause neuroleptic malignant syndrome
haloperidol
49
what is the triad for wernickes encephalopathy
ataxia, confusion, nystagmus
50
what drug can given to manage tardive dyskinesia
tetrabenazine
51
what drug can be given to manage akathisia
propanolol