Gap Deck - Psych Flashcards
What’s an oculogyric crisis
an acute dystonic reaction characterized by a prolonged involuntary upward deviation of the eyes.
can occur as part of the spectrum of EPSEs of antipsychotics. 90% reactions happen within first 4 days of initiation/dose increase
EPSE more common with
first gen antipsychotics (haloperiodl, chlorpromazine)
Treatment of acute dystonia
Procyclidine [Anticholinergic ]
Then reduce dose of antipsychotic
what is Somatisation disorder
multiple physical SYMPTOMS present for at least 2 years
patient refuses to accept reassurance or negative test results
What is Illness anxiety disorder (hypochondriasis)
persistent belief in the presence of an underlying serious DISEASE, e.g. cancer
patient again refuses to accept reassurance or negative test results
What is Conversion disorder
typically involves loss of motor or sensory function. May be caused by stress
the patient doesn’t consciously feign the symptoms (factitious disorder) or seek material gain (malingering)
patients may be indifferent to their apparent disorder - la belle indifference - although this has not been backed up by some studies
What is Dissociative disorder
dissociation is a process of ‘separating off’ certain memories from normal consciousness
in contrast to conversion disorder involves psychiatric symptoms e.g. Amnesia, fugue, stupor
dissociative identity disorder (DID) is the new term for multiple personality disorder as is the most severe form of dissociative disorder
What is Factitious disorder
also known as Munchausen’s syndrome
the intentional production of physical or psychological symptoms
What is Malingering
fraudulent simulation or exaggeration of symptoms with the intention of financial or other gain
Schneider’s first rank symptoms for schizophrenia
Auditory hallucinations of a specific type:
two or more voices discussing the patient in the third person
thought echo
voices commenting on the patient’s behaviour
Thought disorder*:
thought insertion
thought withdrawal
thought broadcasting
Passivity phenomena:
bodily sensations being controlled by external influence
actions/impulses/feelings - experiences which are imposed on the individual or influenced by others
Delusional perceptions
a two stage process) where first a normal object is perceived then secondly there is a sudden intense delusional insight into the objects meaning for the patient e.g. ‘The traffic light is green therefore I am the King’.
What is therapeutic range of lithium
0.4-1mmol/L
Lithium is associated with which defect in neonates
Ebstein’s anomaly, a serious cardiac anomaly.
BZD are associated with what malformation in neonates
Cleft Lip
First trimester exposure to benzodiazepines has been associated with increased risk of cleft lip,
What is circumstantiality
inability to answer a Q without giving excessive unnecessary detail
What is knight’s move thinking/loosening of associations and when is it seen
schizophrenia → no clear links between successive thoughts
What is flight of ideas and when may it be seen
- Flight of ideas: feature of mania, not psychosis → jumping thoughts with links between successive thoughts
What is tangentiality
wandering from a topic without returning to it
What is perserveration
repetition of ideas/words despite an attempt to change the topic
What are clang associations
when ideas related to each other only by the fact they sound similar/rhyme
What is word salad
incoherent speech where real words strung together into nonsense sentence
What is echolalia
repetition of someone else’s speech, including question asked
What is De Clerambault’s syndrome (Erotomania )
presence of a delusion that a famous is in love with them, with the absence of other psychotic symptoms
What is Capgras syndrome
delusion that a person closely related to the patient has been replaced by an impostor.
What is Othello syndrome
delusion of sexual infidelity on the part of a sexual partner.
