PASSMED Flashcards

1
Q

What is an example of an anticholinergic drug used in acute dystonia?

A

Procyclidine

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2
Q

When to refer a patient with OCD to secondary services?

A

-All patients with severe functional impairment should be referred to secondary care mental health team

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3
Q

What scale can be used to classify OCD?

A

Y-BOCS scale

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4
Q

Mild functional impairment OCD?

A

Low-intensity psychological treatments: CBT and ERP

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5
Q

What is first line treatment for children and young people with anorexia nervosa?

A

-Anorexia-focused fmaily therapy

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6
Q

What should be avoided when taking SSRIs?

A

-Triptans such as almotriptan

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7
Q

What kind of incontinence do TCAs cause?

A

Overflow - this is because they have anticholinergic effects which lead to urinary retention, leading to frequent leaking

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8
Q

What antipsychotic has most tolerable side effect profile particularly prolactin elevation?

A

Aripirazole

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9
Q

Drug treatment required for PTSD if need?

A

-Venlafaxine (SNRI)
-SSRI

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10
Q

Schizoid personality disorder?

A

-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

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11
Q

Alcohol withdrawal treatment?

A

-Long-acting benzodiazepines e.g. chlordiazepoxide or diazepam
-Lorazepam may be preferable in patients with hepatic falure
-Carbamazepine

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12
Q

Alcohol withdrawal symptoms, seizures and delirium tremens?

A

Symptoms- 6-12 hours
Seizures:36 hours
Delirium tremens: 72 hours

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13
Q

What condition is Charles-Bonnet syndrome associated with?

A

Age related macular degeneration

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14
Q

Risk of zopiclone use in elderly?

A

Increased risk of falls

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15
Q

What is lanugo hair?

A

Fine downy hair that grows in response to loss of body fat

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16
Q

What are other features of anorexia nervosa?

A

-Failure to develop secondary sexual characteristics, bradycardia, cold-intolerance and yellow tinge on skin (hypocarotenamameia)

17
Q

When can you diagnose insomnia?

A

Trouble falling sleep or staying asleep for at least 3 months

18
Q

How do benzodiazepines work?

A

-Enhance the effect of GABA which is the main inhibitory neurotransmitter

19
Q

Effective therapy for BPD?

A

Dialectical behaviour therapy (DBT)
-CBT based but adapted ti help people who experience emotions very intensely

20
Q

SRRI discontinuation symptoms?

A

-Dizziness
-Electric shock senstaions
-Anxiety