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Difficult Passmed- MLA > Mental Health > Flashcards

Mental Health Flashcards

1
Q

PTSD vs acute stress reaction +mx

A

PTSD >1m = Trauma focused CBT + EMDR +/- venlafaxine or sertraline

Acute stress reaction = <4 weeks, CBT

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2
Q

OCD mx

A

SSRI + CBT

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3
Q

GAD mx

A

> 6m
CBT +/-
(1) Sertraline
(2) SSRI/SNRI (dulox)
(3) Pregabalin
Wait until 12m after it as resolved

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4
Q

Mania vs hypomania

A

Mania >7d. Impairs functioning
Psychotic symptoms (auditory hallucination)
Increased mood

Hypomania <7d (3-4)
Can be high functioning
No psychotic symptoms
Increased mood
ROutine referral

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5
Q

Baby blues vs post natal depression vs postpartum psychosis

A

Baby blues 3-7d
Post-natal depression within 1m usually. Peaks 3m. Sertraline
Postpartum psychosis 2-3 weeks

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6
Q

Depression 1st line medication

A

Sertraline

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7
Q

Depression vs dementia

A

Depresion is shorter history, rapid onset, bio symptoms (sleep disturbance), pt is worried about poor memory, reluctant to take tests (disappointed with results), global memory loss (dementia is more recent memory loss)

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8
Q

Brief psychotic disorder, timeframe

A

<1m, return to baseline

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9
Q

Circumstantiality vs tangentiality

A

Circumstantiality - excessive detail, return to original point
Tangentiality - wanders from topic, without returning to original point

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10
Q

strongest RF of schizophrenia

A

FH

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11
Q

Atypical vs typical antipsychotics and S.E

A

1.Atypical antipsychotics for schizophrenia - EPSE + hyperprolactinaemia less common

Antipsychotics ↑ risk VTE + stroke in elderly

EPSE:
Dystonia = muscle contractions - torticollis, oculogyric crisis
Akathesia = restless
Tardive dyskinesia = chewing, pointing

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12
Q

MX personality disorders

A

PS therapy, Dialectical behaviour therapy

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13
Q

Schizoid personality describe

A

lack interest in sex/relationships, few interests

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14
Q

Schizotypal personality describe

A

Odd beliefs

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15
Q

ADHD mx (when initiate meds) and monitoring of the mx

A

Inattention, hyperactivity, impulsivity
10 week watch and wait
Methylphenidate 6 week trial - monitor weight + height

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16
Q

Alcohol withdrawal - what meds can help:
Craving, sobriety, withdrawal

A

Alcohol withdrawal
Chlordiazepoxide (benzo)
Aftercare:
Disulfiram - reaction with alcohol
Acamprosate - craving
Naltrexone - sobriety

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17
Q

What to use for alcohol overdose

A

activated charcoal, benzos, pabrinex

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18
Q

What to give for benzo overdose

A

Flumazenil

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19
Q

What to use for TCA overdose

A

Sodium bicarb

20
Q

Opioid overdose - what to use

A

Naloxone

21
Q

Paracetamol overdose mx

A

<1hr activated charcoal
<8hrs NAC IV -> methionine pO
Correct hypoglycaemia

22
Q

Wernickes triad

A

Ophthalmoplegia (nystagmus)
Ataxia
Confusion

23
Q

Korsakoffs triad + mx

A

Amnesia - anterograde + retrograde
Confabulation
Need pabrinex Vit B1

24
Q

S2

A

28d, non renewable, AMHP + 2 Drs

25
Q

S3

A

6m, renew, AMHP + 2 Drs

26
Q

S4

A

72 hrs in emergency

27
Q

S5

A

(2) vol pt in hospital detained by Dr 72hrs
(4) Vol pt in hospital detained by nurses 6hrs

28
Q

s17

A

CTO, can recall back to hospital

29
Q

S 135

A

Police court order, private

(136 is public)

30
Q

ad + LBD mx

A

AceE inhibitors +/- memantine

31
Q

Fronto temporal dementia symptoms

A

Personality, social conduct problems

32
Q

Parkinsons disease triad

A

Tremor, rigidity, bradykinesia

33
Q

Parkinson disease plus syndromes

A

PSP = vertical gaz palsy, falls, Hummingbird on MRI
MSA = postural hypotension, ANS, hot cross bun sign
Corticobasal degeneration - unilateral, alien limb

34
Q

Bulimia meds

A

FLuox

35
Q

Somatisation

A

Multiple physical symptoms >/2 year,s refuse to accept reassure

36
Q

Meds insomnia

A

Bezos or non-benzos (z drugs) 2 weeks

37
Q

Sleep paralysis meds

A

Clonazepam

38
Q

Charles bonnet syndrome

A

Complex hallucinations in clear consciousness. Usually visual impaired

39
Q

cotard syndrome

A

Believes dead/ non existant

40
Q

De Clerambaults

A

Believe someone famous in love with her

41
Q

Orthellos

A

Jealousy

42
Q

Converison disorder

A

Conversion disorder
Loss motor/sensory function - Hoovers sign

43
Q

Catatonia

A

Stopping vol movement or staying still in unusual position

44
Q

Vovlulus on XR and mX

A
45
Q
A

Difficult Passmed- MLA (26 decks)

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