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3a- incorrect passmed questions > Psych > Flashcards

Psych Flashcards

1
Q

RFs for developing generalised anxiety disorder

A
  • Aged 35- 54
  • Being divorced or separated
  • Living alone
  • Being a lone parent
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2
Q

What is delusional disorder

A
  • fixed, false belief that persists despite a lack of evidence
  • The belief is non-bizarre, but there’s no substantial evidence, and the patient’s overall functioning is relatively intact
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3
Q

Contraindications to bupropion

A
  • epilepsy: reduces seizure threshold
  • pregnancy
  • breastfeeding
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4
Q

How can OCD be differentiated from psychosis

A

level of insight into their actions

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5
Q

What should be monitored at initiation and dose titration of SNRIs

A

Blood pressure: SNRIs are associated with the development of hypertension

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6
Q

In an elderly patient with sudden onset psychosis, what investigation should be ordered to rule out an organic cause

A

CT head scan

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7
Q

which healthcare professionals must be involved to
validate a section 3 under the MHA

A

2 doctors and an approved mental health professional

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8
Q

First rank symptoms of schizophrenia

A
  • Thought disorders
  • delusional disorder
  • Hallucinations
  • passivity phenomenon
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9
Q

Side effects of atypical antipsychotics

A

Weight gain / Hyperprolactinemia / Nipple discharge / Impaired glucose tolerance

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10
Q

Differentials of depression

A

Bipolar disorder, Psychotic disorders, Premenstrual syndrome, Substance misuse, Hypothyroidism, Anaemia

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11
Q

Screening tools to help confirm diagnosis of depression

A
  • PHQ-9
  • HADS - Hospital Anxiety and Depression Scale
  • BDI-II - Beck’s Depression Inventory
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12
Q

Magical thinking and delusions are characteristic of which personality disorder

A

Schizotypal

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13
Q

Examples of monoamine oxidase inhibitors

A
  • phenelzine
  • selegiline
  • Isocarboxazid
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14
Q

Lithium toxicity generally occurs following concentrations over what value

A

> 1.5 mmol/L

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15
Q

Examples of stimulant drugs

A
  • Cocaine
  • methamphetamine * MDMA - ecstasy
  • khat
  • nicotine
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16
Q

management of insomnia

A
  • short-acting benzodiazepines
  • non-benzodiazepines (zopiclone, zolpidem and zaleplon)
17
Q

Investigation results of neuroleptic malignant syndrome

A
  • Raised CK (creatine kinase) –> due to muscle rigidity
    ● Raised white cell count
    ● Deranged LFT’s
    ● Acute renal failure –> abnormal U&E’s
    ● Metabolic acidosis –> low pH, low HCO
18
Q

What type of urinary incontinence is associated with TCAs

A

overflow incontinence

19
Q

Define knight’s move thinking

A

a phenomenon where a patient’s thoughts move from one topic to another, without any logical connection between them

20
Q

Define circumstantiality

A

describes a phenomenon where a patient’s thoughts are connected, but they include unnecessary details and go off-topic before returning to the original subject

21
Q

If patients with OCD has minimal improvement after having trialled a combination of SSRI and exposure response prevention CBT for at least 12 weeks, what is the next step

A

should either try a different SSRI or switch the SSRI
to clomipramine

22
Q

A capacity assessment regarding a specific decision involves four features. State them

A

the ability to understand, weigh-up, retain and communicate the decision made

23
Q

4 medications associated with drug induced delirium

A
  • furosemide
  • oxybutynin
  • propranolol
  • ranitidine
24
Q

When a patient is first commenced on clozapine, what is the initial blood monitoring requirements

A

blood test every week for 18 weeks

25
Q

withdrawal symptoms from cocaine use

A
  • increased hunger/ cravings
  • anxiety
  • fatigue
  • lack of motivation
  • irritability
26
Q

How long can a person be detained under section 5(4) of the mental health act

A

6 hours

27
Q

What section allows a police office to section a person suspected of having a mental disorder in a public
place

A

Section 136

28
Q

How long can someone be held under section 136

A

72 hours and should be seen by a doctor or AMHP

29
Q

When is activated charcoal used in the management of an overdose

A

if the overdose was within an hour ago

30
Q

mechanism of action of memantine

A

NMDA receptor antagonist

31
Q

What parameters should be monitored for someone taking lithium

A
  • weight
  • urea and electrolytes
  • eGFR
  • Calcium
  • thyroid functions tests
    every 6 months
32
Q

What type of hallucination is most suggestive of delirium tremens

A

Lilliputian - seeing lots of small people

33
Q

Ina patient presenting with low mood and fatigue, what is the most appropriate next step in management

A
  • ask them to fill out the PHQ-9 questionnaire: assess risk of having depression
  • PHQ-9 low: FBC and thyroid function tests would be useful to explore alternative diagnoses
34
Q

When is sumatriptan contraindicated

A

history of coronary artery disease

3a- incorrect passmed questions (15 decks)

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