Psych Flashcards
What is the SSRI choice post MI?
Sertraline
What are some side effects of clozapine?
Neutropenia
Agranulocytosis
Hypersalivation
Myocarditis
Constipation
Which part of the brain is affected by reduced dopaminergic neurones in Parkinson’s disease?
Substantia Nigra pars compacta
Which triad of symptoms does Wernicke’s encephalopathy present with?
Ophthalmoplegia
Ataxia
Confusion
(Due to thiamine deficiency)
Which section of the mental health act can a GP detain a patient for psychiatric assessment?
Section 4
For how long should an antidepressant be continued for following remission of symptoms?
6 months
(The reduce dose over 4 weeks minimum to avoid discontinuation symptoms)
Serotonin syndrome can occur if SSRIs were also taken alongside which class of medication?
MAOIs
Concurrent use is contraindicated
Lithium (requires monitoring)
What triad of features present in serotonin syndrome?
Neuromuscular excitation (tremor/ hyperreflexia/ clonus)
Altered mental status
Autonomic effects (hyperthermia, tachycardia)
What is conversion disorder?
Typically involves loss of motor or sensory function with no underlying pathology
Which triad of symptoms makes up Wernicke’s encephalopathy?
Ataxia
Confusion
Ophthalmoplegia
Wernicke’s syndrome is due to a deficiency of what?
Thiamine
(Vitamin B1)
What is Cotard syndrome?
When a person believes that they’re dead or don’t exist
What is the name of the syndrome of a delusional belief of being invested with bugs or parasites?
Ekbom syndrome
What is Othello syndrome?
Delusional beliefs of partners infidelity despite no evidence
What is De Clerambout syndrome?
Aka erotomania
When a person believes a person of a higher status/ celebrity is in love with them