Passmed 1 Flashcards
what is an important side effect of lorazepam
anterograde amnesia - memory recall and the creation of new memories is significantly impaired
what is the treatment ladder for GAD
1st = ssri (sertraline)
if inefective, switch to SNRI (duloxetine/venlafaxine)
if cannot handle SSRI or SNRI - consider pregabalin
what is the triad of nephrotic syndrome
proteinuria
hypoalbinaemia
oedema
what is the main cause of nephrotic syndrome in chrildren
minimal change glomerulonephritis
what are the features of hypernatremic dehydration
jittery movements increased muscle tone hyperreflexia convulsions drowsiness or coma
what is the SSRI of choice in children and adolescents
fluoxetine
what is the difference between PTSD and acute stress disorder
acute stress = <4w after traumatic evenbt
PTSD = >4w
what risks do atypical antipsychotics carry in the elderly
inc risk VTE and stroke
how will korsakoff’s psychosis present
anterograde amnesia, retrograde amnesia, and confabulation
what are the commmon side effects of TCAs
drowsiness dry mouth blurred vison constipation urinary retention long QT
when checking lithium levels, when should the sample be taken
12 hours post dose
describe the timeline of symptoms in alcohol withdrawal
symptoms: 6-12 hours
seizures: 36 hours
delirium tremens: 72 hour
what is the diagnostic timeline cutoff between PTSD and acute stress disorder
4 weeks
PTSD - trauma based CBT ineffective, 1st line treatment
venlafaxine or SSRI
charachteristic side effect of mirtazipine
increase in appetite
