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Year 3 Psych > Formative Learning Points > Flashcards

Formative Learning Points Flashcards

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1
Q

What is a primary symptom of schizophrenia ?

A 
Thought disorder (insertion, broadcast etc)
Hallucinatory voices
Delusions of control,influence or passivity
Persistent inappropriate delusions
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2
Q

What are secondary symptoms of schizophrenia?

A

Persistent hallucinations in any modality
Breaks or interpolations in train of thought
Catatonic behaviour
Negative symptoms

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3
Q

What are the positive symptoms of Schizophrenia

Things that are their that shouldn’t be there

A

Hallucinations
Delusions
Disordered thinking

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4
Q

What are negative symptoms of schizophrenia?

things that are missing

A

Apathy
Lack of interest
Lack of emotions

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5
Q

What are nihilistic delusions?

A

Delusions regarding non existing on the self/the world

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6
Q

What is the SCAN classification?

A

Schedules for clinical assessment in neuropsychiatry

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7
Q

What is the SCID anagram

A

Severe combined immunotherapy

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8
Q

What is conduct disorder?

A

Intentional dissocial behaviour

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9
Q

What is somnambulism

A

Sleep walking

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10
Q

What is a MAOI?

A

Monoamine oxidase inhibitor- used to treat………

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11
Q

What is the adult support and protection (Scotland) Act 2007?

A

Vulnerability adult, allows social protection not social protection

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12
Q

What is the mental health act 2007?

A

The legislation that applies in England and Wales

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13
Q

What is the interpersonal map?

A

Represents self and peers, used in schema therapy (better for personality disorders)
Shows underlying beliefs/systems

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14
Q

What are the two screening tools used to assess alcohol consumption?

A

CAGE

FAST (fast alcohol screening tool)

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15
Q

What is the BDI therapy

A

Becks depression inventory?

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16
Q

What is the MADRS screening scale?

A

Montgomery and asberg depression scale

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17
Q

How do you monitor lithium levels?

A

Aiming for blood level between 0.6 and 1.2
Steady state achieved after 5 days, check 12 hours after last dose (taken at night)
Once stable check concentration every 3 months
Check TSH and creatinine every 6 months

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18
Q

What is an assessment order?

A

Court order requests the assessment of a patient in custody

19
Q

What is a guardianship order?

A

Act on a patients behalf when capacity impaired. Only put in place after the the incident and the patient does not have power of attorney

20
Q

What is a place of safety order?

A

Police use it to remove people from a public place

21
Q

What is a restriction order?

A

Court restricts movements of an individual

22
Q

What is dysthymia?

A

Recurrent mild (sub clinical) depression

23
Q

What is akathisia?

A

Unpleasant sensation of restlessness

24
Q

What is Catatonia

A

Immobility, stupor

25
Q

What is dysarthria

A

Difficulty articulating speech

26
Q

What is dystonia?

A

Involuntary muscle spasms/contractions

27
Q

What is agraphia?

A

Inability to write

28
Q

What is dyscalculia

A

Difficulty with numbers

29
Q

What is alexithymia

A

Sub clinical emotional blindness

30
Q

What is Anergia?

A

Lack of energy

31
Q

What is cyclothymia?

A

Relatively mild mood fluctuations

32
Q

What is poverty of thought?

A

Thought disorder

33
Q

What is an idea of reference?

A

Believing that causal events, remarks and occurrences which happen every day illogically relate to oneself (people laughing at you when they’re not)

34
Q

What is a delusional perception?

A

A delusion where you relate something to something else with no relation e.g. I’ve seen a seagull in the park, therefore I must dig up margret thatcher

35
Q

What is confabulation?

A

Making up elaborate stories to fill bits of memory that have been lost. Patients believe these stories

36
Q

What is agoraphobia?

A

Fear of large crowds

37
Q

What psychiatric drugs are contraindicated by pregnancy

A

Lithium- Mood Stabiliser
Valproic acid (depakote)- Anticonvulsant
Benzodiazipines not brilliant but used

38
Q

Summarise the psychotherapies used to treat disorders?

A

CBT- operates on the principal that thoughts, feelings and behaviours are intertwined. Aims to stop thoughts that influence behaviours and feelings and vice versa

Behaviour activation- Focuses on the negative behaviours of diseases and the unintended consequences they cause

Interpersonal therapy-Effective for mood and personality disorders. Patient constructs an interpersonal map and aims to reduce symptoms and increase interpersonal skills

Motivational interviewing- considers the cycle of change to help get patients to take the initiative and make a change

39
Q

What do you do before starting someone on Lithium?

A

Baseline U&E’s, TSH and pregnancy test

40
Q

What are the side effects of lithium?

A

GI distress- reduced appetite, N+V, diarrhoea
Thyroid abnormalities
Nonsignificant leukocytosis
Polyuria/polydypsia secondary to ADH antagonism
Hair loss, Acne
Cognitive slowing

41
Q

What are the stages and signs of lithium toxicity?

A

Mild 1.5-2.0- vomiting, diarrhoea, ataxia, dizziness, slurred speech, nystagmus

Moderate 2.0-2.5- N+V, anorexia, blurred vision, clonic limb movements, convulsions, delirium, syncope

Severe>2.5- generalised convulsions, renal failure and oliguria (barely passing urine)

42
Q

What are the different though disorders that may occur in schizophrenia?

A

Thought Insertion- someone is making you think their thoughts
Thought broadcasting- everyone else knows your thoughts
Thought blocking- Someone slows thinking
Thought withdrawal- someone takes your thoughts

43
Q

What is the process of treatment in depression?

A

SSRI- first line
Combined SSRI and SSRI or SSRI and SNRI- second line
Keep on drugs, also take lithium- third line
Keep on drugs and take atypical antipsychotic- 4th
Electroconvulsive therapy- last line

Year 3 Psych (33 decks)

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