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Psychiatry > General Psych > Flashcards

General Psych Flashcards

1
Q

DM-5 diagnostic criteria for bulimia nervosa

A
  • Recurrent episodes of binge eating and lack of self-control
  • Inappropriate compensatory behaviour for weight gain
  • Episodes of inappropriate/binge eating for at least once a week for 3 months
  • Self-evaluation by body shape and weight
  • Depressive symptoms more common
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2
Q

Describe cluster A personality disorder

A

Odd, bizarre, eccentric

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3
Q

Describe cluster B PD

A

Dramatic, erratic

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4
Q

Describe cluster C PD

A

Anxious, fearful

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5
Q

What type of PD falls into group A?

A
  • Paranoid
  • Schizoid
  • Schizotypal
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6
Q

What type of PD falls into group B

A
  • Antisocial
  • Borderline
  • Histrionic
  • Narcissistic
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7
Q

What type of PD falls into group C

A
  • Avoidant
  • Dependent
  • Anankastic
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8
Q

Define Anankastic PD

A

OCD type - perfectionism extreme

Typically doubting cautious, rigid, controlling, humourless

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9
Q

Define Narcissistic PD

A

Excessive high self-regard

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10
Q

What is the difference between schizoid and schizotypal PD?

A

Schizoid is detached, aloof, fantastical and has no desire for social interaction and generally well functioning with rare presentations to services whereas Schizotypal fears social interaction and fears others and more likely to develop schizophrenia

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11
Q

What are the side effects from ECT?

A
  • Brief confusion following anaesthetics
  • Muscle pains/head ache
  • Short term memory loss
  • Long-term memory loss is rare
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12
Q

What questions form the AMTS?

A
  1. Age
  2. Time to the nearest hour
  3. DOB
  4. Year
  5. 42 West Street
  6. Location
  7. Name 2 people
  8. Current monarch
  9. WWII
  10. Count from 20-1
  11. Recall address
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13
Q

What are the First Rank Symptoms?

A
  • Delusional perceptions
  • Thought withdrawal
  • Thought insertion
  • Thought broadcasting
  • Auditory echo
  • 3rd person auditory hallucination
  • Running commentary
  • Passivity experiences - being under control
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14
Q

What are the 4 negative symptoms?

A

Apathy
Avolition
Alogia
Affective blunting

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15
Q

What is a somatisation disorder?

A
  • Multiple physical SYMPTOMS present for at least 2 years

- Patient refuses to accept reassurance or negative test results

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16
Q

What is hypochondrial disorder?

A
  • Persistent belief in the presence of an underlying serious DISEASE: cancer etc
  • Patient refuses to accept reassurance or negative test results
17
Q

What is a Conversion disorder?

A
  • Loss of motor or sensory function
  • Patient does not consciously feign the symptoms or seek material gain
  • Patients may be indifferent to their apparent disorder - la belle indifference - although this has not been backed up by some studies
18
Q

What is a dissociative disorder?

A
  • ‘Separating off’ certain memories from normal consciousness
  • In contrast to conversion disorder, involves psychiatric symptoms - Amnesia, fugue, stupor
  • Dissociative identity disorder= new term for multiple personality disorder - most severe form
19
Q

What is Munchausen’s syndrome?

A
  • Factitious disorder

- Intentional production of physical or psychological symptoms

20
Q

What is Malingering?

A
  • Fraudulent simulation or exaggeration of symptoms with the intention of financial or other gain
21
Q

What is Acute dystonia?

A
  • Painful, spastic contraction of certain muscles or muscle groups
  • Commonly affects neck eyes, trunk
  • Tongue protrusion, grimacing, torticollis
22
Q

What is torticollis?

A

A painfully twisted and tilted neck. The top of the head generally tilts to one side while the chin tilts to the other side

23
Q

What is Akathisia?

A
  • Distressing feeling of restlessness

- Fidgety leg movements, shuffling of feet, pacing

24
Q

How can you treat Akathisia?

A
  • Anticholinergics, propanolol, benzodiazepines, clonidine
25
Q

What are Parkinson-like symptoms?

A
  • Tremor
  • Muscle rigidity
  • Bradykinesia
26
Q

What may Parkinson-like symptoms respond to?

A

Anti-cholinergics

27
Q

What is Tardive Dyskinesia

A
  • Involuntary, repetitive, purposeless movements of tongue, lips, face, trunk, and extremities
28
Q

When does tardive dyskinesia occur?

A
  • After several months or years of antipsychotic medication
29
Q

What increases the risk of tardive dyskinesia-like symptoms?

A
  • Increasing age
  • Female
  • Prominent negative symptoms
  • Head injury/brain damage
30
Q

List 4 EPSE

A
  • Acute dystonias
  • Akathisia
  • Parkinson-like symptoms
  • Tardive dyskinesia
31
Q

What is Neuroleptic Malignant syndrome?

A
  • Rare and can be fatal reaction to anti-psychotic medication
  • Blockade of dopaminergic hypothalamospinal tracts that inhibit sympathetic neurons
32
Q

What are the symptoms of Neuroleptic Malignant Syndrome?

A
  • Hyperthermia
  • Muscle rigidity - Rhabdomyolysis
  • Autonomic instability
  • Altered mental status
33
Q

What are the complications of NMS?

A
  • Renal failure
  • Cardiovascular collapse
  • Seizures
  • Arrhythmias
  • DIC
34
Q

How would you manage NMS?

A
  • Supportive
  • Oxygen, fluids, cooling blankets
  • Lorazepam/dantrolene
35
Q

Mania history - 5 identifier questions

A
  • How do you feel and for how long
  • Do you feel overly happy/elated
  • Racing thoughts/inability to concentrate
  • Creativity/projects
  • Any periods of feeling low
36
Q

Mania history - 3 social questions

A
  • Work/relationships
  • Increased sociability
  • Increased spending
37
Q

Mania history - 3 health questions

A
  • Sleep
  • Appetite
  • Substance abuse
38
Q

Mania history - 3 risk questions

A
  • Sexual need increase
  • Trouble with debt/police
  • Grandiose/paranoid delusional beliefs

Psychiatry (6 decks)

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