Passmedicine/Pastest Flashcards
delusion that someone has been replaced by an exact double
capgras syndrome
delsusion that partner is cheating on you
othello syndrome
delusion that you are dead/rotting
cotard syndrome
delusion that someone is in love with you (usually celebrity)
de clerumbault syndrome
triad of Wernicke’s encephalopathy
gait ataxia
confusion
opthalmoplegia (nystagmus, abducens palsy, problem with conjugate gaze)
dissociation
immature ego defence where one’s personal identitiy is temporarily and drastically modified to avoid distress. usually a victim of abuse.
reaction formation
unacceptable emotions are repressed and replaced by opposite e.g. man with homosexual desires becomes head of an antihomosexual public policy
identification
when someone models theri behaviour after another more powerful type e.g. child abuse victim goes on to abuse children in future
sublimation
mature ego defence where the person takes an unacceptable personality trait and uses it to drive respectable work
splitting
view people as all good or all bad , no in between
immuature defence mechanism
first line treatment of PTSD
Eye movement desensitisation
CBT
pharmacological treatment of PTSD
first line is paroxatine
2nd line mirtazapine
what can cause a significant rise in clozapine blood levels
smoking cessation
an alcohol binge
strongest risk factors for psychotic disorders
family history
risk of ssri’s in pregnancy is
congenital heart defects - 1st trimester
persistant pulmonary hypertension - 3rd trimester
how can you tell if its alzhemiers of pseudodementia
alzheimers - short term mememory affect first
dementia - quick onset, global impairment, reduced appetite and sleep
What adverse effects do antipsychotics increase the risk of in elderly patients?
vte
stroke
how long must patients remain stable and well after an episode of mania before driving again
3 months
treatment of acute dystonic reaction
IV procyclidine
treatment of moderate/severe tardive dyskynesia
tetrabenazine.
treatment of akathisia
propanolol
adverse effects of clozapine
weight gain excessive salivation agranulocytosis neutropenia myocarditis arrhythmias
what is charles bonnet syndroem
Charles-Bonnet syndrome (CBS) is characterised by persistent or recurrent complex hallucinations (usually visual or auditory), occurring in clear consciousness. This is generally against a background of visual impairment (although visual impairment is not mandatory for a diagnosis). Insight is usually preserved. This must occur in the absence of any other significant neuropsychiatric disturbance.
how can lorazepam affect your memory
can cause anterograde amnesia
benzo withdrawal syndrome symptoms
insomnia irritability anxiety tremor loss of appetite tinnitus perspiration perceptual disturbances seizures
what drug should be avoided with tramadol as it can reduce seizure threshold
venlafaxine
what is alogia
lack of spontaneous speech
