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Tomakesense 2 > Psych > Flashcards

Psych Flashcards

1
Q

4 categories of Antipsychotic SEs

A

Tardive dysknesia:
- choreoathetoid movements + pouting of jaw

Acute dystonia:

  • torticollic
  • oculogyric crisis

Extrapyramidal:
- Parkinsonism

Akathesia: restlessness

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2
Q

3 major clusters of symptoms for PTSD

A

Intrusive recollections
Hyperarousal
Avoidance

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3
Q

First line Rx for PTSD

A

If mild and <4/52: watch and wait

Otherwise, EMDR
can consider antidepressant if refractory to EMDR

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4
Q

What is Section 7

A

Application for Guardianship

ie. enables care in community where cannot be provided without the use of compulsory powers

Guardian usually a social worker, who can require a person to live in specific place, attend specific places for treatments, grant access to authorised persons

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5
Q

MMSE score suggestive of dementia

A

<24/30

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6
Q

Scoring system for anxiety/GAD

A

Hamilton Anxiety Scale

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7
Q

When to monitor for SEs and efficacy of drugs in GAD?

A

2, 4, 6, 12 weeks

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8
Q

Anorexia features

A

Distorted body image
Weight maintained below 15% of normal
(BMI <17.5)

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9
Q

Social phobia features

A

Intense, persistent fear of being negatively evaluated by others resulting in avoidance of social situations

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10
Q

Somatisation definition

A

2 year Hx multiple various physical symptoms for which no cause found. Refusal to accept reassurance

Has a family tendency

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11
Q

Hypochondriasis definition

A

Persistent belief that one has underlying illness (eg. cancer) underlying their symptoms

No familial tendency

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12
Q

What is echopraxia/echokinesis?

A

Feature of schizo

Involuntary imitation of another’s actions

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13
Q

What is Ambitendency?

A

Co-existence of mixed feelings

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14
Q

Lithium blood monitoring

A

Aim 04-1.2

Monitor level 12h post dose:
On days 4-7 after commencing
Then once weekly for 4 weeks
Then monthly

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15
Q

Depo antipsychotic options (atypical and typical)

A

Atypical: Risperidone
Typical: Haloperidol

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16
Q

88yo presents with daughter with forgetfulness and confusion. MMSE 24/30. Recently started on Mirtazapine for low mood.

Dx and Rx?

A

Depressive peudodementia

Improves with treatment of low mood

17
Q

Lithium toxicity features

A 
Tremor
Dysarthria
Renal impairment
Nystagmus
Ataxia
Convulsions
18
Q

Side effect of SSRI that can cause confusion/drowsiness

A

Hyponatraemia/SIADH

19
Q

Switching from SSRI to Venlafaxine

A

Withdraw SSRI, commence low dose venlafaxine

EXCEPTION: Fluoxetine has long half-life
IE. leave 4-7 day gap between stopping Fluoxetine and commencing Venlafaxine

20
Q

Relative and absolute contraindications to ECT

A

Relative: infarction stroke/MI

Absolute: Recent subdural/subarach

21
Q

OCD Treatment

A

Exposure and Response Treatment

22
Q

Avoidant personality disorder and Rx

A

Very shy, feel inadequate, hypersensitive to rejection. Paralysed by this into social isolation.

Rx: psychotherapy (basis of PD Rx)

23
Q

Bipolar I vs Bipolar II

A

I: presents with mania ~severe and function impaired

II: involves hypomania ie. not involving hospital admission and can continue functioning

24
Q

Indication for Venlafaxine in depression

A

If low risk suicide + 2 SSRIs already not worked -> SNRI eg. Venlafaxine, prior to considering ECT

25
Q

Temporal lobe SOL can cause which Sx?

A

Personality change

Cognitive deficit

26
Q

What is fugue?

A

Severe end of dissociate spectrum:

- forgets whole personal history and may take on a new persona

27
Q

Antidepressant discontinuation syndrome:
Features?
Which antidepressants more likely?

A

Symptoms 2-3 days after stopping:

  • GI disturbance
  • vivid dreams
  • nightmares
  • insomnia
  • headaches/sweat/lethargy

~Short acting antidepressants eg. Venlafaxine, Duloxetine

28
Q

Anxiety and depression are a feature of withdrawal from many illicit drugs - but which features are more specific to cocaine withdrawal?

A

paranoia

fornication

29
Q

Systemic therapy use

A

Couples therapy

Dysfunctional family therapy

30
Q

Patient’s dad died. Since then, getting into trouble, rude, argumentative, moody

Rx?

A

Interpersonal psychotherapy ~interpersonal relationships

31
Q

Ways of testing frontal lobe function

A

Verbal fluency (ask patient to recall as many words starting with a letter in 1min)
Estimating
Clock drawing test
Response inhibition/motor preservation (ask patient to tap twice when you tap once and vice versa)
Abstract thinking (link between pairs eg. cat and dog)

32
Q

Which ages is ECT not recommended for?

A

Ages 5-11

33
Q

Appropriate therapy for possibly autistic child?

A

Social skills support training

34
Q

Depression is most common in which dementia

A

Vascular dementia > Alzheimers

35
Q

Patient now abstinent from alcohol, going on a business trip, wants help to remain abstinent on trip

A

Disulfiram

Tomakesense 2 (18 decks)

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