General Adult Flashcards
How long do symptoms need to persist for a diagnosis of PTSD?
4 weeks
How can acute dystonia be managed?
procyclidine
What are the first-rank symptoms of schizophrenia?
auditory hallucinations, thought broadcast, thought insertion, thought withdrawal and delusional perception
What is the first-line drug for panic disorder?
Sertraline
What class of drugs does Mirtazipine belong to?
noradrenergic and specific serotonergic antidepressant
What is the mechanism of Venlafaxine?
serotonin and noradrenaline reuptake inhibitor
What are the key features of PTSD?
Re-experiencing, avoidance, hyperarousal
How should a GP manage hypomania?
Routine referral to CMHT
How long post-dose should lithium levels be monitored?
12 hours
Which anti-depressant is associated with falls and hyponatraemia?
Mirtazipine
What is the mechanism of TCAs?
Block reuptake of NA and 5-HT
What are the symptoms of SSRi discontinuation?
FINISH acronym - Flu-like, Insomnia, Nausea, Imbalance (dizzy), Sensory disturbance, Hyperarousal
What is the anti-dote for BZDs?
Flumenazil
What is the mechanism of typical anti-psychotics?
Mainly D2 blockade
What is the mechanism of atypical anti-psychotics?
D2 and 5-HT receptor antagonist
Which anti-psychotic is most associated with weight gain?
Olanzapine
What is neuroleptic malignant syndrome?
Life-threatening idiosyncratic reaction to antipsychotic drugs characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction
What is meant by treatment-resistant schizophrenia?
not responsive to 2 anti-psychotics (including at least 1 atypical)
What are the 2 most serious side effects of clozapine?
Constipation & Agranulocytosis
What are some side effects of ECT?
Memory loss, headache, short-term increase in suicide risk
What are the main indications for ECT?
Severe/resistant depression, mania or schizophrenia
Socially withdrawn, lack of interest in friends/romantic connections, indifferent to praise suggests…
Schizoid PD
Which talking therapy is recommended for people with schizophrenia?
CBT
What are the first-rank symptoms of schizophrenia?
3rd person auditory hallucinations
Delusions
Thought disorder - thought echo, insertion/withdrawal or broadcasting
Passivity phenomena (feeling of being controlled)
What management options are available for schizophrenia?
MDT approach
Anti-psychotics
Psychological therapies such as CBT/Family therapy
