14 Flashcards

1
Q

first and second line ADHD management

A

atomexetine

methylphenidate

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2
Q

what is a cold and flattened affect suggestive of

A

schizoid PD

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3
Q

behaviour MSE

A
  • greeting
  • non-verbal cues
  • gesturing
  • tremor
  • posture
  • cooperative
  • rapor
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4
Q

agranulocytosis

A

medical emergency

acute condition involving a severe and dangerous leukopenia and neutropenia

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5
Q

indications for anxiolytics

A
  • GAD
  • panic disorder
  • substance related disorders and their withdrawal
  • insomnias and parasomnias
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6
Q

describe schizoid PD

A
  • lack of interest in social relationships
  • solitary/ sheltered life
  • secretive
  • emotionally cold
  • flattened affect
  • detached
  • apathy
  • no interest in sexual relationship
  • unresponsive to praise/ criticism
  • don’t want family
  • lack of close friendships
  • anhedonia
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7
Q

conditions for use of benzodiazepines

A
  • insomnia
  • parasomnias
  • anxiety disorders
  • alcohol withdrawal
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8
Q

managing OCD

A
educational explanation
involve partner/ family
SSRI
clomipramine
CBT exposure and response prevention
psychosurgery
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9
Q

describe histrionic personality disorder

A
  • pattern of excessive attention seeking emotions
  • usually begins early adulthood
  • inappropriately seductive behaviour
  • excessive need for approval
  • uncomfortable if not centre of attention
  • dramatic
  • exaggerated
  • dresses to get attention
  • sees relationships as more intimate than they actually are
  • willing to manipulate others
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10
Q

describe mood component MSE

A

subjective and objective mood

  • eye contact
  • affect (blunt/ flat/ reactive)
  • psychomotor function
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11
Q

who can give short term detention certificate

A

approved medical practitioner

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12
Q

define a personality disorder

A

enduring pattern of inner experience and behaviour that deviates markedly from expectations of an individuals culture

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13
Q

describe dependant PD

A

cluster C

  • inability to be alone
  • anxiety when people not around them
  • rely on other people for comfort, reassurance, advice, support
  • clingy - need taken care of
  • fear of abandonment
  • got to excessive lengths to maintain
  • difficulty expressing disagreement with others incase this leads to a relationship breakdown
  • needs someone for important decisions
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14
Q

benzodiazepines side effects

A
  • sedation
  • constipation
  • amnesia
  • tolerance
  • dependance
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15
Q

Warnikes encephalopathy presentation

A
  • N+V
  • confusion
  • ataxia
  • opthalmoplegia
  • nystagmus
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16
Q

effects of opiates

A
  • physical and emotional anaesthesia

- intense but transient feeling of pleasure ‘a rush’ ‘almost orgasmic’

17
Q

medium term side effects optiates

A
  • phlebitis
  • anorexia
  • constipation
18
Q

phlebitis

A

inflammation of a vein

19
Q

symptom groups anxiety disorders

A
  • psychological arousal
  • autonomic arousal
  • muscle tension
  • hyperventilation
  • sleep disturbance
20
Q

function of methadone maintenance

A

to taper someone of opioid addiction
allows normalisation of lifestyle
reduces IV misuse

21
Q

potential consequences of conduct disorders

A
  • increased risk of early death often by sudden/ violent means
  • increase risk social exclusion
  • poor school achievement
  • unemployment
  • criminal activity
  • adult mental health
  • poor interpersonal relationships
22
Q

describe dementia ABCD

A

A - decrease Activities
B - behavioural and psychiatric symptoms (depression, psychosis, aggression, anxiety)\
C - cognitive decline
D - decline physical