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Year 4 Psychiatry > Pass Medicine Psychiatry > Flashcards

Pass Medicine Psychiatry Flashcards

1
Q

Prefer to be alone don’t like relationships low libido

A

Schizoid personality disorder

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2
Q

What is the most likely SSRI to cause QT prolongation and torsades de pointed

A

Cotalopram

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3
Q

What is the recommended SSRI for patients with cardiac disease

A

Sertraline

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4
Q

Which drugs are important to note the anterograde amnesia which can present as the patient worrying about dementia

A

Benzos

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5
Q

Most commonly associated side effect of haemolytic anaemia

A

Nitrofurantoin

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6
Q

First line in patients with schizophrenia

A

Atypical antipsychotics

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7
Q

Adverse side effects of atypical antipsychotics

A

Weight gain
Agranulocytosis
Hyperprolactinaemia

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8
Q

When are the atypical antipsychotics?

A

Increased risk of stroke or VTE

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9
Q

Eh of atypical antipsychotics

A 
Clozapine 
Olanzapone 
Risperidone 
Quetiapine 
Amisulpride 
Aripiprazole
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10
Q

How long should a patient be feeling depressed before they are classed as having depression

A

2 weeks

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11
Q

When is ECT used acutely

A

Catatonia
A prolonged or severe manic episode
Severe depression that is life threatening

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12
Q

Upper limb weakness and inability to move with normal exam findings

A

Conversion disorder

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13
Q

What is somatostatin disorder

A

Multiple physical symptoms present for at least 2 years patient refuses to accept reassurance or negative test results

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14
Q

What is dissociative disorder

A

Separating off certain memories from normal consciousness involving psychiatric symptoms

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15
Q

What is factitious disorder

A

Also known as munchausens syndrome where there is an intentional production of physical or psychological symptoms

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16
Q

What is malingering

A

Fraudulent stimulation or exaggeration of symptoms for financial or other gain

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17
Q

Treat PTSD with

A

EMDR or CBT trauma focussed

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18
Q

What is akathisia

A

Severe restlessness

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19
Q

What are extrapyramidal side effects

A

Parkinsonism
Acute dystonia - sustained muscle contraction
Akathisia severe restlessness
Tar dive dyskinesia - late onset of choreoathetoid movements

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20
Q

Treat extrapyramidal side effects with

A

Procyclidine

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21
Q

First line for panic disorder

A

SSRI

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22
Q

What drug is contraindicated with the use of SSRIs

A

Triptans

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23
Q

When do seizures usually occur in alcohol withdrawal

A

36 hours

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24
Q

When does delirium tremendous usually occur with alcohol withdrawal

A

72 hours

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25
Q

What benzo is good in alcohol withdrawal

A

Chlordiazepoxide

26
Q

What benzo is good for alcohol withdrawal in patients with her aux failure

A

Lorazepam

27
Q

New onset psychosis in elderly do a

A

CT head

28
Q

Describe tar dive dyskinesia

A

Abn involuntary movements like lip smacking

29
Q

Why is mortazapine. And alpha 2 antagonist often not tolerated

A

Increased appetite and sedation

30
Q

What causes the tyramine cheese reaction

A

MAOI such as phenelzine causes this hypertensive crisis

31
Q

What is Charles Bonnet syndrome

A

Visual hallucinations and eye disease

32
Q

Name 5 short term side effects of eCt

A

Headache nausea short term memory impairment
Memory loss of events prior to ECT
Cardiac arrythmia

33
Q

What is agranulocytosis

A

Low leukocytes severely low

34
Q

What is circumstantiality

A

Inability to answer a question without giving excessive unnecessary detail

35
Q

What are clang association s

A

Topics are related to each other only by sound

36
Q

What is tangentially

A

Wandering from a subject without returning to it

37
Q

How do you differentiate between knights move and flight of ideas

A

Knights move - illogical leaps from one to another

Flight of ideas - some sort of link

38
Q

What are the metabolic side effects of atypical antipsychotics

A

High lipids high cholesterol high sugar weight gain

39
Q

SSRIs cause what type of biochemical abn

A

Hyponatraemia

40
Q

Patients with poor oral compliance to antipsychotics should be considered for

A

Monthly IM antipsychotic depot injections

41
Q

SSRI used during third trimester of pregnancy

A

Can cause persistent pulmonary hypertension

42
Q

What commonly prescribed drug is associated with sudden onset psychosis

A

Prednisalone

43
Q

Paroxetine in pregnancy has been linked with

A

Congenital malformation

44
Q

What can treat tar dive dyskinesia

A

Tetrabenazine

45
Q

Treat akathisia

A

Propranolol

46
Q

Telepathy acute dystonia

A

Procylcidine and benzotropine

47
Q

What are the main side effects of tricyclics

A

Anticholinergucbside wffects and weight gain

48
Q

How should you stop an SSRI

A

Gradually reduce dose over 4 weeks

49
Q

What is torticollis

A

Wry neck - unilateral pain and deviation of the neck

50
Q

What is most commonly associated with SSRI discontinuation syndrome

A

GI side effects

51
Q

If clozapine doses are missed for more than 48 hours what should happen

A

They should be retitrated slowly

52
Q

SSRI + NSAID =

A

GI bleeding risk so give a PPI

53
Q

Which antipsychotics has the best side effect profile particularly in terms of prolactin

A

Aripiprazole

54
Q

What psychiatric disorder can be seen post concussion

A

Headache fatigue anxiety depression dizziness

55
Q

Long term lithium use can result in what biochemical abn

A

Hyperparathyroidism and resultant hypercalcaemia

56
Q

What should happen to the antidepressant before a patient is starting ECT

A

Reduce the dose

57
Q

What is more common after ECT - retrograde or anterograde amnesia?

A

Retrograde

58
Q

After changing the dose of lithium when should the lithium levels be checked

A

A week after and 12 hours atter the last dose

59
Q

For a diagnosis of PTSD symptoms must be present for at least

A

One months

60
Q

What is an oculogyric crisis

A

Acute dystonic reaction of the ocular muscles characterised by bilateral dystonic elevation of the visual gaze lasting from seconds to hours

61
Q

If you give haloperidol urgently what else do you need to have prepared

A

Procyclidine in case the patient suffers an acute dystonic reaction

62
Q

What is othello syndrome

A

Delusional jealousy usually believing their partner is unfaithful

Year 4 Psychiatry (2 decks)

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