Psych Flashcards
Management of acute stress reaction in under 18s
If is a large shared trauma->group based CBT
If not can consider monitoring or individual CBT
Management of PTSD in under 18s
Individual trauma CBT
If after 3 months does not work use EMDR
NO MEDICATION
Management of PTSD in adults
Offer trauma focused CBT as first line but can use sertraline or venlafaxine if wants drug first
Second line paroxetine
When can use EMDR for PTSD
If 1-3 months after can consider if CBT not worked or has preference
If over 3 months then can offer EMDR alongside CBT
When use risperidone in PTSD
Psychotic symptoms present
Severe hyperarousal symptoms that have not responded to other treatments
Back pain and constipation, what psych medication may have caused
Lithium due to hyperparathyroidism
What is personality disorder when very strict moral code and ethics
Anankastic
Differentiating depression from dementia
In depression
- answer I dont know to questions in MMSE
- bothered about low MMSE score
- biological symptoms present
- short history
- global memory loss
What must do for psychosis in elderly
CT to rule out organic cause
Which amnesia get in ECT
Retrograde most commonly
Difference in malingering and muchausens
Malingering- exaggerate or simulate smyptoms
Muchausen- actualy inflict pain upon yourself
Which psych medication can cause renal stones
Lithium from hypercalcaemia
What is it when answer a question with excessive details
Circumstantiality
What do if patient develops a leukocytosis on lithium
Leave them alone just safety net
Causes of personality disorder
Genetic
Psychological
Environmental
If someone dependant on alcohol is admitted to hospital for elective procedure what do
Give chlordiazepoxide
NT associated with depression
Dopamine
How change from fluoxetine to another SSRI
Over 20mg- slowly taper over 2 weeks, 4-7 day washout then start again
Under 20mg- stop abruptly then 4-7 day washout
Which lymph nodes do the gynae cancers metasise to
Endometrial and ovarian- para-aortic
Cervical- pelvic
Vulval- inguinal and femoral
Do you admit patients after suicide attempts
Not always- if low risk then can arrange review by liason psych before discharge
What is atypical anorexia
When have all of the criteria for anorexia but is no weight loss
What defines underweight in children vs adults
Adults- under 18.5
Children- under 5th centile
Diagnostic criteria for anorexia DSMV
Restriction of weight
Intense fear of gaining weight
Disturbance of body image view
If someone escapes from care home, how long do emergency DOLS last
7 days