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THIRD YEAR > Psych 2 > Flashcards

Psych 2 Flashcards

1
Q

drugs induced psychosis is similar to what

A

initial presentation similar to first presentation of schiz

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2
Q

causes of drug induced psychosis

A

coke, cannabi, LSD, amphetamines

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3
Q

schizoaffective disorder

A

F25

BPD and schizophrenia

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4
Q

antipsychotic treatment most block what

A

histamine - sedation and increased appetite
alpha receptor blocking - hypotension
block PS muscarininc receptors - dry mouth

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5
Q

CGT
carbohydrate deficient transferrin
MCV

A

liver injury
identifies men drinking over 5 units a day
goes up

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6
Q

FRAMES

A 
feedback
responsibility
advice
menu
empathy
self efficacy
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7
Q

alcohol inhibits what system and has an agonist effect on what
what others system does it have an affect on

A

glutamate inhibited, GABA agonist effect

dopamine reward system

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8
Q

alcohol withdrawal leads to what

A

excess glutamate and decreased GABA

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9
Q

first symp of alcohol withdrawal

A

within hours and peak at 24-48 hours

resolve in 5-7 days

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10
Q

delirium tremens who
when
mortality

A

5%
peak onset 2 days
2-5%

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11
Q

treatment for alcohol withdrawal
BZDs
what else

A

general support, hydrate, analgesia, anti emetics
BZDs - diazepam, chlordiapexodie - titrate against severity and reduce gradually over 7 days or more

thiamine - parental

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12
Q

naltrezone

A

first line for alcohol relapse prevention
opiode antagonist
decreases reared from alcohol

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13
Q

acts where
started when
SE

A

acamprosate
centrally on gluatamate and GABA systems and decreases craving
start as soon as detoxification complete
SE diarrhoea, headache, nausea

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14
Q 
Dusulfiram (antabuse)
what does it inhibit
alcohol consumption leads to what 
symptoms 
efficacy requires what
A

inhibits acetyldehyde dehydrogenase
so increased levels if alcohol is consumed
flushed skin, tachycardia, N/V, arrhythmia, hypotension, efficacy requires compliance

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15
Q 
borderline
mild
mod
severe
profound
A 
70-84
50-69 MA 7-12
35-49 MA 6-9
20-34 MA 3-6
<20 MA <3
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16
Q

most common LD

A

mild 50-69 MA 7-12

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17
Q

people with LD are how much more commonly likely to get psych disorders

A

3x

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18
Q

what can be given in aggression in ASD

sleep problems

A

risperidone short term

melatonin

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19
Q

ADHD

A

inattention
hyperactivity
impulsivity

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20
Q

treatment for ADHD

psycho

A

parent training, behavioural classroom management

social skills, sleep and diet

21
Q

treatment for ADHD

pharma

A

methylpheniate, dexamfetamine, lisdexamfetanime
atomoxetine
antipressants, anti hypertensive, anti psychotics

22
Q

ADD

A

language impairment

thought and behaviour - restrictive and repetative

23
Q

ASD is what

A

strongly heriditary

24
Q

commonest health problem in over 65s

A

delirium

25
Q

how long does delirium last

A

1-4 weeks

26
Q

treatment for delirium
parkinsons, LB, neuroplastic sensitivyt
alcohol/sedative withdrawal

A

underlying cause.
haloperidol 0.5-5mg PO then IM up to 10mg/24h
Lorazepam 0.5-2mg up to twice in 24 hours
BZD after

27
Q

lewy body hallucinations

A

rigvastamine

28
Q

wenicjes

A

ophthalmoplegia
ataxia
confusion

29
Q

picks bodies

A

tau positive spherical cytoplasmic neuronal inclusions composed of straight filaments

30
Q

ballooned neurones with dissociation of chromatin

A

picks cells

31
Q

causes of younger onset dementia

A

1 alzheimers
2 frontotemporal
huntingtons, wilsons, downs

32
Q

symptoms of serotonin withdrawal

A

myoclonus, agitation, restlessness, hyperreflexia, tremor, sweating, diarrhoea, shivering, ataxia, fever, confusion

33
Q

brocas

A

expressive

have insight

34
Q

wernickes

A

receptive aphasia

no insight

35
Q

detoxification

A

self detox
reduce prescribed opioids
alpha 2 adrenergic agonists - lofexidine tailer dose
add ons - lopermide, hypnotic, NSAIDs

36
Q

opiod substitution therapies

A

methadone or buprenorphine (+/- neloxone)

37
Q

sensory memory

A

<1s

out of cognitive control

38
Q

short term memory

A

working memory

<1min

39
Q

long term memory divided into what

A

explicit (conscious)-> declarative memory facts events

implicit (unconscious) -> procedural - skills, tasks

40
Q

what is declarative memory divided into

A

semantic - facts, concepts

episodic - events, experiences

41
Q

what form is filled out for incapacity

A

certificate of incapacity section 47

42
Q

> 16
<12
12-16

A

presumed to have capacity
presumed to not have capacity
depends on understanding

43
Q

HIV law england

scotland

A

bodily offense

capable and reckless behaviour

44
Q

history of known cardiac disease, history of atypical antipsychotics, current illicit drug use

A

lorazepam 1-2mg PO

unsuccessful or response needed in 30 mins

lorazepam 1-2mg IM mixed 1:1 with water or NaCl

wait 30 mins

injection again if necessary

45
Q

confirmed history of typical antipsychotic drug exposure

A

lorazepam 1-2mg PO and/or haloperidol 5mg

unsuccessful or response needed in 30 mins

lorazepam 1-2mg IM mixed 1:1 with water or NaCl
in extreme lorazepam and haloperidol 5mg IM
monster RR, BP, PR every 5-10 mins for an hour

wait 30 mins

injection again if necessary

46
Q

emergency detention lasts fro how long
who needs to sign the form
does it authorise treatment

A

72 hours
medical practitioner needs to consult MHO but not necessary
no unless emergency

47
Q

short detention lasts for how long
who needs to sign
does it authorise treatment

A

28 days
requires MHO consent
yes

48
Q

compulsory treatment disorder
who needs to sign
lasts for how long
where

A

2 medical reports one form AMP
6 months
in community or hospital

THIRD YEAR (27 decks)

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