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Psychiatry > Management > Flashcards

Management Flashcards

1
Q

Highest incidence of anorexia?

A

15-19

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2
Q

What mental disorder has the highest mortality rate?

A

Anorexia

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3
Q

Risk assessment for anorexia?

A

MARSIPAN

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4
Q

Anorexia in adults tend to look at their ______ for health

A

BMI

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5
Q

What is Waterloo scale?

A

Pressure ulcer prevention for bed ridden patients

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6
Q

Refeeding syndrome in anorexia

A

Potentially fatal metabolic response to too rapid re-feeding after a period of starvation
7-14 days after

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7
Q

When does referring syndrome happen?

A

Body switches from carbohydrates to fats and protein as its energy source

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8
Q

What happens cellularly to cause reseeding syndrome?

A

Intracellular minerals become depleted but serum levels may remain normal - referring stimulates insulin production which causes potassium/magnesium and phosphate to be taken into the cells whilst serum levels fall - rapid change in BMR contributes as well

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9
Q

Supplement to avoid refeeding

A

Multivitamine - forceval

Thiamine

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10
Q

CBT

A

Cognitive behavioural therapy

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11
Q

Bulimia treat

A

CBT

Fluoxetine

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12
Q

ICD definition of adult personality disorders

A

Individuals characteristic and enduring patterns of inner experience and behaviour deviate markedly as a whole from the culturally expected and accepted range

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13
Q

Personality disorders need to be ________

A

Pervasive - present across time, maladaptive or dysfunctional

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14
Q

Anankastic definition

A

Arising from compulsion especially in an obsessive or compulsive neurosis

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15
Q

Traits vs an actual disorder

A

It is only a disorder if it is:
Pervasive
Causes distress
Causes impairment of functioning in most areas

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16
Q

How do you diagnose a personality disorder?

A

Clinical

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17
Q

Rating scale for borderline personality disorder

A

ZANBPD

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18
Q

What % of personality disorders have genetic heritability?

A

60%

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19
Q

Anxious personality genetic

A

69%

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20
Q

What proportion of people in general population have a personality ‘disorder’?

A

10.6%

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21
Q

1/_ psychiatric outpatients have a personality disorder

A

3

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22
Q

Cluster A personality disorders AKA

A

Odd and eccentric

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23
Q

What makes up cluster A personality disorders

A

Paranoid, Schizoid

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24
Q

Paranoid PD features

A

Excessive sensitivity to setbacks
Tendency to bear grudges
Suspiciousness and tendency to misconstrue the neutral/friendly actions of others as hostile
Suspiciousness regarding sexual infidelity of partner
Persistent self-referential attitude, excessive self-important

25
Q

Schizoid disorder features

A

Few activities provide pleasure
Emotional coldness, detachment, or flattened affectivity
Limited capacity to express warm feelings for others
Solitary activities
Fantasy
No close friends
Insesntivity to social normas/conventions

26
Q

Schizoid PD has overlap with

A

Autism

27
Q

Schizotypal PD

A 
Delusions
Odd beliefs or magical thinking 
Unusual perceptual experiences
Odd thinking and speech 
Suspiciousness or paranoid
Odd behaviour 
Lack of close friends
Social anxiety
28
Q

Example of someone with Schizotypal PD

A

Willy Wonka

29
Q

Cluster B PD

A

Dramatic and emotional

30
Q

Types of cluster B

A

Dissocial
Anti-social
Narcissism

31
Q

Dissocial PD needs

A 
Callous unconcern for feelings of others
Irresponsible and disregard for social norms/rules/obligations
No guilt
No relationships
Low tolerance for frustration
32
Q

Dissocial person example

A

Grinch

33
Q

2 factors of psychopathy

A

Interpersonal/affective

Social deviation

34
Q

2 parts of interpersonal psychopathy

A
  1. interpersonal (superficial charm, pathological lying, manipulative)
  2. affective (lack of remorse or guilt, lack of empathy, failure to accept responsibility)
35
Q

2 parts of social deviance of psychopathy

A
  1. lifestyle (need for stimulation, prone to boredom, parasitic lifestyle, lack of realistic long term goals, irresponsible/impulsive)
  2. antisocial (poor behavioural controls, juvenile delinquency, criminal versatility)
36
Q

Emotionally unstable PD - impulsive features

A

Tendency to act unexpectedly, without consideration of consequences
Liability to outbursts of anger or violence
Unstable mood
Difficulty in maintaining any course of action that offers no immediate reward

37
Q

Borderline PD features

A 
2+ of: 
Disturbances in and uncertainty about self-image aims and internal preferences (including sexual) 
Intense and unstable relationships
Emotional crises
Efforts to avoid abandonment 
Threats or acts of self-harm
Emptiness
38
Q

Borderline personality disorder are like people with third degree burns over 90% of their bodies. What does this mean?

A

Lack emotional skin, they feel agony at the slightest touch or movement

39
Q

Histrionic PD features

A

Excessive attention-seeking behaviours
Shallow
Continually seeks excitement and activities in which the subject is the centre of attention
Inappropriately seductive
Overly concerned with physical attractiveness

40
Q

Example of someone with histrionic PD

A

Regina George

41
Q

Nacissistic personality disorder personality traits

A 
Fixation with fantasies of infinite success, control, brilliance, beauty, or idyllic love 
Desire for unwarranted admiration 
Sense of entitlement
No form of empathy 
Resentment of others 
Egotistical
42
Q

Example of someone with narcissistic PD

A

Walter white

43
Q

Cluster C personality disorders

A

Anxious and avoidant

44
Q

Anankastic PD features

A

OCD like
Perfectionism
Excessive doubt and caution
Preoccupation with details, rules, lists, order, organization or schedule
Stubbornnes
Unreasonable insistence that others submit to exactly his or her way of doing things

45
Q

Anankastic PD person example

A

Monica Gellar

46
Q

Anxious PD features

A

Persistent pervasive feelings of tension/apprehension
Belief that oneself is socially inept/inferior to others
Unwillingness to get involved with people unless certain of being liked
Restrictions in lifestyle because of need of security

47
Q

Dependent PD

A

Encouraging or allowing others to make most of one’s important life decisions
Unwillingness to make even reasonable demands on the people one depends on

48
Q

2 cluster A, B, and C PDs

A

A: schizoid, paranoid
B: histrionic, dissocia
C: anankastic, avoidant

49
Q

Do you treat a PD pharmacologically?

A

NO - will not cure and could be harmful

50
Q

Use of antipsychotic drugs in PD?

A

Can reduce suspiciousness of the three cluster A

51
Q

Examples of antipsychotic drugs

A

Olanzapine, haloperidol

52
Q

Antidepressants in PD?

A

Cluster B - mood and emotional difficulties

Cluster C - anxiety disorders

53
Q

Examples of mood stabilizers

A

Lamotrigine

54
Q

Treat difficulties with impulse control

A

SSRI

55
Q

Affective dysregulation treat

A

SSRI

56
Q

Cognitive perceptual symptoms

A

Low dose antipsychotic

57
Q

What is SSRI?

A

Serotonin reuptake inhibitor

Antidepressant

58
Q

Goal of dialectical behavioural therapy ?

A

Learning to accept and regulate emotions

59
Q

What is STEPPS?

A

Systems training for emotional predictability of problem solving
CBT based skills training programme focussed on stabilization

Psychiatry (22 decks)

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