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J Psych > Conditions Summary > Flashcards

Conditions Summary Flashcards

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1
Q 
decreased serotonin and noradrenaline 
insomnia (hence tired) 
anhedonia (loss of interest in prev enjoyable things) 
lack of concentration 
3 weeks
A

moderate depression

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2
Q

mild depression <8weeks treatment

A

not antidepressants

exercise!
socializing
increase sleep

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3
Q

moderate depression treatment (7 steps)

A 
SSRI - citalopram 
diff SSRI - fluoxetine, sertraline, paroxetine 
SSRI and mirtazapine 
SNRI - venlafaxine 
tricyclic - amitriptyline 
MAOi - phenelzine 
lithium
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4
Q

severe depression treatment

A

hospital admission
ECT
CBT
psychoeducation

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5
Q

periods of depression
periods of psychosis, flight of ideas, grandiosity
interferes with life

A

bipolar (with mania, not hypomania)

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6
Q

treatment of bipolar (5 steps)

A

STOP antidepressants

atypical second gen antipsychotics - risperidone, olanzapine, quetiapine
typical first gen antipsychotics - haloperidol
clozapine
lithium
sodium valproate

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7
Q

someone with 2nd trimester viral illness
cannabis user

3rd person auditory hallucinations
knights move thoughts
delusions of persecution, religion
passivity phenomena - thought insertion/withdrawal/broadcasting
negative symptoms - decreased speech, decreased motivation

A

schizophrenia

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8
Q

treatment of schizophrenia (3 steps)

A

atypical second gen antipsychotics - risperidone, olanzapine, quetiapine
typical first gen antipsychotics - haloperidol
clozapine - last line!

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9
Q

3rd person auditory hallucinations

A

schizophrenia

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10
Q

treatment of aggressive behavior in schizophrenia

A

lorazepam and haloperidol

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11
Q

fear of public places

doesn’t leave home

A

agoraphobia

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12
Q

fear of public speaking

fear of scrutiny

A

social phobia

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13
Q

fear of spiders

A

arachnophobia

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14
Q

fear of dentists

A

odonotophobia

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15
Q

fear of clowns

A

coulrophobia

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16
Q

treatment of specific phobias

A

graded exposure

17
Q

OCD treatment

A

SSRI (fluoxetine)
tricyclic (clomipramine)
CBT + ERP

18
Q

general anxiety treatment

A

psychoeducation
CBT
SSRI (fluoxetine)
benzos (lorazepam) - short term only

beta blockers for palpitations

19
Q

PTSD treatment

A

CBT
EMDR
paroxetine/mirtazapine

20
Q

pin point pupils
tachycardiac
hypotensive l
low resp rate

A

opiate over dose

21
Q

opiate overdose emergency treatment

A

naloxone PO/IV/IM

22
Q

opiate dependency treatment

A

methadone programme

23
Q

rapid tranquilisation for violence

A

lorazepam 1-2mg
haloperidol 5mg

PO, IM if PO ineffective

24
Q 
young woman 
russells sign 
dental problems 
fear of being fat 
binges compensated by excessive exercise/vomiting/starvation/laxatives
A

bulimia

25
Q

bulimia/anorexia acute treatment

A

inpatient admission

weight gain - PO or NG tube, beware of refeeding syndrome

26
Q

bulimia/anorexia chronic treatment

A

CBT

family therapy, dietician

27
Q

impaired social communication
impaired social interaction
rigid/repetitive behaviours/interests
hyperstimulation to sensory things

A

ASD

28
Q

ASD with normal intelligence

A

aspergers

29
Q

ASD chronic treatment

treatment of;
aggression
anxiety/depression
sleep disorder

A

special education
communication aids

risperidone - if aggression
SSRI - if anxiety/depression
melatonin - if sleep disorders

30
Q

inattention
hyperactivity
impulsivity

A

ADHD

31
Q

hyperactivity
6 yo boy
sore hip, funny gait

A

perthes (associated with ADHD)

32
Q

ADHD treatment

A

1 - mindfulness, meditation, sleep, diet
2 - methylphenidate (stimulant)
3 - SSRI (atomoxetine)

33
Q

think somethings worng with body, but no symptoms

A

hypochondriasis

34
Q

say have symptoms but fine

no motives

A

facticious disorder

35
Q

say they have symptoms

motives for doing so - secondary benefit eg benefits

A

malingering

J Psych (14 decks)

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