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finals > mental health > Flashcards

mental health Flashcards

1
Q

what are the three things that characterises generalised anxiety disorder?

A

long lasting (most days for at least 6 months)

not controllable

causing significant distress / impairment in function

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2
Q

what is the first line treatment for generalised anxiety disorder?

A

CBT

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3
Q

what is the pharmacological treatment for generalised anxiety disorder?

A

first line SSRI: sertraline
SNRI e.g. duloxetine

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4
Q

what are the 4 characteristics of PTSD?

A

H: hyperarousal - persistently heightened perception of current threat

A: avoidance - of certain situations / activities

R: re experience - of traumatic events, intrusive memories, flashbacks or nightmares

D: distress - strong overwhelming fear and physical sensations when re experiencing

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5
Q

what is the management of PTSD?

A

trauma focused CBT

eye movement desensitisation and reprocessing therapy

pharmacological - SSRI or venlafaxine

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6
Q

what is the risk of using an SSRI with an NSAID?

A

GI bleed

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7
Q

if a pt is on an NSAID and SSRI what should be started?

A

a PPI

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8
Q

what is the most common side effect of atypical antipsychotics?

A

weight gain

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9
Q

what is the timeframe difference between mania and hypomania?

A

hypomania < 7 days
mania > 7 days

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10
Q

what is the difference in presentation between mania and hypomania?

A

mania has psychotic symptoms and hypomania does not

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11
Q

when in alcohol withdrawal are seizures seen?

A

36 hrs

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12
Q

when in alcohol withdrawal is delirium tremens seen?

A

72 hrs

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13
Q

what is somatisation disorder?

A

when a person experiences distress due to a variety of symptoms w/ no identifiable cause

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14
Q

what is tangentiality?

A

wandering from a topic without returning to it?

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15
Q

what is cotard syndrome?

A

the pt thinks they / part of them are dead

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16
Q

what is circumstantiality?

A

the question is finally answered but w/ lots of unnecessary / irrelevant detail

17
Q

how long after symptom remission should anti depressants be continued for?

A

6 months after symptom remission

18
Q

what is the characteristic feature of schizotypal personalty disorder?

A

lack of close friends

19
Q

what is the risk of prescribing someone who is on SSRIs a triptan?

A

serotonin syndrome

20
Q

what is the management of mania / hypomania in pts taking antidepressants?

A

start an antipsychotic and stop the antidepressant

21
Q

what is Charles bonnet syndrome?

A

recurrent complex hallucinations usually visual or auditory

insight is usually preserved

22
Q

what ophthalmological condition is assoc w/ Charles bonnet syndrome?

A

age related macular degeneration

23
Q

what drug class is the first line treatment for schizophrenia?

A

atypical antipsychotics

24
Q

what is a common side effect of atypical antipsychotics?

A

weight gain

25
Q

what is a good prognostic indicator for schizophrenia?

A

gradual onset of symptoms

26
Q

what are the extrapyramidal side effects?

A

Parkinsonism
tardive dyskinesia
acute dystonia
akathisia

27
Q

what is tardive dyskinesia?

A

abnormal involuntary movements

usually chewing and pouting of the jaw

28
Q

what is acute dystonia?

A

sustained muscle contraction

29
Q

what is akathisia?

A

severe restlessness

30
Q

what is the risk of giving an SSRI and triptan at the same time?

A

serotonin syndrome

31
Q

how does emotionally unstable personality disorder present?

A

pts acting impulsively due to disturbances of self image and fear of abandonment

pts tend to have mood swings and intense relationships and history of self harm or attempted suicide

32
Q

what is the management of pts presenting w/ alcohol withdrawal?

A

long acting bentos such as chlorinediazepoxide or diazepam

33
Q

what is the treatment for personality disorders?

A

dialectical behaviour therapy

34
Q
A

finals (25 decks)

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