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Y5 > ModC: Psychiatry > Flashcards

ModC: Psychiatry Flashcards

1
Q

Neuroleptic malignant syndrome

A

Symptoms develop up to 2 weeks after first starting antipsychotic medication

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2
Q

Serotonin syndrome

A

Associated with antipsychotic use

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3
Q

Depression

A

3 core symptoms: low mood, anhedonia, anergia
Common in ppl with learning disabilities
Other symptoms: sleep disturbance, social withdrawal

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4
Q

Generalised anxiety disorder

A

Anxiety without stimulus persisting for 3 months
1st line tx: SSRI (paroxetine)
2nd line tx: venlafaxine
Avoid benzodiazepines due to high risk of dependence

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5
Q

Panic attacks/disorder

A

Trigger before panic attacks

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6
Q

Schizophrenia

A

Positive symptoms
Negative symptoms
Cannabis use is associated with 5x increase in risk of schizophrenia
1st rank symptom: delusion of passivity

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7
Q

Psychosis

A

Psychotic symptoms

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8
Q

Hallucination

A

Auditory, visual, olfactory

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9
Q

Pseudo-hallucination

A

Hears voices within

Associated with personality disorders

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10
Q

OCD

A

Obsessive compulsive disorder

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11
Q

Bulimia

A

Binge and purge

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12
Q

Anorexia nervosa

A

BMI < 18.5kgm-2
Consider patient for admission if: proximal muscle weakness
Complications: refeeding syndrome (may cause serious metabolic disturbances e.g., hypophosphataemia

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13
Q

EUPD/BPD

A

Borderline personality disorder

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14
Q

Bipolar affective disorder

A

crazy

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15
Q

Frontotemporal dementia

A

Results in cognitive and behavioural changes

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16
Q

Alzheimer’s disease

A

Commonest form of dementia

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17
Q

Lewy body dementia

A

Alpha synuclein lewy bodies ?

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18
Q

Vascular dementia

A

Associated with vascular disease

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19
Q

Phobias

A

Fears

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20
Q

Post-partum depression

A

Post partum women

1st line tx (mild/moderate) = CBT

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21
Q

Post-traumatic stress disorder

A

Flashbacks and partial recollection of traumatic event more than 6 months after event

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22
Q

Somatisation

A

Type of somatoform disorder

23
Q

Hydrochondriasis

A

Type of somatoform disorder

24
Q

Yellow Card Scheme

A

Allows suspected side effects to be reported to MHRA

25
Q

Cognitive behavioural therapy

A

CBT

1st line for mild to moderate postnatal depression, anxiety disorders

26
Q

DIT

A

Dynamic interpersonal therapy

27
Q

IPT

A

Interpersonal therapy

28
Q

Behavioural activation

A

Used for depression

29
Q

EMDR

A

Eye Movement Desensitisation and Reprocessing

30
Q

MBCT

A

Mindfulness-based cognitive therapy

31
Q

IAPT

A

Improving Access to Psychological Therapies

32
Q

Euthymic

A

Constant mood state in bipolar disorder

33
Q

Normal lithium levels

A

1st time use of Lithium = 0.6-0.8mmol/L

If previous lithium use = 0.8-1.0mmol/L

34
Q

Complex PTSD

A

PTSD symptoms and additional symptoms

Cause: childhood abuse, witnessing abuse or violence, prisoner of war, torture, kidnapping, slavery
Symptoms: difficulty controlling emotions,

35
Q

Lithium toxicity

A

May be caused by ACEi, thiazide diuretics, NSAIDs

Px: seizure, confusion, disorientation

36
Q

Electroconvulsive therapy (ECT)

A

Used as a psychiatric emergency in severe psychotic depression (e.g., pt who stops eating, drinking, and is at risk of life-threatening complications like dehydration, sepsis, renal failure, malnutrition)
SE: short-term memory loss

37
Q

Dialectal behaviour therapy

A

Talking therapy adapted for people who feel emotions very intensely
Aims to: understand and accept your difficult feelings, learn skills to manage them, and become able to make positive changes in your life
Used for depression, self-harming, suicidal attempts, borderline personality disorder

38
Q

Psychodynamic psychotherapy

A

Primary focus is to reveal the unconscious content of a pt’s psyche to alleviate psychic tension
Based on the principle that the unconscious mind harbours deep-rooted feelings and memories that can affect our behaviour
Used for people who feel they have lost all meaning in their life, and have difficulty forming or maintaining relationships

39
Q

Alcohol withdrawal

A

Consider inpatient/residential support for pts who have had previous seizures whilst withdrawing

40
Q

Social phobia

A

Px: autonomic symptoms when around people e.g., sweating, tremor, palpitations; concern about others’ opinion; avoids leaving house

41
Q

Echolalia

A

Meaningless repetition of another person’s spoken words

May be associated with schizophrenia

42
Q

Neologism

A

Words that have meaning only to the person who uses them

Associated with schizophrenia

43
Q

Thought blocking

A

Pt begins answering question then stops and does not complete answer, needs question to be repeated to continue answer

44
Q

Oppositional defiant disorder

A

Argumentative, spiteful, defiant, does not comply with requests

45
Q

Conduct disorder

A

E.g., truancy, cruelty

46
Q

Attention deficit hyperactivity disorder

A

Behavioural disorder associated with restless, trouble concentrating and acting on impulse

47
Q

Autism

A

A neurodevelopmental disorder characterized by significant difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests

48
Q

Asperger’s syndrome

A

A neurodevelopmental disorder characterized by significant difficulties in social interaction and nonverbal communication, along with restricted and repetitive patterns of behavior and interests
Typically differentiated from autism by unimpaired language and intelligence

49
Q

Delusion of passivity/passivity phenomena

A

Patient believes thoughts, actions, or feelings are controlled by an external agent
1st rank symptom of schizophrenia

50
Q

Paranoid/persecutory delusion

A

Fears, anxieties, and suspicions centered on perceived victimisation

51
Q

Incongruous affect

A

A mismatch between experienced emotion and its expression e.g., smiling whilst talking about something very sad

52
Q

Nihilistic delusion

A

Delusional belief of being dead, decomposed or annihilated

53
Q

Thought insertion

A

Believing your thoughts are not your own

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