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4th Year Revision > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

What mood stabiliser is contraindication in the first trimester of pregnancy?

A

Sodium Valproate

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2
Q

What is the first line treatment for behaviour that challenges in people with intellectual/learning disabilities?

A

Developing a behavioural support plan

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3
Q

What are some indications for ECT?

A

Catatonia, severe or prolonged manic episode, severe treatment resistant depression

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4
Q

What are some features of OCD?

A

Magical thinking, fear of illness, ritualised slowness, dressing behaviours

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5
Q

What are the core traits of ADHD?

A

inattention, impulsivity, hyperactivity

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6
Q

What are some features of ASD?

A

Persistent deficits in social communication & social interaction across multiple contexts. rESTRICTED REPTITIVE PATTERNS OF BEHAVIOUR, INTERESTS Of activities.

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7
Q

Are Typical or Atypical antipsychotics more likely to cause EPSE? Give examples of each.

A

Typical Antipsychotics e.g. Chlorpromazine. SGA/atypical e.g. quitiapine

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8
Q

What are common symptoms of a psychotic episode?

A

Passiviity of affect, hallucination, ideas of reference, thought withdrawal.

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9
Q

What are common features of hypochondria?

A

Typically a person who has fixed anxiety on having a severe or life threatening illness.

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10
Q

What complimentary therapy used in depression can predispose to serotonin syndrome?

A

St John’s Wort

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11
Q

What are some side effects of Clozapine?

A

Agranulocytosis, seizures, constipation, hyersalivation

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12
Q

What are some atypical features of depression?

A

Hypersomnolence, agitation, comfort eating.

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13
Q

What IQ is it generally accepted that below a person has an intellectual disability?

A

70

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14
Q

What are the features of mania?

A

Elevated mood for at least a week
Cognition: flight of ideas, grandiosity
Behaviour: Rapid speech, hyperactivity, hyper sexuality, decreased sleep
Can have psychotic symptoms

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15
Q

What are the features of hypomania?

A

Similar to mania without psychotic symptoms.

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16
Q

What are the first rank symptoms of schizophrenia?

A

Thought disorder (insertion, withdrawal or broadcasting)
Passivity phenomena
Third person auditory hallucinations
Persistent delusions

17
Q

What are other symptoms of schizophrenia? (Outwith first rank)

A

Knight’s move thinking, Cataotonic behaviour (this includes stran, purposeless behaviour),
negative symptoms.

18
Q

What are some negative symptoms of schizophrenia?

A

Apathy, paucity of speech, blunting of affect

19
Q

What is the treatment for acute dystonia?

A

IV procyclidine

20
Q

Anorexia Nervosa

A

Weight<85% of predicted, BMI <17.5
intense fear of gaining weight, or becomingg fat with persistent behaviour that interferes with weight gain
feeling fat when thin

21
Q

Bullima Nervosa

A

Recurrent episodes of binge eating characterised by uncontrolled overeating.
preoccupation with control of body weight
regular use of mechanisms of overcome the fattening effects of binges, e.g. starvation, vomit-induction, laxatives, overexercise
BMI >17.5.

22
Q

What criteria must be met before a diagnosis of a depressive episode?

A

Two core symptoms that have been present every day or nearly every day for over 2 weeks.

23
Q

What are the core symptoms of depression?

A

Low mood, anhedonia, fatigue

24
Q

What are some typical symptoms of depression?

A

Poor appetite with marked weight loss, disrupted sleep (early wakening common), psychomotor retardation, decreased libido, reduced concentration, feelings of worthlessness, suicial ideation.

25
Q

Acute treatment of mania?

A

Any SGA, Valproate

26
Q

What is the first line treatment of Prophylaxis of bipolar affective disorder?

A

Lithium

27
Q

Second line choices for prophylaxis of Bipolar affective disorder

A

Valproate, carbamazepine.

In rapid cyclers lamotrigine is good.

28
Q

What is the treatment for OCD?

A

CBT, Clomipramine or SSRIs (e.g. Fluoxetine)

29
Q

What are the signs & symptoms of Neuroleptic Malignant Syndrome?

A

Fever, muscle rigidity, delirium & autonomic instability.
Increased CK

30
Q

What are the signs & symptoms of Neuroleptic Malignant Syndrome?

A

Fever, muscle rigidity, delirium & autonomic instability.
Increased CK

31
Q

What are the three clusters of personality disorders?

A

Cluster A: Odd or eccentric
Cluster B: Dramatic or emotional
Cluster C: Anxious or Avoidant

32
Q

What are the personality disorders in cluster A?

A

Paranoid & Schizoid

33
Q

What are the personality disorders in cluster B?

A

Dissocial (antisocial)
Emotionally unstable - Borderline & impulsive
Histrionic
(In DSM V - Narsisistic)

34
Q

What are the personality disorders in cluster C?

A

Anakastic (OC0
Anxious
Dependent

4th Year Revision (1 decks)

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