EFAs Flashcards
51-year-old with Down’s syndrome has 6 months of poor self-care, increased aggression and personality change. Recently got lost on the way back from the local shop.
Dx?
Alzheimer’s disease
45 year old thinks he is dead and does not exist. He feels miserable most of the time. WIfe left him for another man 5 months ago. Has increased alcohol intake over 4 months to 3 pints everyday. Also smokes cannabis occasionally. Has lost 7kg in the last 3 months.
Dx?
Depressive episode with psychotic symptoms
25 year old women has 1 week of lethargy and confusion. SHe has anorexia nervosa diagnosed 6 months ago.
Her BMI is 13 kg/m2. She is admitted for nasogastric feeding. Which biochemical change is most likely to result from this treatment?
Hypophasphataemia
17 year old woman is accompanied to the GP by her mother, who says that for the last 2 days her daughter has had severe headaches, stomach aches and has vomited 4 times.
Her daughter has been invited to a birthday party and refuses to attend, but her mother insists she goes.
Her daughter is extremely shy and isolated. She is always worried that others criticize her, is extremely sensitive to any rejection and very attached to her mother.
Dx?
Avoidant Personality Disorder
25 old man develops muscle contraction in his neck causing pain and involuntary rotation of his neck. He was admitted to the psychiatric intensive care unit 24hrs ago with persecutory delusions, agitation and auditory hallucinations.
He has been given 2mg Risperidone since his admission.
What side effect is he experiencing?
Dystonia
19 year old man develops painful muscle spasms in his neck. He has been an inpatient on the psychiatric ward for 3 days because of his psychosis. He has been taking haloperidol 5 mg orally twice daily since yesterday.
Most immediate treatment?
procyclidine
15-year-old boy has had severe anorexia for one year. He is not currently acutely physically unwell. His weight is 75% of the expected weight for his height, age and gender.
What is the most appropriate treatment?
Family therapy
36 year old man is admitted to psych ward. His speech is very rapid and he does nor paude for breath between sentences. He says to the admitting doctor:
you are a doctor, doctor Who, He is a doctor. i watch him on Tv, I like Tv”
Flight of ideas
44 year old man is reported by his wife to be making faces and sticking his tongue out. He is unaware that he is doing this.
PMH of schizophrenia that is controlled with depot antypsychotic medication. He has facial grimacing and tongue writhing.
Most likely explanation?
Tardive Dyskinesia
72 year old man has been referred to the psych clinic. Wife reports that he seems very confused. He has forgotten to meet friends with whom he has made arrangements and has not passed on messages that have been given to him on the phone. He recently went for a walk and got lost.
He takes simvastatin.
Which is the most appropriate class of drug therapy to recommend?
Acetylcholinesterase inhibitor
Mental handicap
Visual impairment
Progressive hearing loss
Psychomotor retardation
congenital CMV infection
Dermatomal skin scarring
Neurological defects
IUGR
Limb hypoplasia
Hydrops fetalis
Congenital varicella syndrome
Poor feeding
Runny nose (bloody)
Rash
Keratitis
Deafness
Frontal bossing
congenital syphilis
