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Psychiatry (Y4) > General Adult > Flashcards

General Adult Flashcards

1
Q

How long do symptoms need to persist for a diagnosis of PTSD?

A

4 weeks

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2
Q

How can acute dystonia be managed?

A

procyclidine

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3
Q

What are the first-rank symptoms of schizophrenia?

A

auditory hallucinations, thought broadcast, thought insertion, thought withdrawal and delusional perception

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4
Q

What is the first-line drug for panic disorder?

A

Sertraline

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5
Q

What class of drugs does Mirtazipine belong to?

A

noradrenergic and specific serotonergic antidepressant

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6
Q

What is the mechanism of Venlafaxine?

A

serotonin and noradrenaline reuptake inhibitor

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7
Q

What are the key features of PTSD?

A

Re-experiencing, avoidance, hyperarousal

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8
Q

How should a GP manage hypomania?

A

Routine referral to CMHT

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9
Q

How long post-dose should lithium levels be monitored?

A

12 hours

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10
Q

Which anti-depressant is associated with falls and hyponatraemia?

A

Mirtazipine

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11
Q

What is the mechanism of TCAs?

A

Block reuptake of NA and 5-HT

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12
Q

What are the symptoms of SSRi discontinuation?

A

FINISH acronym - Flu-like, Insomnia, Nausea, Imbalance (dizzy), Sensory disturbance, Hyperarousal

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13
Q

What is the anti-dote for BZDs?

A

Flumenazil

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14
Q

What is the mechanism of typical anti-psychotics?

A

Mainly D2 blockade

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15
Q

What is the mechanism of atypical anti-psychotics?

A

D2 and 5-HT receptor antagonist

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16
Q

Which anti-psychotic is most associated with weight gain?

A

Olanzapine

17
Q

What is neuroleptic malignant syndrome?

A

Life-threatening idiosyncratic reaction to antipsychotic drugs characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction

18
Q

What is meant by treatment-resistant schizophrenia?

A

not responsive to 2 anti-psychotics (including at least 1 atypical)

19
Q

What are the 2 most serious side effects of clozapine?

A

Constipation & Agranulocytosis

20
Q

What are some side effects of ECT?

A

Memory loss, headache, short-term increase in suicide risk

21
Q

What are the main indications for ECT?

A

Severe/resistant depression, mania or schizophrenia

22
Q

Socially withdrawn, lack of interest in friends/romantic connections, indifferent to praise suggests…

A

Schizoid PD

23
Q

Which talking therapy is recommended for people with schizophrenia?

A

CBT

24
Q

What are the first-rank symptoms of schizophrenia?

A

3rd person auditory hallucinations
Delusions
Thought disorder - thought echo, insertion/withdrawal or broadcasting
Passivity phenomena (feeling of being controlled)

25
Q

What management options are available for schizophrenia?

A

MDT approach
Anti-psychotics
Psychological therapies such as CBT/Family therapy

Psychiatry (Y4) (4 decks)

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