MH Gems Flashcards

1
Q

Suicide Risk Factors: SAD PERSONS

A
  1. Sex (male)
  2. Age > 60 years
  3. Depression
  4. Previous attempts
  5. Ethanol abuse
  6. Rational thinking loss
  7. Suicide in family
  8. Organised plan
  9. No spouse
  10. Serious illness
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2
Q

Duration of Time Differentiates 3 Psychotic Disorders.

A
  1. Brief Psychotic Disorder: < 1 month.
  2. Schizophreniform Disorder: 1 - 6 months.
  3. Schizophrenia: > 6 months.
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3
Q

Good Prognostic Factors for Schizophrenia.

A
  1. Acute onset.
  2. Shorter duration of prodrome.
  3. Female gender.
  4. Good cognitive function.
  5. Good premorbid function.
  6. No family history.
  7. Presence of affective symptoms.
  8. Absence of structural brain abnormalities.
  9. Good response to drugs.
  10. Good support systems.
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4
Q

Criteria for PTSD: TRAUMA

A
  1. Traumatic event.
  2. Re-experience of the event.
  3. Avoidance of stimuli associated with the trauma.
  4. Unable to function.
  5. More than a Month.
  6. Arousal increased.
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5
Q
  1. Acute onset.
  2. Shorter duration of prodrome.
  3. Female gender.
  4. Good cognitive function.
  5. Good premorbid function.
  6. No family history.
  7. Presence of affective symptoms.
  8. Absence of structural brain abnormalities.
  9. Good response to drugs.
  10. Good support systems.
A
  1. Good Prognostic Factors for Schizophrenia.
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6
Q
  1. Traumatic event.
  2. Re-experience of the event.
  3. Avoidance of stimuli associated with the trauma.
  4. Unable to function.
  5. More than a Month.
  6. Arousal increased.
A
  1. Criteria for PTSD: TRAUMA
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7
Q

Acute Stress Disorder

A
  1. May be a precursor to PTSD.
  2. Similar symptoms to PTSD.
  3. Symptoms persist 3 days after a trauma until 1 month after the exposure.
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8
Q
  1. May be a precursor to PTSD.
  2. Similar symptoms to PTSD.
  3. Symptoms persist 3 days after a trauma until 1 month after the exposure.
A
  1. Acute Stress Disorder.
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9
Q

The 4 A’s of Dementia.

A
  1. Amnesia.
  2. Aphasia.
  3. Apraxia.
  4. Agnosia.
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10
Q

Personality disorders with familial associations.

A
  1. Schizotypal.
  2. Antisocial.
  3. Borderline.
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11
Q

Anticholinergic Effects

A
  1. Red as a beet
  2. Hot as a hare
  3. Dry as a bone
  4. Blind as a bat
  5. Mad as a hatter
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12
Q

Features of Neuroleptic Malignant Syndrome: FARM

A
  1. Fever.
  2. Autonomic changes (increased BP/ HR/ sweating).
  3. Rigidity of muscles.
  4. Mental status changes.
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13
Q

Symptoms of Antidepressant Discontinuation: FINISH

A
  1. Flu-like symptoms
  2. Insomnia
  3. Nausea
  4. Imbalance
  5. Sensory disturbances
  6. Hyperarousal
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14
Q

Clinical signs and symptoms of Serotonin Syndrome.

A
  1. Mental status changes.
  2. Autonomic hyperactivity
  3. Neuromuscular abnormalities.
  4. Hyperthermia.
  5. Diarrhoea.
  6. Hypertension.
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15
Q

Diagnosis of Borderline Personality Disorder: IMPULSIVE

A

5 or more of the following:

  1. Impulsive.
  2. Mood/ affect instability.
  3. Paranoia or dissociation under stress.
  4. Unstable self image.
  5. Labile intense relationships.
  6. Suicidal gestures / self harm.
  7. Inappropriate anger.
  8. aVoiding abandonment.
  9. Emptiness.
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16
Q

5 or more of the following:

  1. Impulsive.
  2. Mood/ affect instability.
  3. Paranoia or dissociation under stress.
  4. Unstable self image.
  5. Labile intense relationships.
  6. Suicidal gestures / self harm.
  7. Inappropriate anger.
  8. aVoiding abandonment.
  9. Emptiness.
A
  1. Diagnosis of Borderline Personality Disorder: IMPULSIVE
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17
Q

Diagnosis of Narcissistic Personality Disorder: GRANDIOSE

A

5 or more of the following:

  1. Grandiosity.
  2. Requires excessive admiration.
  3. Arrogant.
  4. Needs to be special.
  5. Dreams of success, power, beauty, love
  6. Interpersonally exploitative
  7. lacks empathy for Others
  8. Sense of entitlement
  9. Envious or believes others are envious
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18
Q

5 or more of the following:

  1. Grandiosity.
  2. Requires excessive admiration.
  3. Arrogant.
  4. Needs to be special.
  5. Dreams of success, power, beauty, love
  6. Interpersonally exploitative
  7. lacks empathy for Others
  8. Sense of entitlement
  9. Envious or believes others are envious
A
  1. Diagnosis of Narcissistic Personality Disorder: GRANDIOSE
19
Q

Diagnosis of Antisocial Personality Disorder: CORRUPT

A

3 or more of the following:

  1. Cannot conform to law.
  2. Obligations ignored.
  3. Reckless disregard for safety.
  4. Remorseless.
  5. Underhanded (deceitful).
  6. Planning insufficient.
  7. Temper.
20
Q

