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Leeds MBCHB Year 4 Psychiatry > PassMed learning > Flashcards

PassMed learning Flashcards

1
Q

Atypical antipsychotic associated with the least side effects

A

Aripriprazole (particularly good for patients with prolactin elevation using other APs)

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2
Q

Key side effects of antipsychotics

A

Prolactin elevation
Weight gain
Stroke/ VTE
Low white cells (clozapine)

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3
Q

Side effect profile of clozapine

A

Agranulocytosis and neutropenia

Reduced seizure threshold
Constipation
Hypersalvation
Myocarditis (baseline ECG before)

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4
Q

When can clozapine be introduced

A

Schizophrenia when 2 other antipsychotics have failed for 6-8 weeks each

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5
Q

Definition of somatisation disorder

A

Multiple physical symptoms present for 2+ years
AND
Patients refuses to accept negative results

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6
Q

Definition of hypochondriasis (illness anxiety disorder)

A

Persistent belief in presence of underlying disease

Patient refuses to accept negative results

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7
Q

Difference between somatisation and hypochondriac

A 
Somatisation = symptoms (multiple for at least 2 years)
Hypochondriac = disease belief

Both refuse to accept negative results

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8
Q

Conversion disorder definition

A

Patient loses motor or sensory function

Does not consciously fake the symptoms

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9
Q

What is Munchausens syndrome

A

Intentional production of physical or psychological symptoms

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10
Q

What is malingering

A

Fraudulent simulation or exaggeration of symptoms for gain (normally financial)

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11
Q

What is dissociative disorder

A

Separating off certain memories from normal consciousness

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12
Q

What psychiatric drug increases risk of VTE in elderly

A

Atypical antipsychotics

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13
Q

Name 2 main typical antipsychotics

A

Haloperidol

Chlorpromazine

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14
Q

When should lithium levels be monitored in a patient starting treatment today and continuing for 2 years

A

12 hours after dose

Every week until stable

Every 3 months then on

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15
Q

Catatonia definition

A

Inability to move correctly

Abnormal movements

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16
Q

First line treatment for anorexia in children

A

Focused family therapy

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17
Q

Two types of bipolar?

A

1: Depression and mania (psychotic beliefs lasting more than 7 days)
2: Depression and hypomania

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18
Q

Treatment for OCD if mild vs severe

A

Mild: CBT
Severe: SSRI

Fluoxetine for body dysmorphic disorder

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19
Q

Two common monoamine oxidase inhibitors

A

tranylcypromine and phenelzine

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20
Q

Why are monoamine oxidase inhibitors not really used

A

Cannot consume tyramine containing foods (cheese, marmite, broad beans)

As causes hypertensive reaction

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21
Q

What is rasagaline

A

Inhibitor or monoamine oxidaseB used to treat Parkinson’s

22
Q

What are clang associations

A

Ideas that are linked by rhyme or similarity of word sounds alone. This is sometimes seen in schizophrenia or bipolar disorder.

23
Q

What is avoidant personality disorder

A

Avoid social activities
Preoccupied with ideas that they are rejected in social situations
Isolate them self but crave interaction

24
Q

What is key symptoms of borderline personality disorder

A

Emotionally unstable

Avoid abandonment

25
Q

Difference between Knights Move thinking and flight of ideas

A

KM: no connection between ideas
FOI: some connection, however remote

26
Q

Key side effect of atypical AP vs typical AP

A

Weight gain

27
Q

Drug management for bipolar

A

Lithium
Antipsychotic can be used at low dose (quetiapine (sedative))
Antiepileptics for mood stability

28
Q

In patients presenting with ?anorexia what is a key first part of the assessment

A

Physical state - including HR temp BMI

29
Q

What is anankastic personality disorder

A

OCD

30
Q

What is conversion disorder

A

When a person develops blindness or paralysis

31
Q

Key difference between panic disorder and GAD

A

Panic disorder is short spells that happen acutely and last a few minutes

32
Q

Patient with broad based gate, confusion and delusions. What needs to be given

A

Thiamine first!! This is Wernicke’s

33
Q

Urine left for 3 days - turns red…

What is it and whats the cause

A

Porphyria

Liver disfunction

34
Q

Man insists wife is unfaithful and sleeping with whole neighbourhood - DX?

A

Othello syndorme

35
Q

What is dissociative fugue

A

After a stress, people temporarily lose their identity and wander away from their homes

36
Q

What is agroraphobia

A

Anxiety disorder that causes fear of social situations that might cause embarrassment, helpless or trapped

37
Q

What is cortards syndrome

A

Belief one is dead, missing blood or organs

38
Q

Other than lithium what cases of drugs can be used in BP disorder

A

Anti psychotics for short periods of mania

Anti epileptic as mood stabiliers

39
Q

SSRI contraindicated with UGI bleeds

A

Fluoxitiene

40
Q

SSRI of choice in children

A

Fluoxetine

41
Q

How to manage hypomania in primary care

A

Routine referral to community mental health

42
Q

How should an SSRI be stopped

A

Over 4 weeks slowly

43
Q

Compulsion vs obsession

A

Compulsion is a senseless action taken to remove an anxiety

Obsession is an intrusive unwanted thought

O->C
Hands dirty -> wash them

44
Q

SSRI of choice in patients with cardiac conditions

A

Sertraline

45
Q

Main electrolyte disturbance from an SSRI

A

hyponatraemia

46
Q

Difference between acute stress reaction and PTSD

A

Acute stress reaction up to 4 weeks

47
Q

If CBT fails, first line drug in PTSD

A

Venlafaxine

48
Q

How long must symptoms last to become a depressive episode

A

Only 2 weeks

49
Q

How to treat lithium toxicity

A

Fluid resuscitation

50
Q

Worse SSRI for QTC prolongation

A

Citalopram

51
Q

Anti depressants that causes prolonged QTC

A

TCAs, Citalopram, venlafaxine

Leeds MBCHB Year 4 Psychiatry (11 decks)

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