Psychiatry 2

Question 1

what is cyclothymia

Answer 1

normal mood swings

Question 2

what is recurrent depressive disorder

Answer 2

persists for some time but can return to normal

Question 3

what is unipolar

Answer 3

patient usually moves down to low mood

Question 4

what is bipolar

Answer 4

patient moves up and down spectrum

Question 5

what is psychotic

Answer 5

at either end of the mood spectrum

Question 6

name some depressive mood disorders

Answer 6

major dopamine disorder
persistent depressive disorder
bipolar depression
postpartum depression

Question 7

what are the common symptoms of depression

Answer 7

low mood
reduced interest and motivation
lethargy and tiredness
sleep disturbance
appetite disturbance
poor concentration
loss of confidence and self esteem

Question 8

what are the 2 types of bipolar

Answer 8

1 - mania
2 - cyclothymia/hypomania

Question 9

what are the symptoms of mania and hypomania

Answer 9

increased productivity and feeling of wellbeing
reduced need for sleep
gradual reduction in social and occupational functioning
increase in reckless behaviour
period of depression

Question 10

what symptoms occur in both euphoric and dysphoric mood disorders

Answer 10

rapid speech
restlessness
reckless behaviour
excessive energy
decreased sleep

Question 11

how do you treat mood disorders

Answer 11

cognitive therapy
interpersonal psychotherapies
antidepressants and mood stabilising drugs
exercise
phototherapy
ECT

Question 12

what type of acute phase antidepressants are used in mood disorders

Answer 12

selective serotonin reuptake inhibitor
venlafaxine/mirtazapine
tricyclic antidepressants
monoamine oxidase inhibitor

Question 13

what mood stabilising drugs are used in mood disorders

Answer 13

lithium
carbamazepine
sodium valproate
lamotrigine

Question 14

what are the uses for antidepressants

Answer 14

treating depression and anxiety disorders
pain relief
help psychological treatments

Question 15

name a tricyclic antidepressant

Answer 15

amitriptyline

Question 16

what are the side effects of tricyclic antidepressants

Answer 16

dry mouth, sedation, weight gain

Question 17

name 3 SSRIs

Answer 17

fluoxetine
citalopram
sertraline

Question 18

what are the side effects of SSRIs

Answer 18

acute anxiety disorders
sedation, dry mouth
GI upset

Question 19

name a MAOI

Answer 19

phenelzine

Question 20

what are the key interactions of MAOIs

Answer 20

enhanced vasoconstrictor effect
cold and cough remedies

Question 21

what drugs are antipsychotics and treat episodes of mania

Answer 21

olanzapine
risperidone
quetiapine

Question 22

what are the direct antidepressant drug effects which affect the oral cavity

Answer 22

dry mouth - caries
sedation
facial dyskinesias

Question 23

what are the drug interactions with antidepressants that can affect dentistry

Answer 23

drug metabolism
local anaesthetics

Question 24

what are the perceptual abnormality disorders with psychoses

Answer 24

manic depression
schizophrenia
Korsakoff’s psychosis - alcohol induced brain degredation

Question 25

what are the perceptual abnormality disorders with psychoses

Answer 25

manic depression schizophrenia Korsakoff's psychosis - alcohol induced brain degradation

Question 26

what are the drug effects of psychoses dugs

Answer 26

dry mouth drug interactions dyskinesias

Question 27

what is schizophrenia

Answer 27

multifactorial abnormality of dopaminergic neurotransmission causing fundamental and characteristic distortions of thinking and perception

Question 28

what is used to manage schizophrenia

Answer 28

CBT cognitive remediation family intervention oral or depot IM injection dopamine antagonist drugs atypical antipsychotics

Question 29

what kind of drugs cause extrapyramidal side effects

Answer 29

dopamine antagonist drugs

Question 30

what antipsychotics are there

Answer 30

butyrophenones phenothiazines thioxanthenes new atypical antipsychotics

Question 31

name 3 atypical antipsychotics

Answer 31

clozapine quetiapine olanzapine

Question 32

what are the extrapyramidal side effects of antipsychotics

Answer 32

akathisia dystonia parkinsonism tardive dyskinesia

Question 33

why do extrapyramidal effects happen

Answer 33

due to excess dopamine

Question 34

how do you treat extrapyramidal effects

Answer 34

use atypical antipsychotic instead beta-adrenergic blockers anticholinergics

Question 35

what is the oral effect of anorexia nervosa

Answer 35

ulcers, dry mouth, infection, bleeding

Question 36

what are the oral effects of bulimia

Answer 36

dental erosion and oesophageal stricture

Question 37

what symptoms does borderline personality disorder have

Answer 37

deep fear unstable relationships changes in self image stress paranoia impulsive behaviour suicidal threats excessive mood swings feelings of solitude