Psychiatry - Liam Flashcards

(77 cards)

1
Q

Extrapyramidal side effects

A

Parkinsonism

Acute dystonia (systained muscle contraction)

Akathisia (restlessness)

Tardiv dyskinesia (late onset of choreoathetoid mvoements)

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2
Q

Dystonia

A

Sustained muscle contractions

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3
Q

Akathisia

A

Restlessness

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4
Q

Dyskinesia

A

Involuntary movements

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5
Q

What pathway relates to prolactin

A

Tuberoinfundibular pathway

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6
Q

What pathway involed in parkinsonism

A

Nigrostriatal

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7
Q

What pathway leads to hallucinations

A

Mesolimbic

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8
Q

What pathway leads to negative symptoms

A

Mesocortical

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9
Q

Mechanism of antipsychotics

A

Block dopamine receptors

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10
Q

What anti-deppresant is contraindicated in anorexia nervosa or bulimia nervosa

A

Bupropion

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11
Q

Drugs for alcohol withdrawal syndrome

A

1 - chloradiaepoxide

2 - lorazepam if have hepatic failure

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12
Q

Granidose delusion

A

Self is superior to everyone else

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13
Q

Avolition

A

Decrease in motivation to perform purposeful activities

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14
Q

Catatonia

A

State of unresponsiveness

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15
Q

Neologism

A

Creation of new words

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16
Q

Passivity

A

Movements or sensations controlled by external force

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17
Q

Perseveration

A

Needlessly repeating a word they had previously expressed

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18
Q

Abergua

A

Lack of energy

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19
Q

Flight of ideas

A

Manic phase, rapid shifting of ideas

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20
Q

Circumstantiality

A

Over inclusive speech that is delayed to reaching final goal

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21
Q

What drugs are used for ADHD

A

Citalopram

Atomoxetine

Modafinil

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22
Q

Atomexetine mechanism

A

Norepinephrine reuptake inhibitor

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23
Q

Modafinil mechanism

A

Dopamine reuptake inhibitor

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24
Q

Metabolic state in bulimia nervosa

A

Metabolic alkalosis, hypokalaemia and hypocholeraemia

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25
Reflex hallucinations
Normal sensory stimulus in one modaility precipitates hallucinations in another
26
Autoscopic hallucinations
Visual hallucinations where see yourself in external space
27
First person auditory hallucinations
Person hears own thoughts allowed
28
Elementary hallucinations
Simple, unstructured sounds
29
Haptic hallucinations
Tactile hallucinations, such as feeling of skin being touched
30
Suppresion
Intentional withholding an idea or feeling
31
Fixation
Partially remaing at a more childish level of development
32
Regression
Involuntary turning back clock to earlier modes of dealing with the world
33
Projections
Unacceptable internal impulse to an external source
34
Identification
Unconscious assumption of characteristics of another person
35
Displacement
Redirection of emotions to a neutral person or object
36
Reaction formation
Replacing a warded off idea or feeling by an unconsciously derived emphasis on its opposite
37
Repression
Involuntarily withholding an idea or feeling without conscious awareness
38
Denial
Avoiding the awareness of a painful reality
39
Sublimation
Replacing an unacceptable wish with a cource of action that is similar to the wish but does not conflict with ones value system
40
Dissociation
Temporary, drastic change in personality or memory to avoid emotional stress
41
Splitting
Believing that people are either all good or all bad at different times due to intolerance of ambiguity - often seen as borderline personality disorder
42
Idealisation
Expressinv extremely positive thoughts of self and otehrs while ignoring negative ones
43
Projection
Attributing uncomfortable thoughts or feelings to others
44
What blood tests need to be arranged for patients on antipsychotics
FBC, glucose and calcium
45
What tests are done when on lithium
FBC TFT Kidneys (U&Es, GFR)
46
Delusional perception
Normal percetion acquires delusional significants
47
Delusional intuitions (autochthonous delusions)
Happen suddenly "out of the blue"
48
Delusional memories
Memories partially based on true events from past but with delusional beliefs attached
49
Delusional atmosphere
Overwhelming feeling that something important is going on, but you dont know what
50
Histrionic persoanlity disorder
Shallow and labile affectivity, theatrically, egocentricity, continual seeking of attention
51
Anakastic personality disorder
Similar to OCD, becomes preoccupied with details, rules and scedules that hinders performance doing the tasts
52
Nihilistic delusions
Belief that all or part of body, mind or world has ceased to exist
53
Cotard syndrome
Patient believes they are dead
54
Pareidolia
Vivid illusions from indistinct stimuli, such as seeing a face in the clouds
55
Completion illusion
Due to inattention when reading, such as misreading words or completing faded letters
56
Affect illusions
Associated with specific mood states, such as someone seeing there recently dead loved one
57
Trailing phenomena
ASsociated with hallucinogenic drugs, changes in perception where person seeins moving objects in series of discontinuous images
58
Lilliputian hallucinations
Visual hallucinations associated with micropsia (little things)
59
Incongruity of affect
Inappropriate emotional responses
60
Gustatory hallucination
Taste
61
Hypnagogic hallucination
Hearing a voice upon waking up
62
Echolalia
Repetition of words spoken by others
63
Logorrhea
Excessive wordiness
64
Paragrammatism
Loss of grammer mid sentence
65
Paraphasia
Mispronunciation of fingle words or combination of words in inappropriate or meaningless ways
66
Verbigeration
Monotonous repitition of parts of speech
67
Undoing
Performing an act to make up for past behaviour or guilt
68
Belle indiference
Indifferent emotional response to the level of impairment
69
Agorophibia
Exaggerated feas that cannot be rationalised or controlled, usually associated with strong avoidance
70
Hypnogogic hallucination
Hear someone whilst drifting off to sleep
71
Alogia
Poverty of speech
72
Bradyphasia
Slow speech
73
Intellectualisation
Focus upon facts of a situation as opposed to the difficult emotions they may be fealing
74
Rationalisation
To protect the ego, allows unacceptable behaviour to be justified in a logical manner
75
Functional hallucination
Auditory stimulus cauyses an hallucination, but both are heard
76
Catatonia
Severe form of psychomotor retardation where patient unresponsive to external stimuli despite being awake
77
Extracampine hallucinations
Individual experiences an hallucination outside the limits of their own sensory fields, such as seeing someone standing behind them when looking directly ahead