Quizzes Flashcards
(59 cards)
Psychotropic that can cause severe epigastric pain that radiates to the back, with associated vomiting.
Sodium valproate, pancreatitis
Mood stabilizer that can cause hypercalcemia
Lithium
*barbiturates, VA, carbamazepine, and haloperidol cause HYPOcalcemia
CASE: bipolar I disorder pregnant patient on lithium during 3rd trimester, serum level of 0.75mmol/L + no plans of breastfeeding. Course of management.
> Suspend lithium 24-48 hours before planned CS or induction, and at the onset of labour.
Lithium levels should be measured 12h after last dose
If within therapeutic range, restart lithium day 1 postnatal
Check serum levels after 1 week
*During pregnancy, due to the increase in total body water, lithium dose should be increased to maintain therapeutic range. However, requirements return to pre-pregnancy levels immediately after delivery.
ICD-11 trait domain specifiers
Borderline pattern
Anankastia
Detachment
Dissociality
Disinhibition
Negative affectivity
Likelihood of an individual completing suicide within two years following an initial act of DSH
1%
CASE: adolescent with mild depression. Course of management.
First line: 4 weeks - watchful waiting, with maintained contact with the family
If it persists: 2-3mos of individual non-directive supportive therapy, group CBT, guided self-help
CASE: adolescent with moderate to severe depression
First line: 3mos CBT, IPT or family therapy
Pattern of acts of assault, threats, humiliation, intimidation, or abuse that is used to harm, punish, or frighten a victim.
Coercive control
Risk of having another child with Down syndrome if a parents has balanced translocation (asymptomatic carriers with 45 chromosomes - enough genetic material but in the wrong location)
15%
Dementia with Capgras syndrome like delusion
Dementia with Lewy bodies
Only licensed treatment for moderate to severed TD in the UK
Tetrabenazine
Medication management of psychosis in Parkinson’s disease
> Consider reducing or stopping anticholinergics and dopamine agonists
Consider to give atypical antipsychotic (low dose quetiapine)
Consideration for cholinesterase inhibitor
Trial of clozapine
DBT treatment stages
Pre-treatment phase: assessment, orientation to therapy, commitment to therapeutic contract
Stage 1: reducing life threatening behaviour, behaviour that may interfere with progress and with quality of life
Stage 2: emotional processing of previous traumatic experiences, target post-traumatic stress-related symptoms
Stage 3: develop self-esteem, establish future goals
Stages of Cognitive analytic therapy
Reformulation - identification of patterns
Recognition - develop ways to recognise unhelpful patterns
Revision - interventions or alternatives to identified patterns
Drug of choice for the prevention and treatment of antipsychotic-induced weight gain
Metformin
First choice medication for akathisia
Low dose propanolol
*no contraindications: asthma, bradycardia, hypotension
Treatment for antipsychotic induced hypersalivation
Antimuscarinic agents: propantheline, diphenhydramine
Personality trait domains shared by ICD-11 and DSM-5
Detachment
Disinhibition
Dissociality/ antagonism
Negative affectivity
*5th domain: anankastic (ICD-11) & psychoticism (DSM-5)
NICE guidelines: youngest age that a child may be considered for antidepressant treatment for depression
5yo
McNemar test is particularly suitable when dealing with what kind of data
paired categorical data
> before-and-after studies
> repeated measures of proportions
> matched case control studies
Pre-requisite for providing a psychiatric report in clinical proceedings
Receiving instructions
Neuroimaging finding most commonly found in individuals with both Down syndrome and Alzheimer’s dementia
Cortical thinning
Progression rate of MCI to dementia in 1 year
10%
Heritability in frontotemporal dementia is accounted for by what type of mutation
Autosomal dominant
