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Psychiatry > Behavioural Problems > Flashcards

Behavioural Problems Flashcards

1
Q

What personality types are eating disorders more prevalent in?

A

Depressive
Anxious
Obsessive Compulsive
Low self esteem

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2
Q

What is anorexia nervosa?

A

Morbid fear of fatness and body image
Deliberate weight loss
Weight <17.5

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3
Q

Signs of anorexia

A 
Lanugo hair
Russel's sign
Eroded tooth enamel
Wasting
Dry yellow skin
Bradycardia
Hypotension
Anaemia
Leukopaenia
Hypokalaemia 
Alkalosis
Parotid swelling
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4
Q

What investigations would you do in Anorexia?

A 
BMI
ECG
FBC
ESR
U and E
Glucose
LFT
TFT
Cholesterol
LH and FSH
Oestrogen
GH
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5
Q

What is the long term risk of anorexia nervosa?

A

Osteoporosis

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6
Q

What is the management of anorexia nervosa?

A

Family interventions
CBT
Counselling
Motivational counselling

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7
Q

When would you hospitalise an anorexic patient?

A

Suicide risk
BIM<13.5
Significant physical abnormalities

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8
Q

What are recovery rates for anorexia?

A

40% recover
20% chronic disorder
5% die

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9
Q

What is characterisitc of Bulimia?

A

Binge eating
Purging
Laxative Abuse

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10
Q

What happens to weight in bulimia?

A

Fluctuates

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11
Q

What is treatment for bulimia?

A

CBT

IPT

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12
Q

What is a poor prognostic factor in bulimia?

A

Low BMI

High purging frequency

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13
Q

What is cataplexy?

A

Sudden loss of muscle tone

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14
Q

When is the onset of narcolepsy?

A

20s

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15
Q

How do you diagnose narcolepsy?

A

Multiple sleep latency tests

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16
Q

How do you treat narcolepsy?

A

sedative

psychostimulant (amphetamine)

17
Q

How do you treat cataplexy?

A

Tricyclic

18
Q

What are causes of insomnia?

A 
Psychological stress
Hypothyroid stress
Restless leg syndrome
Menopause
Heart failure
Chronic pain
Night shifts
Heartburn
19
Q

What is treatment of insomnia?

A

Sleep hygiene
lifestyle changes
CBD
medication not for more than 4 weeks

20
Q

What happens in REM Sleep Behaviour Disorder

A

People act out their dreams (potentially dangerous)

21
Q

What is used to reduce sexual desire in paedophiles?

A

Antiandrogens

22
Q

What are the 3 Gs and 3 Cs that are raised in anorexia?

A 
GH
Glucose
Salivery Gland  
Cortisol
Cholesterol
Caroteneamia (yellow skin)

Psychiatry (13 decks)

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