Pick"n"Mix Phase 3A (2) Flashcards
ICD 10 criteria for OCD
- Recognised as the individuals own thoughts
- One act/through that in unsuccessfully resisted
- Though of performing the action is not pleasurable
- Most days for two successive weeks
List the three most common obsessions
Cleaning
Checking
Counting
List the blood test for chronic alcohol use
Gamma-glutamytrasnferase
Asparate aminotransferase
Alanine aminotransferase
List the features of a malignant ovarian cyst
Multilocar
Bilateral
Free fluid
Solid areas
What are Maxwell’s six dimensions to assess the quality of health services?
Effectiveness Efficiency Equity Appropriate Accessibility Acceptability
Explain why it may be difficult to attribute a health outcome to the service provided?
Link between cause and effect between the health service provided and the health outcome may be difficult to establish due to many other factors
Time lag between the service provided and health outcome may be too long
Large sample size needed to detect statistical significance
Data may not be available
Issues with data quality
What is malnutrition
Malnutrition refers to deficiencies, excess or imbalances in a persons nutritional intake
Under nutrition or overweight/obese
List three problems with dieting
Risk factor for the development of eating disorders
Slows BMR
Disrupts normal appetite and hunger cues
List the symptoms of opiate withdrawal
“Cold turkey”
- Shivering
- Goose bumps
- Agitation
- Diarrhoea
- Vomiting
- Dilated pupils
- Depression
- Craving
List three smoking cessation drugs
- Nicotine replacement
- Bupropion
- Varenicline
Outline what is included in a section 4
Emergency admission for treatment
Last 72hrs
Use if admission under a section II would cause harmful delay
What is the cardiac sign commonly seen in anorexics
ST depression
List the four dopaminergic pathways
Mesolimbic pathway
Mesocortical pathway
Nigrostrital pathway
Tuboinfundibular pathway
List the negative symptoms of schizophrenia
Blunted affect Social withdrawal Apathy Anhedonia Emotional flatness Speech is reduced Slowness of thought
What is the cardiac sign commonly observed in haloperidol
Torsade de pointes
Outline the criteria for adjustment disorder
An identifiable stressor
A maladaptive response to the stressor that intefers with daily activities
Symptom onset within 3 months of the stressor
Symptoms do not meet the criteria of another disease
List the indication for ECT
Increase risk of suicide Psychotic features Catatonic stupor Food and drink refusal Refractory to antidepressants Previous response to ECT
List the investigations involved in a falls screen
Routine bloods (FBC U&E) Inflammatory markers Blood glucose ECG Urinanalysis Lying and standing BP
What is seen on CT scan in an Alzheimer’s patients
Cerebral atrophy
Dilated sulk and ventricles
Side effects of memantine
Headaches Constipation Psychosis Suicideal ideation Abnormal gait
Signs of frontotemporal dementia
Earlier onset Indsidious slow progression Early phase memory is preserved Loss of excessive functioning No delusions, hallucinations, paranoae
Management of a lady who is non-immune exposed to chickenpox @ 20 weeks
Test for ZGIG
If not immune give ZGIG
If chicken pos develops give acyclovir 800mg
What single ix would you perform to rule out a PE in a pregnant lady
If PE +ve how would you treat
Ix: Ventilation and perfusion scintigraphy
Rx: LMWH ( Dalteprin)
List the proteins associated with the following diseases
- Alzhemiers
- Lewy body
- Parkinsons
- Frontotemporal dementia
A: App and Tau B: alpha synuclein C: as above D: TARDBP-43 E: Tau protein
