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MSRA > Psych > Flashcards

Psych Flashcards

1
Q

Stepwise dementia

A

vascular

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2
Q

dementia- mri shows infarcts and white matter changes

A

vascular

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3
Q

treatment for vascular dementia

A

no specific

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4
Q

Dementia recent memories affected

A

alzheimers

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5
Q

Alzheimers rx

A

mild-mod- AChEi (donepezil, rivastigmine, galantamine)

Severe/adjunct/second line- memantine

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6
Q

Are antidepressants recommended in alzheimers

A

no

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7
Q

Donepezil c/i and side effect (one of each)

A

not in bradycardia
Can = insomnia

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8
Q

Can you give antipsychotic in alzheimers

A

yes if agitated ++

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9
Q

2 types of frontotemporal dementia

A

behavioural variant (50%)

Primary progressive aphasia (has subtypes)

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10
Q

dementia where behaviour change noticed before memory change

A

frontotemporal

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11
Q

dementia with personality change and impulsiveness

A

frontotemporal

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12
Q

frontotemporal rx

A

no drug therapy
can use SSRI/benzo/antipsychotic (as last resort for antipsych)

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13
Q

EArly impairment in attention or function dementia

A

LBD

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14
Q

Fluctuating cognition dementia
Visual hallucinations

A

LBD

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15
Q

LBD leads to what

A

parkinsonism

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16
Q

Diagnosis of LBD

A

SPECT

17
Q

Treatment of LBD

A

AChEi or memantine similar to alzheimers
AVOID neuroleptics as can cause parkinsonism

18
Q

3 treatments for parkinsons

A

Levodopa (for motor primarily)

MOAi (rasagiline, seslegiline)

Dopamine agonist

19
Q

What type of medication is not first line in parkinsons

A

Ergot derived dopamine agonists- bromocriptine, cabergoline

20
Q

3 complications of parkinsons

A

autonomic dysfunction (constipation, urinary freq, postural hypotension)
falls
cognitive impairment

21
Q

When can you define it as parkinsons dementia

A

onset after >1yr parkinsons (before 1y would be LBD)

22
Q

SSRI of choice in children/adolescent?

A

Fluoxetine

23
Q

Best antidepressant post MI

A

sertraline

24
Q

Which SSRI has QT risk

A

citalopram

25
Q

First line for GAD

A

sertraline

26
Q

how to taper off benzos when addicted

A

switch to equivalent diazepam dose then taper over 2 months

27
Q

biggest risk factor for schizophrenia

A

family history

28
Q

Dizziness, electric shock sensations and anxiety are symptoms of discontinuing what class of medication

A

SSRIs

29
Q

What PHQ-9 score is more severe depression (as opposed to ‘less severe’) and what is first line rx

A

PHQ-9 score of ≥ 16

CBT AND antidepressant medication

30
Q

What are the first rank symptom (categories) of schizophrenia?

A

auditory hallucinations
thought disorder
passivity phenomena
delusional perceptions

31
Q

Cotard syndrome

A

believes they are dead

32
Q

Capgras syndrome

A

believes friend/family has been replaced by an imposter

33
Q

Erotomania

A

believe someone is in love with them, stalking

34
Q

Factors associated with poor prognosis in schizophrenia

A

strong family history

gradual onset

low IQ

prodromal phase of social withdrawal

lack of obvious precipitant

35
Q

what is an eponymous sign to see if paralysis if non-organic

A

Hoover’s sign (pressure is felt under the paretic leg when lifting the non-paretic leg against pressure, this is due to involuntary contralateral hip extension)

36
Q

Conversion syndrome

A

typically involves loss of motor or sensory function

37
Q

Somatisation syndrome

A

multiple physical SYMPTOMS present for at least 2 years, refuses to accept negative tests or reassurance

MSRA (21 decks)

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