Mental Health Flashcards

1
Q

For a diagnosis of major depressive disorder, a patient must at have least one out of two key features. What are these two key features?

A
  1. Depressed mood

2. Anhedonia (loss of interest/pleasure)

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2
Q

A patient must demonstrate 5 or more features (including one of the 2 key features) for a diagnosis of major depressive disorder. List as many of the 7 features as you can other than the 2 key features. Note that these features must cause significant distress or impaired functioning

A
  • Appetite/weight change
  • Insomnia/hypersomnia
  • Psychomotor agitation/retardation
  • Fatigue
  • Feelings of worthlessness/guilt
  • Decrease concentration
  • Thought of death/suicide
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3
Q

What time period does a patient need to demonstrate symptoms before a diagnosis of major depressive disorder can be made?

A

2 weeks

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4
Q

For what period of time does a person need to have symptoms of anxiety and worry about a number of activities or events to be diagnosed with generalised anxiety disorder?

A

6 months

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5
Q

List as many of the 6 symptoms of generalised anxiety disorder. 3 or more are needed for a diagnosis.

A
  • Restlessness/on edge feeling
  • easily fatigued
  • difficulty concentrating
  • irritability
  • muscle tension
  • sleep disturbance
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6
Q

How long do manic symptoms need to be present for a diagnosis of mania? Is there another criteria that make the duration of symptoms irrelevant for a diagnosis?

A

At least one week.

Yes, diagnosis can be made if requiring hospitalisation regardless of the duration of symptoms

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7
Q

List as many of the 7 symptoms of mania which may present alongside the key features of persistently elevated, expansive, or irritable mood and abnormally and persistently goal-directed behavior or energy.

A
  • Inflated self-esteem or grandiosity
    Decreased need for sleep
  • More talkative than usual/pressured speech
  • Flight of ideas
  • Distractibility
  • Increase in goal-directed activity or psychomotor agitation
  • Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).
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8
Q

How recent must a triggering event be for a diagnosis of adjustment disorder?

A

3 months

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9
Q

Up to how long can symptoms persist for a diagnosis of adjustment disorder to still be applicable?

A

6 months

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10
Q

What does the H in a HEEADSSSS stand for?

A

Home and Environment

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11
Q

What do the two Es in a HEEADSSSS stand for?

A

Education and Employment

Exercise and Eating

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12
Q

What does the A in a HEEADSSSS stand for?

A

Activities

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13
Q

What does the D in a HEEADSSSS stand for?

A

Drugs

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14
Q

What do the four Ss in HEADSSSS stand for?

A

Sexuality
Suicide/mental health
Spirituality
Safety - eg. bullying, online abuse, sexual abuse

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15
Q

What is the K+ level warranting medical admission for eating disorders?

A

<3

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16
Q

What is the HR warranting medical admission for eating disorders?

A

50 or less

17
Q

What is the resting SBP warranting medical admission for eating disorders?

A

80 or less

18
Q

What is the postural SBP drop warranting medical admission for eating disorders?

A

20 or more

19
Q

What is the postural HR inrcrease warranting medical admission for eating disorders?

A

30 or more

20
Q

What is the temperature warranting medical admission for eating disorders?

A

<35.5

21
Q

At what percentage of expected body weight would a medical admission be indicated for a pt with an eating disorder?

A

<75%

22
Q

What is the minimum timeframe patients would need to show signs for a diagnosis of hypomania?

A

4 days

23
Q

List 3 potentially deadly complications of clozapine use

A
  • Agranulocytosis - why we measure FBE
  • Mycocarditis - early in treatment. Hence troponins
  • Cardiomyopathy - later in treatment. Hence TTE
  • Seizures
  • Gastric hypomobility - can result in ileus