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Year 4 Psychiatry > Pass Test Psychoatry > Flashcards

Pass Test Psychoatry Flashcards

1
Q

What is neuroleptic malignant syndrome

A

Hyperpyrexia autonomic dysfunction rigidity altered consciousness and raised CK which is life threatening and seen after started neuroleptic meds

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2
Q

What is flooding

A

Term used to describe a behaviouralbtherapy that exposes an individual directly to their worst fear and aims to trigger desensitisation

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3
Q

What is section 135

A

Police can detain someone who is of immediate risk to them self or others

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4
Q

What is section 2

A

Detained for 28 days to be assessed

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5
Q

What is section 3

A

Detainment for up to 6 months

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6
Q

What is section 4

A

Emergency application for admission of a person to hospital for up to 72 hours

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7
Q

What is section 136

A

Police can detain a person who appears to have a mental health concern

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8
Q

Which antipsychotics have extrapyramidal side effects

A

Typical like haloperidol and chlorpromazine

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9
Q

What do you prescribe for someone who is first presenting with schizophrenia

A

Olanzapine with lorazepam (as olanzapine takes 10 days to work) and procyclidine (to reduce risk of extrapyramidal side effects)

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10
Q

What is splitting

A

A person cannot see a person to have good or bad traits just a good or bad person

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11
Q

What is reaction formation

A

Unacceptable emotions are replaced with the exact opposite eg a homosexual man displaying homophobic behaviour

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12
Q

What is identification

A

Models the behaviour of another ie victim of child abuse doing the same to their children

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13
Q

What is conduct disorder

A

Children under 18 who have persistent repetitive behaviour that violates the rights of others - they often can harm animals too

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14
Q

What is oppositional defiant disorder

A

Behaviour in opposition to authority

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15
Q

What is conduct disorder in adults

A

Antisocial personality disorder

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16
Q

What is hebephrenic schizophrenia

A

Child like and disruptions in speech

17
Q

What is catatonic schizophrenia like

A

Prominent motor symptoms

18
Q

What is simple schizophrenia

A

Insidious onset of odd behaviour and negative symptoms without preceding delusions or hallucinations

19
Q

What is residual schizophrenia

A

Chronic stage where patient develops prominent negative symptoms after previous episodes of delusions and hallucination s

20
Q

What is gamophobia

A

Scared of getting married after being in a long term committed relationship

21
Q

What is the normal IQ

A

70 and above

22
Q

How to detain someone who is already in hospital

A

Section 5.2

23
Q

What can happen is a patient is on an antipsychotic is put on an antidepressant

A

Can develop mania so stop the antidepressant

24
Q

Can you renew a patients 6 month detention

A

First time you can renew is for 6 months and after that you can renew for one year at a time

25
Q

Bipolar and on lithium presenting with a manic episode

A

Check lithium levels and add an antipsychotic

26
Q

What is a neurosis and give an eg

A

An inappropriate emotional or behavioural response to a perceived stressor eg anxiety states phobic conditions

27
Q

Interpersonal therapy helps with what

A

The grief process of lasting much longer than normal

28
Q

What is capgras syndrome

A

Closely related person has been replaced by an exact double

29
Q

What is de clerambault syndrome

A

Also known as erotomania is when they believe someone is deeply in love with them - usually they think that the person they are infatuated with are deeply in love with them

30
Q

What are the elements of the cage questionnaire

A

C - have you ever felt you should cut down on your drinking
A - have people annoyed you by critisising your drinking
G - have you ever felt bad or guilty about your drinking
E - have you ever had to take a drink in the morning to steady your nerve or get rid of the hangover

31
Q

In someone who is showing concerning alcohol intake what screening tests should you do

A

MCV LFTs and gamma gt

32
Q

What is the best treatment for treatment resistant schizophrenia

A

Clozapine

33
Q

What is ekbom syndrome

A

A patient believes there body is infected with insects or animals when it is not

34
Q

What is fregoli syndrome

A

A single persecutor impersonates several people familiar or not familiar to the patient

35
Q

How do you manage an initial drug overdose

A

FBC U and E glucose LFTs clotting has a paracetamol and salicylate levels (serum should be saved for other drug levels) activated charcoal via NG tube intubate and IV access

Specific treatment against tablets he has taken

36
Q

Alcohol going into theatre

A

Chlordiazepoxide to stop seizures

Year 4 Psychiatry (2 decks)

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