PassMed learning Flashcards
How long from withdrawal do symptoms occur for alcohol withdrawal?
6-12 hours
What happens at 36 hours withdrawal from alcohol?
Seizures
When does delirium tremens kick in after alcohol withdrawal?
72 hours
How long should AD’s be continued after remission of symptoms?
6 months
Which anti-psychotic is most effective for dealing with negative symptoms?
Clozapine
What is the earliest time a <25 year old who has just started SSRI should be reviewed by their GP?
1 week post starting drug
Which AD helps with sleep & increasing appetite?
Mirtazapine
Difference between Knight’s move and flight of ideas?
Discernible link in flight of ideas
Schizotypal Personality Disorder?
-Lack of close friends
-Can have odd or eccentric behaviour. speech and beliefs
Schizoid Personality Disorder?
-Indifferent to praise or criticism
-Emotionally cold
-Lack of desire for companionship
1st line drug OCD?
SSRI
2nd line drug moderate/severe OCD?
Clomipramine
What is circumstantiality
Inability to answer a question without giving excessive, unnecessary detail
Most tolerable SE profile of anti-psychotics? Espesh prolactin wise
Aripiprazole
Alcohol withdrawal treatment?
Benzos
-Chlordiazeooxide
Opioid withdrawals treatment?
Methadone
Opioid overdose treatment?
Naloxone
Believing you are dead?
Cotard Syndrome
Capgras syndrome?
Believing that a partner/family member/friend has been replaced by imposter
SSRI of choice in children/adolescents?
Fluoxetine
What med should be avoided when taking SSRIs?
Sumatriptan
Dementia vs depression memory symptoms?
Rapid onset, biological symptoms and global memory loss = Depression
What is included in Korsakoff’s amnesia?
-Anterograde amnesia
-Confabulations
-History of alcoholism
-Can lead to beriberi
What is the pathology of Korsakoff’s amnesia?
Severe deficiency of thiamine (Vit B1) results in bilateral loss of mammillary bodies in brain
What vitamin is thiamine?
Vitamin B1
Young person torturing animals, being disruptive, bullying?
Conduct disorder
Treatment of first presentation psychosis?
Olanzapine
Presentation of vascular dementia?
Gait disturbances
Urinary symptoms
Changes in concentration and mood
Specific phobia of getting married?
Gamophobia
When a patient develops mania while being treated with AD and antipsychotic what do you do?
Discontinuing the antidepressant
What does section 135 of the mental health act allow?
Police to detain a person who is an immediate risk to themselves or others.
-They can move them from a private property to an area of safety to be assessed
Treatment of combat related PTSD?
Trauma Focused CBT
What condition can lithium cause which has low urine osmolality and high serum osmolality?
Nephrogenic diabetes
