Formative Flashcards
19yrs presents with 3month Hx of auditory hallucinations, being derogatory and telling him what to do. He believes his flatmates are against him and wish to harm him.
whats the most likely diagnosis?
schizophrenia
24yrs is admitted with a Hx of psychotic symptoms and is given a diagnosis of schizophrenia.
what are first rank symptoms of schizophrenia? (ABCD)
auditory hallucinations
broadcasting, insertion, withdrawal of thoughts
controlled thought
delusional perception
what is the standardised classification of anxiety disorders?
ICD 10
8yrs boy is referred with behavioural problems. He is always active and moves from task to task. Finds it difficult to concentrate to read or watch TV.
He often puts himself in danger and his performance at school is poor and is easily distracted.
what is the diagnosis ?
ADHD
- attention deficit and hyperactivity disorder
An elderly man has been admitted with acute onset disorientation, visual hallucinations and agitation.
he has no psychiatric Hx and live alone with no support.
what is the diagnosis?
delirium
27yrs female with depression. You are confident that she doesn’t require to be treated in hospital and wish to start her on treatment.
what is 1st line?
SSRI
which piece of legislation would be most appropriate for a surgical patient with a moderate learning disability ?
adults with incapacity act 2000
29yrs being treated for depression with CBT?
what of the following is a term used in CBT?
negative automatic thoughts
what questionnaire is appropriate for alcohol problems?
FAST/AUDIT
how often do lithium levels need to be measured?
3 months
45yrs is assessed with an intense interest in rare woods and has a very rigid timetable which he sticks to every day. He also gets upset when the doctor is late for the appointment.
what is the likely diagnosis ?
Autistic spectrum disorder
39yrs female is fearful that something bad will happen to her. This fear is with her everywhere she goes and she cannot describe what might happen.
she also complains of chest pains, tremor and sweating
what is the diagnosis ?
generalised anxiety
23yrs male has dermatological hand problem due to washing his hands 23 times before he leaves the house
what is the diagnosis ?
OCD
What power should be used if a 70yrs mother has developed dementia and the daughter wants to manage her money?
power of attorney
28yrs female with severe depression is admitted after taking an overdose. she requires treatment but tries to leave the hospital. The FY2 is the only doctor available.
what is the most appropriate legal power to use in this situation?
emergency detention certificate
24yrs has been started on new medication and one of the side effects is an unpleasant sensation of restlessness. what is this symptom called?
akathisia
24yrs has been started on new medication and one of the side effects is muscle stiffness and contraction sometimes caused by anti-psychotics
what is this called?
dystonia
34yrs develops depression and suffers the inability to experience pleasure but can express other emotions
what is this called?
anhedonia
what is alexithymia?
subclinical emotional blindness
what is anergia?
lack of energy
what is cyclothymia?
relatively mild mood fluctuations
68yrs female has been diagnosed with severe depression and she believes her bowels are rotting
what is the correct term for this?
nihilistic delusion
22yrs has no previous psychiatric illness sees a street lamp flicker and suddenly knows that he is the next scottish ambassador for wales.
what is the correct term for this?
delusional perception
23yrs experiences irritability, grandiose delusion and reduced need for sleep.
he has a Hx of depression
what is the likely diagnosis?
bipolar affective disorder
24yrs has one month Hx of low mood, early morning wakening, irritability, reduced appetite and some suicidal thoughts. She feels guilty she is too tired to take her 2yrs daughter to school.
what is the most likely diagnosis?
depression
79yrs has had 2 admissions for depression in the past.
Daughter brings him to GP concerned he is spending lots of money, has reduced sleep, full of energy.
what is the likely diagnosis?
bipolar affective disorder
34yrs with depression has been prescribed 2 antidepressants with limited improvement.
her mood has slightly improved but complains of poor sleep, lack of energy and motivation and poor appetite.
what is the most appropriate next step ?
add lithium
28yrs is being treated for schizophrenia and her symptoms are improving.
she is convinced the nurses have been replaced by aliens and she can hear voices telling her to sit up all night
what is the most appropriate investigation to order?
urinary drug test
