Psych Flashcards

1
Q

alzheimers pathological hallmarks

A

deposition of B-amyloid plaques in the cortex

structural changes in tau protein

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2
Q

alzheimers imaging findings

A

MRI - characteristisatrophy of mesial temporal lobe structures

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3
Q

alzheimers treatment

A

donzepazil
rivastigmine
galantamine

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4
Q

vascular dementia imaging findings

A

MRI - widespread small vessel disease

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5
Q

frontotemporal dementia imaging findings

A

CT/MRI - frontotemporal atrophy

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6
Q

emergency detention order

A

section 4

does not authorise treatment

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7
Q

short term detention order

A

section 2

up to 28 days for assessment/treatment

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8
Q

compulsory treatment oder

A

section 3

initially 6 months, renewable

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9
Q

AWI

A

section 47

provide interventions

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10
Q

mild depression treatment

A

CBT/self help/exercise/sleep hygiene

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11
Q

mod/sev depression treatment

A

all of mild+

  1. SSRI
  2. diff SSRI
  3. SNRI
  4. TCA
  5. MAO
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12
Q

bipolar disorder type 1

A

mania and depression (most common)

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13
Q

bipolar disorder type 2

A

hypomania and depression

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14
Q

acute mania treatment

A

stop anti-depressants

  1. olanzipine, quetiapine, risperidone
  2. lithium, valpoate, carba
    benzos for agitation/insomnia control
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15
Q

acute bipolar depression treatment

A
  1. quetiapine, oolanzopine

2. lamotrogine or lithium

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16
Q

bipolar general maintenance

A
  1. lithium
  2. anti-psychotics
  3. lamotrogine
17
Q

anxiety treatment

A
  1. education/close monitoring
  2. self help
  3. CBT or SSRI
18
Q

OCD treatment

A

CBT - ERP

SSRI

19
Q

PTSD treatment

A

trauma focused CBT, EMDR
SSRI/SNRI
severe- risperidone

20
Q

refeeding syndrome treatment

A

phosphate, sando K supplementation

21
Q

schizophrenia management

A
  1. risperidone
  2. clozapine
    CBT
22
Q

delirium management

A

haloperidol

in patients with parkinsons/LBD - lorazepam

23
Q

delirium tremens management

A

long acting benzos
vitamin supplementation
thiamine

24
Q

ADHD treatment

A
  1. stimulants (-mine)
  2. SNRI - atomoxetine
  3. alpha agonist - clinidine, gluanfacine
  4. antidepressants, antipsychotics
25
Q

paracetamol overdose

A

N-acetylcysteine

26
Q

benzo overdose

A

flumazenil

27
Q

TCA overdose

A

iv bicarbonate

28
Q

SSRI side effects

A

GI, sexual dysfunction, worse initially

29
Q

TCA side effects

A
constipation
postural hypotension
dry mouth 
urinary retention 
blurred vision 
GT syndrome - doe ECG before