Psych

Question 1

what medications can cause psychosis?

Answer 1

• Steroids
• Methylphenidate

Question 2

What illicit drugs can cause psychosis?

Answer 2

-Khat
-LSD
-Stimulants- cocaine, MDMA, amphetamine
- cannabis

Question 3

How to treat psychosis?

Answer 3

• Find out the cause and if organic or substance misuse then treat this
• Then think about psych illnesses and antipsychotic treatment

Question 4

List 4 criteria necessary for using the mental health act?

Answer 4

1. Having a mental disorder
2. Of a certain nature
3. Or a certain degree
4. Risk to health
5. Risk to safety
6. Risk to others
7. And community options will not safeguard the risk or are not appropriate

Question 5

what is the difference between mania with and without psychosis- must be descriptive in exam

Answer 5

Question 6

options are available to treat psychosis if the pt refuses oral but is under section 2 MHA

Answer 6

1. Depot antipsychotic
2. Short acting daily injections of antipsychotics
   not covert

Question 7

How to treat severe depression with suicidal thoughts if two antidepressants have not been sucessful- which medication would you add or try?

Answer 7

Lithium- evidence that Lithium reduces suicide risk.

Question 8

A patient with severe depression is not eating or drinking and is refusing oral antidepressants- what can you try ?

Answer 8

consider ECT- antidepressnats and lithium do not come in IM form

Question 9

10. A 37 year old man has been admitted to hospital under section 2 of the mental health act. He is psychotic and extremely agitated. He is given IM haloperidol as rapid tranquilisation. He develops extra-pyramidal side effects, and so is given oral Procyclidine.
    how does procyclidine work?

Answer 9

a. Anticholinergic- thought to balance the dopamine:acetylcholine activity in the basal ganglia.

Question 10

how does procyclidine come?

Answer 10

IM

Question 11

What is the mneumonic for Neuroleptic malignant syndrome ?

Answer 11

FEVER

Fever- >38
Encephalopathy- confusion
Vital sign instability- hypertension, tachycardia and tachypnoea
Elevated enzymes- raised CK and WCC
Rigidity/reduced reflexes

Question 12

What is the mneumonic for Serotonin syndrome ?

Answer 12

HARMED

Hyperthermia/hyperreflexia
Autonomic instability
Rigidity
Myoclonus
Encephalopathy- confusion
Diaphoresis- sweating

Question 13

Normal grief reaction: stages
mneumonic

Answer 13

DABDA

denial
anger
bargaining
depression
acceptance

Question 14

Mneumonic for GAD sxs?

Answer 14

WATCHERS

Worry
Anxiety
Tension in muscles
Concentration difficulty
Hyperarousability/irritability
Energy loss
Restlessness
Sleep affected

Question 15

Mneumonic for Depression sxs?

Answer 15

Low mood +SIGECAPS

Sleep affected
Interest decreased
Guilty
Energy low
Concentration affected
Appetite changes
Psychomotor agitation and retardation
Self harm and suicide

Question 16

Mneumonic for mania sxs?

Answer 16

DIG FASTER

Distractibility
Irritability/impulsivity
Grandiosity

Flight of ideas
Activity increased
Sleep deficit
Talkativeness
Elevated mood
Restlessness

Question 17

ICD-10 Diagnosis of OCD and FORD Car mneumonic for clinical features ?

Answer 17

Obsessions or compulsions- Must be present for at least 2 weeks for most days:

Failure to resist
Originate from pts mind
Repetitive
Distressing
Carrying out the act is not pleasurable and only gives some relief from anxiety

Affect the persons social functioning and waste time