EFA Session Flashcards
contrast tardive dyskinesia and dystonia
tardive dyskinesia = involuntary repetitive actions
dystonia = involuntary / sustained muscle contraction
give an example of tardive dyskinesia
lip smacking / grimacing
give an example of dystonia
torticolis
losing interest in activities and not feeling yourself. what sx is this?
anhedonia
define alogia
poverty of speech
define apathy
lack of goal directed activities in several domains
define ataxia
neuro sign
cerebella lesion
define avolition
lack of initiative
loss of motivation and lack of pleasure. PMH schizophrenia. what type of Sx are these?
negative
positive sx in schizophrenia
delusions
hallucinations
51 year old Downs man. 6 months Hx of poor self care, aggression, personality change and memory loss. Dx?
Alzheimers disease
man thinks he is dead and does not exist. feels miserable and just got divorced. increased alcohol and cannabis. weight loss. Dx?
depression with psychotic symptoms
man thinks he is dead and does not exist. what sx is this?
nihilistic delusion
what is important about psychotic symptoms in depression?
they are mood congruent (ie sad)
66 year old woman with poor sleep and appetite. feels no longer useful to family and has memory problems. Dx?
depression
what congenital abnormalities does sodium valproate lead to?
neural tube defects
cleft palate
what congenital abnormalities does lithium lead to?
ebsteins anomaly
what congenital abnormalities does carbamazepine lead to?
congenital diaphragmatic hernia
biochemical changes seen after refeeding in anorexia?
electrolytes go DOWN
hypophosphataemia
hypokalaemia
refusal to go to social activities, shy, isolated, no friends or boyfriends. worried that she will get criticised, very sensitive to rejection, attached to mother. Dx?
avoidant PD
constantly asking mother to make decisions for her. won’t take any initiative. Dx?
dependant PD
muscle contraction in neck causing pain and involuntary rotation. on risperidone. what Sx is this?
dystonia
repetitive lip smacking or grimacing. on risperidone. what Sx is this?
tardive dyskinesia
man with fear of public speaking. fears he will embarrass himself or vomit while speaking. gets palpitations when he thinks of public speaking. avoiding teacher and leaving flat. Dx?
social phobia
what is agoraphobia?
fear that you wont be able to escape from a public place
first line Tx for a 15 year old girl with poor sleep, concentration, appetite. getting into trouble for low marks. irritable. first line Tx?
CBT !!
what does ‘irritable mood’ in paeds represent?
depression
first line drug Tx for paeds depression
fluoxetine
antidote to dystonia due to haloperidol?
procyclidine (anticholenergic)
60 year old man thinks government are monitoring him. his beliefs are present regardless of mood. no auditory hallucinations. Dx?
delusional disorder
60 year old man thinks government are monitoring him. his beliefs are present regardless of mood. no auditory hallucinations. why is this not schizophrenia?
need delusions + hallucinations for schizophrenia
recurrent episodes of sweating, dry mouth, difficulty breathing, fear she will die. twice weekly for 2 years. Dx?
panic disorder
30 year old man with no friends or relationships, which he doesn’t mind as he likes being alone. never felt happy, feels hes always lived in a shell. has a high up job in IT. Dx?
schizoid PD
recurrent episodes of sweating, dry mouth, difficulty breathing, fear she will die. twice weekly for 2 years. why is this not GAD?
not continous panic, but seperate episodes
15 year old boy with anorexia, who is currently not acutely unwell. most appropriate Mx?
family therapy
33 year old woman with poor motivation, poor self care, social withdrawal. eats and sleeps well. 5 years ago she saw psych as she had a ‘period of acting strangely’. improved after 6 months but not returned to work. short answers, affect euthymic. no thought / perception abnormalities. Dx?
schizophrenia
33 year old woman with poor motivation, poor self care, social withdrawal. eats and sleeps well. 5 years ago she saw psych as she had a ‘period of acting strangely’. improved after 6 months but not returned to work. short answers, affect euthymic. no thought / perception abnormalities. why is this not depression or mania or bipolar?
affect is euthymic - this rules out affective mood disorders
rapid speech. “you;re a doctor, doctor who, hes a doctor, i watch him on tv, i like tv” what type of thought disorder is this?
flight of ideas
contrast thought disorder and knights move thinking
flight of ideas, there’s logic between the different sections of speech.
knights move, there’s no association between speech sections
man on antipsychotic has been making faces and sticking out tongue, which he’s unaware of. what sx is this?
tardive dyskinesia
what type of medication should be started for someone with AD?
acetylcholinesterase inhibitor
give an example of acetylcholinesterase inhibitor
rivastigmine
