Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Rhi’s MSRA > Psychiatry/neurology > Flashcards

Psychiatry/neurology Flashcards

(51 cards)

Start Studying
1
Q

De Clarambault’s syndrome?

A

Delusion of being loved, generally by someone of superior social status
‘Clara loves me, she does!’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Fregoli syndrome?

A

A Familiar person ie wife, falsely identiFied in strangers
(‘Fs - Fregoli, familiar faces, falsely identiFied’)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Capgras syndrome?

A

Familiar person is replACed by a stranger who is their exact double

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Othello syndrome?

A

Delusion of infidelity of partner ‘liking OTHEr person’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Section 2?

A

Admission for assessment for up to 28 days
2=28

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Section 3?

A

Admission for TREAtment for up to 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Section 4?

A

72 hour assessment order

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

5(2)?

A

Dr detaining power - 72 hours (voluntary patient in hospital only)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

5(4)?

A

Nurse detaining power - 6 hours (for patients voluntarily in hospital)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Section 135?

A

Police can break into property to move person to place of safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Section 136?

A

Someone in public place can be taken by police to place of safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is facticious disorder?

A

Patient Falsifies medical or psychiatric symptoms ie interfering with wound/causing infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Definition of Parkinsonism? (Symptoms)

A

Bradykinesia
Plus one of:
-tremor
-rigidity and/or postural instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

If low mood symptoms with minimal effect on function within 10 days of giving birth, what is diagnosis?

A

‘Baby blues’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Fridreich’s ataxia
-what is it?
-complications?

A

Autosomal recessive inherited degenerative disease that primarily affects nervous system and heart

-Cardiomyopathy
-Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Questionnaire used to screen for eating disorders?

A

SCOFF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

1st line tx for trigeminal neuralgia?

A

Carbamazepine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

20 y/o man, weakness in both legs, viral URTI few weeks ago. Likely Dx? Tx?

A

Guillain-Barré syndrome
-ascending progressive symmetrical weakness, starting in lower extremities
-usually 3 weeks post viral illness
-sensory signs rare

High dose IVIG or plasma exchange (no tolerance for steroids!!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

After TIA, what driving advice?

A

Can start driving if symptom free after 1 month (no need to tell DVLA!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Treatment for cluster headache (acute)?
Prophylaxis?

A

Acute - sumatriptan (subcut), oxygen

Prophylaxis- prednisone, verapamil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Corresponding GCS for AVPU:
A?
V?
P?
U?

Study These Flashcards
A

A = 15
V = 12
P = 8
U = 3

22
Q

When to perform CTB within 1 hour

Study These Flashcards
A

GCS <13 on initial asssessment in ED
GCS <15 at 2h post injury in ED
Suspected skull #
Post-traumatic seizure
Focal neurological deficit
>1 episode vomiting

23
Q

When to do CTB within 8 hours?

Study These Flashcards
A

If some LOC/amnesia plus:
-age >65
-hx bleeding/clotting disorders
-dangerous mechanism injury
>30 min retrograde amnesia of events immediately before head injury

24
Q

First line Tx for newly diagnosed tonic-clonic seizures?

Study These Flashcards
A

Sodium valproate (unless premenopausal females - lamotrigine)

