Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical 4th Year > Chapter 7- Mental Health > Flashcards

Chapter 7- Mental Health Flashcards

1
Q

What’s the four headings on the mental health continuum model

A

Healthy
Reacting
Injured
ill

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

What model can be used to demonstrate stress ins and outs and acute crisis

A

Bucket model of stress-vulnerability

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

Clinically significant distress relies on what?

A

Perspective of the treatment provider

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

Diagnosis of mental health conditions is based on what

A

DSM-V

ICD-10

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

What are the characteristic symptoms of schizophrenia

A 
Delusions 
Hallucinations 
Disorganised speech 
Grossly disorganised behaviour 
Negative symptoms 
Social/occupational dysfunction
Signs for at least 6months
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

List positive symptoms of schizophrenia

A

Hallucinations
Delusions
Thought disorder
Passivity phenomena (chip in brain)

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

What can delusions entail in schizophrenia

A

Paranoia
Grandiose
Ideas of reference (bus top numbers)

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

List negative symptoms of schizophrenia

A

Slowed down thought and movement
Indifferent to social contact
Lack of interest in previously pleasurable things

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

What’s more difficult to treat in schizophrenia.. positive or negative symptoms?

A

Negative

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

What are the long term treatment goals of schizophrenia

A 
Symptom control 
Prevent relapse/re-admission 
Ensure tolerability/safety 
Improve quality of life 
Improve social functioning 
Reduce cost
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the three key symptoms of depression

A

Lowered mood
Anergia (lethargy)
Anhedonia (no pleasure from activities)

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

The new DSM-V criteria has taken out what and what problem could this cause

A

Bereavement exclusion

–> medicalising normal life

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

What’s a big problem with SSRIs

A

Vomiting/nausea

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

True/false: SSRIs are safer in overdose than TCAs

A

Yeh

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

Three side effects of SSRIs

A

Nausea/vom
GI
Sexual dysfunction

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

Side effects of TCA

A

Postural hypotension
Sedation
Anticholinergic effects

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

TCAs are more toxic in overdose what two things can occur

A

Cardiac toxicity

Seizures

18
Q

Why is mirtazapine often used in combination with other antidepressants?

A

Different mechanisms of action

19
Q

After recovery how long should antidepressants be continued for

A

6months

20
Q

Why is alternate day dosing not a good idea with e.g venlafaxine

A

Short half life

21
Q

List the antidepressant discontinuation symptoms

A 
Flu like symptoms 
Insomnia 
Nausea 
Imbalance 
Sensory disturbances 
Anxiety/ agitation
22
Q

Which type of antipsychotic is more targeted?

A

Atypical

23
Q

What do you need to consider when choosing antipsychotic medication

A

Metabolic
Extrapyramidal
Cardiovascular
Hormonal

24
Q

Risk of clozapine

A

Serious blood disorders

25
Q

Trial of antipsychotic medication should continue for how many weeks

A

4-6 weeks

26
Q

Half life of fluoxetine

A

Approx 1 week

27
Q

Why caution from switching to a TCA from fluoxetine/paroxetine

A

They inhibit metabolism of TCA start lower dose of TCA

28
Q

3 ways of switching medication

A

1) taper down drug and simultaneously start low and increase new drug(cross-tapering)
2) taper down and stop one then start another after gap
3) stop one and start another

29
Q

Symptoms of severe serotonin syndrome

A

Fever
Seizures
Irregular heartbeat
Unconscious

30
Q

Side effects of typical antipsychotics

A

Hypotension
EPSE
abticholinergic effects

31
Q

3 examples of typical antipsychotics

A

Chlorpromazine
Haloperidol
Perphenazine

32
Q

Side effects of atypical antipsychotics

A

Diabetes
Sexual dysfunction
Weight gain

33
Q

Examples of atypical antipsychotics

A

Olanazpine
Quetiapine
Clozapine
Risperidone

34
Q

What score on the PHQ-9 indicates moderate-severe depression

A

> 10

35
Q

True false: PHQ-2 questionnaire can be an enhanced service and you have to be trained whereas PHQ-9 isn’t

A

False it’s the other way round

36
Q

PHQ-2 questionnaire asks about the past how many weeks?

A

2 weeks

37
Q

PHQ-2 score ranges from what

A

0-6

38
Q

PHQ-2 asks what 2 questions

A

1) little interest/pleasure in doing things

2) feeling down, depressed or hopeless

39
Q

What’s HADS

A

Hospital anxiety and depression score used in hospitals

40
Q

GADS7

A

Generalised anxiety and depression score 7

Clinical 4th Year (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions