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A- Psych > Lecture notes > Flashcards

Lecture notes Flashcards

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1
Q

Which antipsychotic is ysed to treat psychosis?

What dose?

A

Onlanzapine

10mg OD

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2
Q

Indications for clozapine use?

A

Treatment reistant schizophrenia

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3
Q

Which law is used for the transfer of an unsentenced prisoner to hospital and for their detention there?

A

Section 48

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4
Q

Name a enzodiazepine antagonist and use to reverse benzodiazepine overdose

A

Flumezanil

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5
Q

Difference betwren opiate and opiod?

A

Opiates are extracted from Papaver Somniferum (opium poppy). Synthetic compounds are called opiods.

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6
Q

List 3 drugs used in opiate withdrawals and their MOA?

A

Buprenorphine is a partial u-opioid receptor agonist. It has abuse potential as the tablet can be prepared for injection.

Methadone is a long acting u-opioid receptor agonist. synthetic opiate. It is prescribed as a coloured liquid, and is not suitable for iv use.

Lofexidine is an alpha adrenergic agonist which helps with symptomatic relief.

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7
Q

What is the difference between section 2 and 3 of the mental health act?

A

Section 2 is used for the purpose ofassessment and treatment(lasting up to 28 days).

Section 3 is used fortreatment(lasting up to 6 months, with the possibility of renewal

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8
Q

define formal thought disorder

A

A disturbance of the organization and expression of thought.

Whereas delusions reflect abnormal thought content.

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9
Q

self care is poor in which conditions?

A

depression

schizophrenia

dementia

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10
Q

neologisms are seen in which conditions?

A

mania

schizophrenia

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11
Q

what is thought block?

A

patient is speaking and they stop suddenly

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12
Q

how to diagnose a formal thought disorder?

A

you find you lose trail of thought

doesnt make sense

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13
Q

what is circumstantial speech?

A

they are speaking and go on and talk about a huge amount of other stuff but then get back to the point in the end.

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14
Q

what is derailment?

what condition is it found?

A

change in topic, no logical connection

in schizophrenia

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15
Q

define word salad?

A

randomly saying words that dont connect together in any way

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16
Q

what is the difference between flight of ideas and derailment?

A

There is no link between ideas in derailment

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17
Q

whats one thing to know about flight of ideas?

A

patients dont get back to the point when they do this

you can get clang associations with these

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18
Q

if patient is moving around very fast in an interview, how would you describe that?

A

psychomotor agitation

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19
Q

diifference between affect and mood?

A

affect - objective

mood - subjective

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20
Q

what is the term for normal mood

A

euthymic

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21
Q

what is the range of affect?

A

restricted - reduced

blunted - severe restriction in emotional expression

flattened - absence/near absence

22
Q

what is thee diffeerence between thought content and though form;

A

thought content;
overvalued ideas - eg body dysmorphia etc
obsessions + compulsions

-> associated with personality disorders

23
Q

define an ego dystonic thought?

whih condition is it seen?

A

a thought you dont like/ agree with/ goes against your idea of self

seen in ocd

24
Q

define undoing in relation with compulsions?

A

Attempts to nuetralise i.e. after a violent thought

25
Q

characterise primary delusions?

A

autocthonous

Primary delusion implies that delusion is not occurring in response to another psychopathological form such as mood disorder.

A primary delusion is a delusion which arises “out of the blue” with no morbid antecedents.

26
Q

give examples of scondary delusions

A 
reference
grandeure
paranoid
hypochondriasis
love - othello
jealousy
Delusional infestation/ekboms syndrome - a persistent belief that they are infested with living or nonliving pathogens such as parasites, insects
27
Q

define secondary delusion

A

These are delusions that are secondary to a morbid event, such as a change in mood, an hallucination, or another delusion.

28
Q

what are hypnopompic and hypnogogic delusions?

A

hypnopompic - hallucination as youre waking up

gogic - go for going to sleep -> halluciantions as youre goign to sleep

29
Q

what is a functional hallucination

A

an external stimulus provokes hallucination

30
Q

what is a reflex hallucination

A

stimulus in one sensory field causing hallucination in another

31
Q

what is negative autoscopy?

A

example: look in mirro and dont see yourself

32
Q

what is a autoscopy hallucination

A

Autoscopic hallucinations are the experience of “seeing oneself” (thus indicating the existence of two selves) as if looking in a mirror.

33
Q

what are command hallucinations ?

A

the voices are giving him instructions

34
Q

what is 2nd person auditory hallucination ?

3rd person

which conditoins are they seen in?

A

2nd - voices are talking to him

3rd - talking about him

schizophrenia - get both but 3rd more common
psychotic depression - 2nd person voices

35
Q

what are command hallucinations ?

A

the voices are giving him instructions

36
Q

what aree the different typse of insomnia

A

initial - aka sleep onset insomnia eg anxiety

middle - aka sleep maintenance insomnia

treminal - early morning waking - eg depression

37
Q

what presentation is very similar to depression and has to be investigated carefully in hx?

A

schizophrenia
- both have negative sx, poor self care

but obviously you can differentiate with positive symptoms; hallucinations, delusions,
first rank symptoms etc

38
Q

abnormal affect is….?

A

objective

it is for us as interviewers to assess that

39
Q

3 main characteristics of delirium?

A

inattention
disorientation/confusion
psychotic symptoms

40
Q

who do the following terms mean and which condition are they associated with?

flocillation
carphology
tilmus

A

delirium

41
Q

which condition should you avoid haloperidol and why?

A

parkinsons

Antipsychotic = epse = Parkinsonism gets worse

42
Q

which condition should you avoid haloperidol and why?

A

parkinsons

Antipsychotic = epse = Parkinsonism gets worse

43
Q

Primary complusions are seen in which conditions?

and secondary compulsions?

A

primary - OCD

secondary - depression, schizophrenia, organic, anorexia nervosa

44
Q

Primary complusions are seen in which conditions?

and secondary compulsions?

A

primary - OCD

secondary - depression, schizophrenia, organic, anorexia nervosa

45
Q

state verbatim the definition of delirium?

A

fixed, false belief

held in spite of evidence,
not in keeping with social / cultural background usually of great personal significance

46
Q

psycodynamic psychotherapy is based on who’s theory?

A

FREUD

  • > there is a conscious and unconscious mind
  • > your problems based on your childhood experiences

trying to help patient to understand the unconscious influences on their actions - help them realise the underlying emotions etc behind their actions so they can examine themselves and see how they can change

therapeutic relationship is of particular importance here

47
Q

difference between psychodynamic and psychoanalytic therapy?

A

dynamic - focusses on INTERPERSONAL conflict
therapeutic relationship important

analytic - internal conflict
therapeutic relationship professional, less relied on to make therapy work

48
Q

what is another term for erotomania?

A

de clerambault syndrome

49
Q

what is capgras syndrome?

A

an irrational belief that someone they know or recognize has been replaced by an imposter.

after head trauma

50
Q

what is fregoli syndrome?

A

The Fregoli delusion is a rare disorder in which a person holds a delusional belief that different people are in fact a single person who changes appearance or is in disguise.

persecutory nature

A- Psych (24 decks)

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