passmed Flashcards
what is clang associations
ideas related only by rhyme or being similar sounding
first line treatment for delirium tremens
Chlordiazepoxide or diazepam
what is an obsession
an intrusive, unpleasant, unwanted thought
what is a compulsion
a senseless action taken to reduce the anxiety caused by the obsession
patients under 25 started on an SSRI, when should they first be reviewed
after 1 week
what type of incontinence does tricylic antidepressants cause
overflow incontinence
which psych drug can cause memory loss
lorazepam
life threatening side effect of clozapine
agranulocytosis/neutropenia
what is circumstantiality
the inability to answer a question without giving excessive, unnecessary detail
how long should antidepressants be continued for after remission of symptoms
6 months
first line treatment for prevention of alcohol withdrawal
chlordiazepoxide or diazepam
what is thought withdrawal
belief of having the removal of a thought by external force
what drug class does mirtazapine belong to
noradrenergic and specific serotonergic antidepressants (atypical)
first line medication for GAD
sertaline
side effect of ECT
retrograde amnesia
-can’t recall memories formed before the ECT
factors associated with poor prognosis of schizophrenia
strong family history
gradual onset
low IQ
prodromal phase of social withdrawal
lack of obvious precipitant
SSRI risk in first trimester
congenital heart defects
SSRI risk in third trimester
persistant pulmonary hypertension of the newborn
which antipsychotic causes the least hyperprolactinaemia
apiprazole
contraindication of olanzapine
diabetes is the main one
side effect of clozapine
agranulocytosis
A false or exaggerated and sustained belief that is maintained with much less than delusional intensity (i.e., the individual is able to acknowledge the possibility that the ideas may not be true).
overvalued idea
which antidepressant should be prescribed in someone who doesn’t want to be tired
SNRI
-venlafaxine
-duloxetine
should antidepressants be continued in mania
no they should be stopped and an antipsychotic should be started
when changing dose in lithium, when should the levels be checked
every week until stable
how do you manage acute dystonia secondary to anti-psychotics
procyclidine
Sudden onset psychosis following course of corticosteroids
steroid induced psychosis
antipsychotic drug that is very effective but loads of side effects so should only be used for treatment resistant schizophrenia
clozapine
antidepressants and ECT
antidepressant dose should be reduced not stopped when a patient is getting ECT
whats it called when it takes someone ages to get to their point
circumstantiality
can patients on SSRIs take triptans?
no
wandering from a topic without returning to it
tangectality
what do you do if someone presents with post partum psychosis
admit to hospital
-medical emergency !!