3 or more of the following:

  1. Cannot conform to law.
  2. Obligations ignored.
  3. Reckless disregard for safety.
  4. Remorseless.
  5. Underhanded (deceitful).
  6. Planning insufficient.
  7. Temper.
A
  1. Diagnosis of Antisocial Personality Disorder: CORRUPT
21
Q

Diagnosis of Histrionic Personality Disorder: ACTRESSS

A

5 or more of the following:

  1. Appearance used to attract attention.
  2. Centre of attention.
  3. Theatrical.
  4. Relationships (believed to be more intimate than really are)
  5. Easily influenced.
  6. Seductive behaviour.
  7. Shallow expressions of emotions that shift rapidly.
  8. Speech (impressionistic and vague)
22
Q

5 or more of the following:

  1. Appearance used to attract attention.
  2. Centre of attention.
  3. Theatrical.
  4. Relationships (believed to be more intimate than really are)
  5. Easily influenced.
  6. Seductive behaviour.
  7. Shallow expressions of emotions that shift rapidly.
  8. Speech (impressionistic and vague)
A
  1. Diagnosis of Histrionic Personality Disorder: ACTRESSS
23
Q

Diagnosis of Paranoid Personality Disorder: SUSPECT

A

4 or more of the following:

  1. Suspicious of others
  2. Unforgiving
  3. Spousal infidelity
  4. Perceives attacks or character, counteracts quickly
  5. Enemies or friends?
  6. Confiding in others is feared.
  7. Threats interpreted in benign remarks.
24
Q

4 or more of the following:

  1. Suspicious of others
  2. Unforgiving
  3. Spousal infidelity
  4. Perceives attacks or character, counteracts quickly
  5. Enemies or friends?
  6. Confiding in others is feared.
  7. Threats interpreted in benign remarks.
A
  1. Diagnosis of Paranoid Personality Disorder: SUSPECT
25
Q

Diagnosis of Schizotypal Personality Disorder: ME PECULIA

A

5 or more of the following:

  1. Magical thinking
  2. Experiences unusual perceptions.
  3. Paranoid ideation.
  4. Eccentric behaviour or appearance.
  5. Constricted or inappropriate affect.
  6. Unusual thinking or speech.
  7. Lacks close friends.
  8. Ideas of reference.
  9. Anxiety in social situations.
26
Q

5 or more of the following:

  1. Magical thinking
  2. Experiences unusual perceptions.
  3. Paranoid ideation.
  4. Eccentric behaviour or appearance.
  5. Constricted or inappropriate affect.
  6. Unusual thinking or speech.
  7. Lacks close friends.
  8. Ideas of reference.
  9. Anxiety in social situations.
A
  1. Diagnosis of Schizotypal Personality Disorder: ME PECULIA
27
Q

Diagnosis of Schizoid Personality Disorder: DISTANT

A

4 or more of the following:

  1. Detached affect/ emotionally cold.
  2. Indifferent to praise or criticism.
  3. Sexual experiences of little interest.
  4. Tasks done solitary.
  5. Absence of close friends.
  6. Neither desires nor enjoys close relationships.
  7. Takes pleasure in few activities if any.
28
Q

4 or more of the following:

  1. Detached affect/ emotionally cold.
  2. Indifferent to praise or criticism.
  3. Sexual experiences of little interest.
  4. Tasks done solitary.
  5. Absence of close friends.
  6. Neither desires nor enjoys close relationships.
  7. Takes pleasure in few activities if any.
A
  1. Diagnosis of Schizoid Personality Disorder: DISTANT
29
Q

Dosing of PO Ariprazole in mg.

A
  1. 10 mg (Max 30 mg) mane
30
Q

Dosing of PO Olanzapine in mg.

A
  1. 5 mg (Max 30 mg) nocte
31
Q

Dosing of PO Quetiapine in mg.

A
  1. 50 mg. (Max 800 mg) BD
32
Q

Dosing of PO Risperidone in mg.

A
  1. 0.5 - 1 mg. (Max 6 mg) nocte
33
Q

Dosing of PO Haloperidol in mg.

A
  1. 1.5 mg (Max 10 mg) nocte
34
Q

Dosing of PO Chlorpromazine in mg.

A
  1. 200 mg (Max 800 mg) nocte
35
Q

Dosing of PO Pericyazine in mg.

A
  1. 10 mg (Max 75 mg) nocte
36
Q

Dosing for Clozapine in mg.

A
  1. 12.5 mg (200 - 600 generally) (Max 900 mg)
37
Q

Dosing for Citalapram in mg.

A
  1. < 65 years 20 mg mane (Max 40 mg)

2. > 65 years 10 mg mane (Max 20 mg)

38
Q

Dosing for Escitalopram in mg.

A
  1. 10 mg mane. (Max 20 mg)
39
Q

Dosing for Fluoxetine in mg.

A
  1. 20 mg mane. (Max 80 mg)
40
Q

Dosing for Sertraline in mg.

A
  1. 50 mg mane. (Max 200 mg)
41
Q

Dosing for Duloxetine in mg.

A
  1. 60 mg mane. (Max 120 mg)
42
Q

Dosing for Venlafaxine in mg.

A
  1. 75 mg mane. (Max 375 mg)
43
Q

Dosing for Mirtazapine in mg.

A
  1. 15-30 mg nocte. (Max 60 mg)