25
Lithium side effects?
LITHIUM Leukocytosis Increased urine output Tremors/thirst Hypothyroidism Increased weight Upset stomach (N/V) Muscle weakness/mental issues
26
Lithium monitoring?
Lithium levels every 3 months TFTs, U&Es, Calcium every 6-12m
27
30 y/o man presents with wasting of small hand muscles, and loss of pain and temp over trunks and arms. Dx?
SYRINGOMELIA -fluid filled tubular cavitation in (usually cervical) spinal cord -more common in men, age 20-30s -loss of pain/temp sensation due to spinothalamic tract damage in ‘shawl’ like distribution -wasting and weakness of muscles - starts in hands and ascends -condition is progressive, no cure
28
How does Pseudobulbar palsy present? Who does it affect and what is it?
-upper motor neuron lesion to corticobulbar pathways (Occurs in MS, MND, and BL strokes) -difficulty chewing, swallowing and may have slurred speech. ‘Donald Duck’ voice, brisk jaw jerk -inappropriate emotional outburst
29
Recurrent pregnancy loss and positive lupus anticoagulant suggests what Dx?
Antiphospholipid syndrome
30
What is myasthenia gravis and how does it present?
Acquired autoimmune disease Antibodies against the nicotinic acetylcholine receptor at the neuromuscular junction Easy fatigueability
31
What is tardive dyskinesia? Examples
Repetitive, involuntary, purposeless movements Grimacing Tongue protrusion Lip smacking Pursing lips Rapid blinking
32
Patient during blood transfusion - becomes tachycardic, hypotensive, high temp 40
Bacterial contamination
33
What is a section 2? WHO needs to be present?
Admission for ASSESSMENT up to 28 days (2 = 28 days) GP, psychiatrist, approved social worker
34
What is section 3? Who needs to be present?
Admission for TREATMENT for up to 6 months (3 = TREAtment) Nearest relative or social worker & 2 DOCTORS
35
What is a section 4? Who is needed to do it?
72 hour assessment order, used of section 2 involves unacceptable delay Needs GP + approved social worker or relative! (No need for psychiatrist, usually changed to section 2 when arrives to hospital!)
36
Section 5 (2)?
VOLUNTARY PATIENT IN HOSPITAL can be detained by DOCTOR for 72 hours 5(2) =72
37
What visual defect does a pituitary adenoma characteristically give?
Bitemporal hemianopia
38
What visual defect do you get in -temporal lesion -parietal lesion?
-temporal - superior homonymous quadrantopia Parietal - inferior homonymous quadrantopia ‘Superior temple, inferior Parish church!!’
39
How does IIH (idiopathic intracranial HTN) usually present Who does it normally affect?
Headache - WORSE IN MORNING, relieved on standing Diplopia Transient visual obscurations (greying of vision up to 5 secs) Nausea/vomiting Tinnitus Obese females in 3rd decade of life
40
Tests for Myasthenia Gravis?
Electromyography under repetition stimulation (repetitive nerve stimulation studies) Serum anti-AChR antibodies CT thorax - to look for thymoma
41
What is conversion disorder?
Alteration/loss of FUNCTION (typically motor/sensory) suggestive of physical disorder, but presumed to be expression of underlying conflict/need - the purpose being to bind anxiety and keep conflict internal
42
Treatment for myasthenia gravis?
Acetylcholinesterase inhibitors ie pyridostigmine (temporary symptomatic treatment) ‘Build MY pyramids!’ As becomes generalised - steroids, azathioprine, ciclosporin Monoclonal antibodies ie rituximab
43
Very shy patient, no friends, never had a girlfriend…Dx?
‘Social phobia’
44
Causes of SIADH?
-IDIOPATHIC (most common) -CNS disease- tumour, trauma, infection, CVA, SAH, GBS, Delerium tremens, MS -Pulmonary disease - tumour, pneumonia, COPD, lung abscess, TB, CF -Carcinoma - lung/pancreas/thymoma, ovary, lymphoma -Drugs - NSAIDs, nicotine, diuretics, carbamazepine, TCAs, SSRIs, vincristine -Surgery (post-op)
45
30’y/o with cataracts, frontal balding and muscle weakness. Dx?
MYOTONIC DYSTROPHY (classic triad)
46
Drugs for Alzhemier’s?
‘Don’t Get Rubbish Memory’ Donepezil Galantamine Rivastigmine Memantine (NMDA receptor antagonist) (First 3 options are reversible inhibitors of acetylcholinesterase and are the first line options)
47
First line for tonic-clonic seizures? Males? Females?
Males - sodium valproate Females - Lamotrigine or Levetiracetam
48
First line tx for focal seizures?
Lamotrigine or levetiracetam (focaL)
49
First line for absence seizures?
ETHOSUXIMIDE (‘sucks to miss out (absence)’)
50
Which (number) gene is the defected Hungtingtin gene in Huntington’s on?
Chromosome 4
51
Difference between malingering and factitious disorder
Malingering - EXTERNAL INCENITIVES present ie desired medications Factitious - FALSIFIED symptoms for sick role, no other incentive! (Munchausen is an extreme form of this!)

Rhi’s MSRA (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions