Psychiatry buzzwords

Question 1

Third person auditory hallucinations

Answer 1

Schizphrenia

Question 2

Mesocortical dopamine hypoactivity

Answer 2

Negative and cognitive symptomsinschizophrenia

Question 3

Subcortical dopamine hyperactivity causes…

Answer 3

Psychosis

Question 4

What is thetuberofundibular pathway in the brain concerned with?

Answer 4

Prolacin release

Question 5

What is the nigrostriatal tract concerned with?

Answer 5

Extra-pyramidal motor movements

Question 6

What is the mesolimic system invloved in?

Answer 6

Motivation & reward

Question 7

What is the mesolimbic pathway dysregulated in?

Answer 7

Schizophrenia

Question 8

How does Da blockade compare to Da agonism in terms of clinical pressentation?

Answer 8

Da blockade - Depression

Da agonism - psychosis

Question 9

Side effects of clozapine

Answer 9

Agranulocyosis
Cardiomyocitis
Weight gain

Question 10

Which of the atypical anti-psychotics causes the most weight gain?

Answer 10

Olanzapine

Question 11

When is clozapine indicated?

Answer 11

When have been tried on 2 other anti-psychotics and need to be a consultant to prescribe

Question 12

How is clozapine monitored?

Answer 12

Once a week for 6 months

Then once every 2 weeks fro 6 months then every 4 weeks thereafter and a month after discontinuation

Question 13

What are the functions of the limbic system?

Answer 13

M2 - Memory, Motivation
O- Olfaction
V - Visceral afferents
E - Emotion

Question 14

What are the brain changes in schizophrenia?

Answer 14

Reduced frontal lobe volume (and grey matter)
Enlarged lateral ventricles
Reduced grey matter in the temporal cortex

Question 15

What is pressure of thought

Answer 15

Varied ideas in abundance (characteristic of mania but also seen in schizophrenia)

Question 16

What is poverty of thought?

Answer 16

Patient reports lack/absence of thoughts

Question 17

What is thought blocking?

Answer 17

Abrupt and complete interruption of stream (strongly associated with schizophrenia)

Question 18

What is flight of ideas?

Answer 18

Quickly moving from one topic to anoher but there is a link unlike knights move thinking

Question 19

What is knights move rhinking?

Answer 19

Quicly moving fromonetopic to another whenthere doesn’tseemtobealink

Question 20

When is knights move thinking seen?

Answer 20

Inbipolar during mania

Question 21

How are EP side effects treated?

Answer 21

Procyclidine

Question 22

WHat is the role of the amygdala?

Answer 22

Involved in normal response to threat

Question 23

What is the relationshipp between the PFC and the amygdala?

Answer 23

PFC dampens down amygdala response to threat

Question 24

What s the steps of management of OCD?

Answer 24

1. SSRI
2. SSRI
3. TCA or SSRI

Question 25

What TCA is used in OCD?

Answer 25

Clomipramine

Question 26

What are the cut off's forlearning diabilities?

Answer 26

``` 70-80 = borderline 50-69 = mild 35-49 = moderate 20-34 = severe <20 = profound ```

Question 27

What is Becks triad?

Answer 27

Negaive feelings about self, world & future

Question 28

What symptoms do NMDA antagonists produce?

Answer 28

Psychotic symptoms

Question 29

What should be used to treat alcohol withdrawal?

Answer 29

Chlordiazepoxide

Question 30

When would alcohol withdrawal seizures occur?

Answer 30

Within 48 hours

Question 31

When would delirium tremens occur?

Answer 31

Between 48 and 72 hours

Question 32

What can MAO inhibitors react with to cause hypertensive crisis?

Answer 32

``` Tyramine containing foods Ephridine Nasal decongestants TCAs Pethidine ```

Question 33

How is hypertensive crisis caused by MAO inhibitors treated?

Answer 33

Phentolamine infusion

Question 34

When should TCAs be avoided?

Answer 34

Cardiac problems or patients with suicidal intent