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USMLE Psych > Passmed > Flashcards

Passmed Flashcards

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1
Q

What type of psychiatric drugs can cause DVT and ischaemic stroke?

A

Antipsychotics

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2
Q

What psychiatric drugs may blur vision as a side effect?

A
  • Antipsychotics
  • Tricyclic antidepressants
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3
Q

What psychiatric drug may cause hypothyroidism?

A

Lithium

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4
Q

Describe histrionic personality disorder

A
  • Exaggerated emotionality and attention-seeking behaviour, often flirtatious
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5
Q

What drugs may cause constipation?

A
  • Antipsychotics
  • Tricyclics
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6
Q

What drugs can cause oculogyric crisis? (spasmoidic movements of the eyeballs into fixed position, usually upwards)

A
  • Antipsychotics
  • Metoclopramide
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7
Q

What does this patient have:
Patient feins injury for government benefits

A

Malingering

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8
Q

What does this patient have:
History of depression with multiple physical symptoms all over the body present for at least 2 years

A

Somatisation disorder

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9
Q

What is illness anxiety disorder?

A
  • Belief in persistent underlying disease (eg cancer)
  • Refuses to accept negative test results
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10
Q

What is Munchausen’s syndrome also known as?

A

Factitious disorder

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11
Q

What does this patient have:

A patient is suspected of injecting her mother’s insulin to become hypoglycemic and for medical attention

A

Factitious disorder (Munchausen’s)

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12
Q

Describe conversion disorder?

A
  • Typically involves loss of motor or sensory function
  • Doesn’t seek attention (factitious) or financial gain (malingering)
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13
Q

What is torticollis?

A

A twisting of the neck that causes the head to rotate and tilt at an odd angle.

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14
Q

What drugs can cause torticollis?

A

Antipsychotics

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15
Q

What is Akathisia?

A
  • Inability to remain still
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16
Q

What condition causes a fever, diarrhoea, clonus, tachycardia and hot flushes w/o sweating?

A

Serotonin syndrome

17
Q

What causes Neuroleptic Malignant Syndrome?

A
  • A blockage of dopamine receptors (D2)
  • Usually caused by antipsychotics
18
Q

What condition presents with lead pipe rigidity, hyperthermia, autonomic dysfunction, increased CK, WCC abnormal LFTs?

A

Neuroleptic malignant syndrome

19
Q

Patient presents with facial grimicing, upward eye movements and muscle spasms; on the back, face and larynx
What condition do they have?

A

Acute dystonia

20
Q

What is acute dystonia treated with?

A

Procyclidine 5mg (anticholinergic)

21
Q

What is Akathisia treated with?

A
  • Propranolol
  • Mirtazipine (atypical tetracyclic antidepressant)
  • Benzodiazepines
22
Q

What are the symptoms of tardive dyskinesia?

A
  • Protrusion and rolling of tongue
  • Lip smacking
  • Chewing
  • Facial dyskinesia
  • Involuntary movements
23
Q

Mental state Examination can be broken down into 7-8 main parts
What are these?

A

ASEPTIC
- Appearence (also body language)
- Speech
- Emotions / affect
- Thoughts - form, content (delusions, obsessions etc.), possession (insertion, withdrawal, broadcasting)
- Perception (do you think thoughts, hallucinations, self, world is real)
- Insight (aware of issue problem, want help?), judgement
- Cognition (awareness of time and space and attention span)

  • Risk assessment - suicide, homicide, harm, exploitation
24
Q

What are the classifications of Cohen’s effect sizes?

A
  • 0.2 < small
  • 0.5 medium
  • > 0.8 large
25
Q

How is Cohen’s effect size calculated?
What does it measure?

A

difference / pooled sd between 2 samples

Measures effectiveness of treatments, can compare

26
Q

What is EMDR (eye movement desensitisation and reprocessing) useful to treat especially?

A

PTSD

27
Q

What types of dementia don’t require acetylcholinesterase inhibitors?

A

Frontotemporal and vascular

28
Q

Why are ECGs required for patients on antipsychotics?

A

May increase QT interval

USMLE Psych (1 decks)

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