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Psychiatry > Passmedicine - 2 > Flashcards

Passmedicine - 2 Flashcards

1
Q

circadian rhythm disturbance is a feature of?

A

schoziphrenia

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2
Q

epilepsy is least considered a potential side effect of?

A

ECT

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3
Q

what is the SSRIantidepressant of choice post myocardial infarction?

A

Sertraline

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4
Q

what are the features of anorexia nervosa (4)

A

reduced BMI
bradycardia
hypotension
enlarged salivary glands

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5
Q

the risk of developing schizophrenia if one monozygotic twin is affected is ~?

A

50%

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6
Q

what is a relatively common finding associated with lithium?

A

benign leucocytosis

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7
Q

bulimia nervosa

is associated with which ABG presentation?

A

metabolic alkalosis

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8
Q

the low chloride in bulimia nervosa represents?

A

loss of hydrochloric acid from the stomach through vomiting

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9
Q

a person that prefers being alone, doesn’t like relationships, low libido?

A

schizoid

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10
Q

hyponatraemia is associated with which class of antidepressants?

A

SSRIs

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11
Q

what is a common side-effect of aspirin?

A

dyspepsia

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12
Q

what is the common side effect of beta blockers?

A

bradycardia

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13
Q

what is a common side effect of ACEi?

A

hyperkalaemia

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14
Q

what is the definition of OCD?

A

obsessions or compulsions or both persisting for greater than 2 weeks

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15
Q

what is used in the treatment of delirium tremens?

A

chlordiazepoxide

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16
Q

how can you differentiate OCD with psychosis?

A

by the level of insight into their actions

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17
Q

how can you differentiate dementia and depression?

A

short history and rapid onset

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18
Q

dementia characteristically causes what type of memory loss?

A

recent

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19
Q

depression presents with——- memory loss

A

global

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20
Q

common side effects of clomipramine?

A

dry mouth and weight gain (antihistaminic)

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21
Q

what its step 1 management of panic disorder?

A

recognition and diagnosis

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22
Q

what is step 2 treatment of panic disorder?

A

CBT or drug treatment - SSSRIs

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23
Q

when do you consider imipramine and clomipramine in the management of panic disorder?

A

if SSRIs aree contraindicated or no response after 12 weeks

24
Q

what is step 1 management in GAD?

A

education about GAD and active monitoring

25
Q

what is step 2 management in GAD?

A

low intensity psychological interventions (individual non-facilitated self-help or individual guided self-help or psychoeducational groups)

26
Q

what is step 3 management in GAD?

A

high intensity psychological interventions (CBT or applied relaxation) or drug treatment with SSRI

27
Q

what is a life-threatening side-effect of clozapine?

A

neutropenia - decreased leukocytes or agranulocytosis

28
Q

what do you monitor in patients taking clozapine?

A

monitor FBC

29
Q

a patient losing the ability to form language?

A

aphasic speech

30
Q

a patient repeating words or phrases of the individual they are talking to/

A

echolalia

31
Q

inability to answer a question without giving excessive, unnecessary detail. However, this differs from tangentiality in that the person does eventually return the original point.

A

circumstantiality

32
Q

wandering from a topic without returning to it.

A

tangentiality

33
Q

repetition of ideas or words despite an attempt to change the topic.

A

perseveration

34
Q

symptoms of mania in primary care?

A

urgent referral to Community mental health team

35
Q

sodium valproate should be used to manage bipolar disorder in patients

A

who have been trialled antipsychotics

36
Q

section 2 applications can be made by?

A

CP and require the support of another doctor with expertise in mental health

37
Q

when are section 2 applications usually made?

A

to admit a patient who requires it but has refused admission for assessment and/or treatment of a metal disorder

38
Q

how long does section 2 applications last for?

A

28 days

39
Q

after a change in dose, lithium levels should be taken

A

a week and 12 hours after the last dose

40
Q

what co therapy should be offered to all patients with schizophrenia?

A

cognitive behavioural therapy

41
Q

what are the metabolic side-effects of antipsychotics?

A

dysglycaemia, dyslipidaemia and diabetes mellitus

42
Q

what is a poor prognostic indicator of schizophrenia/ (5)

A 
gradual onset 
strong family history 
low iQ 
premorbid history of social withdrawal 
lack of obvious precipitant
43
Q

when are psedohallucinations more common?

A

after bereavement and do not imply psychosis

44
Q

what are symptoms of SSRI discontinuation syndrome?

A 
increased mood change 
restlessness 
difficulty sleeping 
unsteaadinesss 
sweating 
GI symptoms: pain, cramping, diarrhea, vomiting
paraesthesia
45
Q

SSRIs should be continued for at least how long after feeling well to reduce risk of relapse?

A

at least 6 months

46
Q

what can cause a rise in clozapine blood levels?

A

smoking cessation

47
Q

when can chronic insomnia be diagnosed?

A

after 3 months

personal has trouble falling asleep staying asleep at least 3 nights per week

48
Q

what is a common adverse effect of atypical antipsychotics such as olanzapine?

A

weight gain

49
Q

what can be used to differentiate mania from hypomania?

A

auditory hallucinations

50
Q

what type of amnesia can ECT cause?

A

retrograde amnesia

51
Q

how long can normal grief reactions last for?

A

6 months

52
Q

how often is a IM anti-psychotic depot injection administered?

A

once monthly

53
Q

risk factors for gAD include (4)

A

aged 35-54
being divorced or separated
living alone
being a lone parent

54
Q

what scale can be used to assess alcohol withdrawal severity?

A

clinical institute withdrawal assessment for alcohol (CIWA) scale

55
Q

sudden onset psychosis following a course of?

A

corticosteroids

Psychiatry (5 decks)

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