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FCPS Preperation > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

What are the organic mental disorders?

A

Dementia
Delirium
Brain Damage

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2
Q

What are the mood disorders?

A

Depression
Bipolar disorder

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3
Q

What are the neurotic, somatoform disorders?

A

Phobias
GAD
PTSD
adjustment Disorder
OCD
Somatoform Disorder

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4
Q

What are the components of cognitive function

A

Memory
Concentration
Visuo-spatial abilities
Executive function

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5
Q

Which screening questionnaire covers all the components of cognitive function?

A

Montreal Cognitive Assessment (MoCA)

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6
Q

What are the precipitating risk factors for psychiatric disorders?

A

Stressful life events
Acute physical illness
Misuse of alcohol or drugs

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7
Q

Generalised cerebral atrophy seen in?

A

Alzheimer’s disease

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8
Q

What are the changes that occur in brain in schizophrenia?

A

Enlarged Ventricle with slightly decreased brain size
PET- ↑ dopamine synthesis in striatum
MRI- Generalised Gray matter loss over time ( poor prognostic factor)

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9
Q

Finding of depression

A

PET- ↓ 5HT transporter binding in the mid-brain and amygdala

MRI- ↑ Anterior cingulate Activity (Good response to Antidepressant and CBT)

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10
Q

Which can predict the development of schizophrenia in an at risk population?

A

MRI

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11
Q

Believing others are out to harm one is?

A

Persecutory delusion

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12
Q

Having unfounded conviction that one has cancer is?

A

Hypochondriacal delusion

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13
Q

Believing that one has special power and status is

A

Grandiose delusion

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14
Q

Thinking that my head is missing, i have no body is

A

Nihilistic delusion

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15
Q

What are the systemic complications of IV substance misuse?

A

Endocarditis
Hepatitis
HIV

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16
Q

What are the most common forms of hallucination?

A

Visual
Auditory

17
Q

Running Commentary is strongly associated with?

A

Schizophrenia

18
Q

Symptoms of Depressive Disorder?

A

Psychological:
- Depressed mood
- Reduced self esteem
- Pessimism
- Guilt
- Loss of interest
- Loss of enjoyment (Anhedonia)
- Suicidal Thinking

Somatic:
- Reduced Appetite
- Bowel Disturbance
- Weight change
- Fatigue
- Disturbed Sleep
- loss if libido
- Motor retardation

19
Q

Organic (medical) cause of anxiety?

A

hyperthyroidism
Paroxysmal arrhythmia
Phaeochromocytoma
Alchohol and Benzodiazepine withdrawal
Hypoglycemia
Temporal lobe epilepsy

20
Q

Functional somatic syndrome related to GIT, Gynae, Rheumatology, Neurology, Cardiology, Respiratory, ENT, Infectious disease, Dentistry, Allergic medicine

A

GIT → IBS, Functional Dyspepsia
Gynaecology → PMS, Chronic pelvic pain
Rheumatology → Fibromyalgia
Neurology → Tension Headache, Non epileptic attack, functional gait disorder
Cardiology → Atypical or non cardiac chest pain
Respiratory → Hyperventilation syndrome
ENT → Globus syndrome
Infectious disease → Chronic (post viral) fatigue syndrome
Dentistry → TMJ Dysfunction, Atypical chest pain
Allergic medicine → Multiple chemical sensitivity

21
Q

Which drug should be used to reverse extrapyramidal effects following the haloperidol administration?

A

Anti-cholinergic agent such as procyclidine

22
Q

What are the negative cognitive triads that are associated with depression?

A

→ Negative view of self
→ Negative view of current life experiences
→ Negative View of the future

23
Q

What are the most common forms of dementia?

A

→ Alzheimer’s disease
→ Diffuse vascular dementia

24
Q

Sign of frontal lobe Dysfunction

A

Cognitive:
Lack of initiation
Disinhibition
Anti-social behavior
Impaired memory
Expressive Dysphasia
Incontinance

Physical Sign:
Impaired smell
Contralateral hemiparesis
Frontal release sign

Positive Phenomena:
Seizures

25
Q

Sign of temporal lobe dysfunction

A

Cognitive:
Dyslexia
Reactive aphasia
Impaired verbal + non verbal memory
Impaired musical skill

Physical sign:
Contralateral homonymous Upper quadrantanopia

Positive phenomena: Complex hallucination

26
Q

What are the EEG findings in creutzfeldt-jakob disease

A

Characteristic abnormalities of generalised periodic sharp wave pattern

27
Q

Which alleles are associated with developing Alzheimer’s disease?

A

Apolipoprotein E4

FCPS Preperation (5 decks)

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