Psychiatry Flashcards
(12 cards)
A patient presents believing that their Mum has been replaced by an imposter. What is the syndrome?
Capgras syndrome
A patient presents believing they have died. They are refusing any medications as they feel they will not work now that they are already dead. What is the syndrome?
Cotard syndrome
A patient presents believing that David Cameron is infatuated with her. She believes he is sending secret messages to her in his speeches on TV. What is the syndrome?
De Clerambault syndrome
A patient presents after being found in the park. She was repeatedly harassing a stranger, convinced that he was her Dad in disguise. What is the syndrome?
Fregoli syndrome
An expectant mother presents complaining that her husband has constant abdominal pains. This has been extensively investigated with no cause found. What is the syndrome?
Couvade syndrome
Which antidepressant medication has the lowest QT risk?
Sertraline
What can SSRIs cause in the elderly?
Hyponatraemia
Why should SSRIs be avoided with NSAIDs?
Risk of GI bleed
A patient presents with fevers, clonus and confusion. They are tachycardic and hyperreflexic. What’s the cause?
Serotonin syndrome
Which antipsychotic medication has the least risk of withdrawal symptoms and why?
Fluoxetine - longer half life
Which SSRI has the greatest risk for QT prolongation?
Citalopram
What are the withdrawal symptoms for SSRIs?
Nausea, insomnia, diarrhoea, irritability
