Psychiatry Flashcards

1
Q

what is cotards

A

nihilistic delusiosn

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2
Q

treat depression

A

ssri/snri plus mirtazapine or augment with an antipsychotic

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3
Q

triad in adhd

A

inattentive hyperactive and impulsive

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4
Q

what neurotransmitters decrease in depression

A

monoamines (serotonin norad and dopaime )

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5
Q

excitatory neurotransmitters

A

ach glutamate

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6
Q

which neruotransmitters are affected in adhd

A

dopamine and serotonin and norepinephrine

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7
Q

…. dopamine decreases

A

mesocortical negative and cognitive symptoms

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8
Q

type c personality disrders

A

obsessive avoidant dependent

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9
Q

visual hallucinations in

A

lewy body dementia

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10
Q

affect of fear

A

anterior cingulate cortex orbitorfrontal cortex

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11
Q

neurotransmitters involved in memory

A

ach and glutamate

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12
Q

criteria for ptsd

A

1> intrusive symptoms (nightmares) 2> increased arousal ( eg sleep disturbance) 3> avoidant ( amnesia)

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13
Q

t3 bipolar

A

hypomanic following antidepressant use

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14
Q

eg of mood stabilisers

A

sodium valproate lamotrigine carbamazepine

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15
Q

appetitive - what is it and what neurotransmitter

A

dopamine seeks please

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16
Q

receptor for serotonin

A

5ht

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17
Q

anorexia is a bmi

A

17.5

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18
Q

treat specific phobia

A

exposure therapy and ssri

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19
Q

treat bulimia

A

high dose ssri

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20
Q

how long must the person have symptoms before a diagnosis of depression can be made

A

2 weeks

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21
Q

what is psychomotor retardation?

A

slowing of thoughts and or movement

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22
Q

what does alcohol inhibit and potentiate respectively@

A

inhibits nmda glutamate and potentiates inhibitory gaba a

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23
Q

agitated and insomnia in bipolar

A

benzos

24
Q

what is derealisation

A

spaced out

25
Q

t2 bipolar

A

hypomania

26
Q

inhibitory neurotransmitters

A

gaba glycine

27
Q

….. dopamine increases

A

subcortical psychosis

28
Q

d2

A

decreases adenyl cyclase decreases ca channels opens k channels

29
Q

what is stupor?

A

absence of normal function (ie speech )

30
Q

long treatment of bipolar

A

LITHIUM anticonvulsant/ antipsychotic antidepressant +/- mood stabiliser

31
Q

motivation to act

A

orbitofrontal cortex

32
Q

d1

A

stimulates camp

33
Q

promote sleep and wg

A

mirtazapine

34
Q

what are the negative schizo symptoms?

A

decreased speech/ motivation/ interest blunting affect

35
Q

acute management of mania

A

atypical antipsychotic

36
Q

drug in delirium

A

haloperidol

37
Q

what is dissociation?

A

detachment from reality

38
Q

what are the positive schizo symptoms?

A

hallucinations delusions passivity thought disorder

39
Q

treat ptsd

A

emdr

40
Q

increased prox to predator shifts from the ….. to the ….

A

prefrontal cortex to the midbrain superior colliculus and periaqueductal grey

41
Q

what is not good in patients at risk of overdose and why?

A

tricyclics as its cardiotoxic

42
Q

type b personality disorders

A

antisocial histrionic borderline narcissistic

43
Q

aversive - what is it and what neurotransmitter

A

serotonin avoid threat

44
Q

high risk anorexic

A

bmi<13 wl>1kg per week prolongued qt hr <40 sbp <80 t<34 fail squat test

45
Q

reexperiencing

A

hippocampis

46
Q

t21/2 bipolar

A

cyclothymic

47
Q

describe the 4at

A

alert amt4 (age dob place year) attention acute or fluctuating

48
Q

what helps with nightmares in ptsd?

A

prazosin (alpha blocker)

49
Q

t4 bipolar

A

hypothymic

50
Q

treat dementia

A

anticholinesterase post diagnostic support

51
Q

tyoe a personality disorders

A

schizoid schizotypical paranoid

52
Q

t1 bipolar

A

mania

53
Q

what is depersonalisation

A

body doesn’t belong to you

54
Q

avoidance

A

periaqueductal grey (fight or flight)

55
Q

what integrates sensory and congnitive info

A

amygdala

56
Q

treat adhd

A
  1. stimulants 2. snri - atomoxetine 3. alpha agonist - clonidine 4. anitdepressants/ psychotics
57
Q

ocd

A

obsessional and compulsive acts for 2 weeks or more