Pass Test Psychoatry Flashcards
What is neuroleptic malignant syndrome
Hyperpyrexia autonomic dysfunction rigidity altered consciousness and raised CK which is life threatening and seen after started neuroleptic meds
What is flooding
Term used to describe a behaviouralbtherapy that exposes an individual directly to their worst fear and aims to trigger desensitisation
What is section 135
Police can detain someone who is of immediate risk to them self or others
What is section 2
Detained for 28 days to be assessed
What is section 3
Detainment for up to 6 months
What is section 4
Emergency application for admission of a person to hospital for up to 72 hours
What is section 136
Police can detain a person who appears to have a mental health concern
Which antipsychotics have extrapyramidal side effects
Typical like haloperidol and chlorpromazine
What do you prescribe for someone who is first presenting with schizophrenia
Olanzapine with lorazepam (as olanzapine takes 10 days to work) and procyclidine (to reduce risk of extrapyramidal side effects)
What is splitting
A person cannot see a person to have good or bad traits just a good or bad person
What is reaction formation
Unacceptable emotions are replaced with the exact opposite eg a homosexual man displaying homophobic behaviour
What is identification
Models the behaviour of another ie victim of child abuse doing the same to their children
What is conduct disorder
Children under 18 who have persistent repetitive behaviour that violates the rights of others - they often can harm animals too
What is oppositional defiant disorder
Behaviour in opposition to authority
What is conduct disorder in adults
Antisocial personality disorder
What is hebephrenic schizophrenia
Child like and disruptions in speech
What is catatonic schizophrenia like
Prominent motor symptoms
What is simple schizophrenia
Insidious onset of odd behaviour and negative symptoms without preceding delusions or hallucinations
What is residual schizophrenia
Chronic stage where patient develops prominent negative symptoms after previous episodes of delusions and hallucination s
What is gamophobia
Scared of getting married after being in a long term committed relationship
What is the normal IQ
70 and above
How to detain someone who is already in hospital
Section 5.2
What can happen is a patient is on an antipsychotic is put on an antidepressant
Can develop mania so stop the antidepressant
Can you renew a patients 6 month detention
First time you can renew is for 6 months and after that you can renew for one year at a time
Bipolar and on lithium presenting with a manic episode
Check lithium levels and add an antipsychotic
What is a neurosis and give an eg
An inappropriate emotional or behavioural response to a perceived stressor eg anxiety states phobic conditions
Interpersonal therapy helps with what
The grief process of lasting much longer than normal
What is capgras syndrome
Closely related person has been replaced by an exact double
What is de clerambault syndrome
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
What are the elements of the cage questionnaire
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
In someone who is showing concerning alcohol intake what screening tests should you do
MCV LFTs and gamma gt
What is the best treatment for treatment resistant schizophrenia
Clozapine
What is ekbom syndrome
A patient believes there body is infected with insects or animals when it is not
What is fregoli syndrome
A single persecutor impersonates several people familiar or not familiar to the patient
How do you manage an initial drug overdose
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
Alcohol going into theatre
Chlordiazepoxide to stop seizures
