PASSMED Flashcards
What is an example of an anticholinergic drug used in acute dystonia?
Procyclidine
When to refer a patient with OCD to secondary services?
-All patients with severe functional impairment should be referred to secondary care mental health team
What scale can be used to classify OCD?
Y-BOCS scale
Mild functional impairment OCD?
Low-intensity psychological treatments: CBT and ERP
What is first line treatment for children and young people with anorexia nervosa?
-Anorexia-focused fmaily therapy
What should be avoided when taking SSRIs?
-Triptans such as almotriptan
What kind of incontinence do TCAs cause?
Overflow - this is because they have anticholinergic effects which lead to urinary retention, leading to frequent leaking
What antipsychotic has most tolerable side effect profile particularly prolactin elevation?
Aripirazole
Drug treatment required for PTSD if need?
-Venlafaxine (SNRI)
-SSRI
Schizoid personality disorder?
-Indifference to praise and criticism
-Preference for solitary activities
-Lack of interest in sexual interactions
-Lack of desire for companionship
-Emotional coldness
-Few interests
-Few friends or confidants other than family
Alcohol withdrawal treatment?
-Long-acting benzodiazepines e.g. chlordiazepoxide or diazepam
-Lorazepam may be preferable in patients with hepatic falure
-Carbamazepine
Alcohol withdrawal symptoms, seizures and delirium tremens?
Symptoms- 6-12 hours
Seizures:36 hours
Delirium tremens: 72 hours
What condition is Charles-Bonnet syndrome associated with?
Age related macular degeneration
Risk of zopiclone use in elderly?
Increased risk of falls
What is lanugo hair?
Fine downy hair that grows in response to loss of body fat
What are other features of anorexia nervosa?
-Failure to develop secondary sexual characteristics, bradycardia, cold-intolerance and yellow tinge on skin (hypocarotenamameia)
When can you diagnose insomnia?
Trouble falling sleep or staying asleep for at least 3 months
How do benzodiazepines work?
-Enhance the effect of GABA which is the main inhibitory neurotransmitter
Effective therapy for BPD?
Dialectical behaviour therapy (DBT)
-CBT based but adapted ti help people who experience emotions very intensely
SRRI discontinuation symptoms?
-Dizziness
-Electric shock senstaions
-Anxiety
