GP intro Flashcards

1
Q

Anadonia

A

Loss of things used to enjoy

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2
Q

Management of conditions to present back in OSCE

A

Conservative
Medical
Surgical

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3
Q

What is it important to ask in a psych history?

A

Risk to themselves, others, from others

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4
Q

First line medications for depression

A

SSRIs, SNRIs

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5
Q

Anxiety symptoms

A

Worrying
Nausea
Palpitations
Shaking
Sweating
Chest pain

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6
Q

Conservative management depression/anxiety

A

CBT, exercise etc

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7
Q

Why get gynsecomastia with antipsychotics?

A

Dopamine blockers compete with prolactin - increase prolactin levels in body

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8
Q

EDMT for PTSD

A

Eye movement desensitisation therapy
Reprogramme brain

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9
Q

Bipolar types

A

type 1 or type 2

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10
Q

Bipolar first line

A

Mood stabilisers - lithium
Sodium valproate if lithium not tolerated

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11
Q

Why don’t offer sodium valproate to women of child bearing age

A

V teratogenic

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12
Q

Why is lithium so closely monitored

A

Narrow therapeutic index - v easily becomes nephrotoxic

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13
Q

What is rivastigmine?

A

Antipsychotic

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14
Q

Symptoms of schizophrenia

A

Paranoia
Hearing voices/hallucinations
Thought broadcasting
Often self isolate

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15
Q

Symptoms of anorexia

A

BMI <18.5
Restricitng

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16
Q

Bulimia

A

Salivary gland swelling
Restricitng, bingeing, purging
‘normal weight’

17
Q

What is the MMSE? how many qs, what screens for and what score is normal

A

30 qs
Screen for cognitive impairment, short term memory, language functioning
25-30 = normal

18
Q

MMSE who is disadvantaged before talking it so may not be accurate

A

Visua, prblems - Visually impaired, Limited visuospatial qs
Difficult understanding qs - language, poor education
Poor sensitivity early dementia
Takes 30 mins

19
Q

What cognitive test is normally used in primary care for dementia?

A

6CIT
Dementia screening test

20
Q

6CIT + and -

A

High sensiticity even in mild
Transferrable language and culture
- -
One wrong score can massively change result

21
Q

What need to check the cause isnt when doing a psych history?

A

Organic cause = eg brain tumour, thyroid problems

21
Q

What need to check when doing a psych history?

A

Organic cause = eg brain tumour, thyroid problems