PSYCH 4

Question 1

psychosis causes

symptoms

Answer 1

drugs. delirium. sleep deprivation - hallucinations

hallucinations - auditory/tactile, delusions, overvalued ideas

Question 2

drug induced psychosis symptoms 
initial presentation 
cause
concern
treatment

Answer 2

florid or chronic symptoms
initial presentation similar to first presentation of schiz
coke, cannabis, LSD, amphetamines
people with schiz/BPD more likely to use illicit drugs
short lasting if psychoactive substance removed

Question 3

depressive psychosis symptoms

Answer 3

delusions of worthlessness/guilt/hypochondriosis/poverty

hallucinations: accusing/insulting, threatening voices usually 2nd person

Question 4

mania with psychosis

Answer 4

delusions of grandiose/sepcial ability/persucatory/religion
hallucinations - gods voice
flights of ideas

Question 5

schizoaffective disorder

Answer 5

BPD and schizophrenia

Question 6

what does alcohol do
first symptoms when and what are they
delirium tremens

Answer 6

agonist affect on GABA system
and inhibits glutamate system

within hours and peak at 24-48h - restlessness, anxiety, sweating, tremor, N&V, loss of appetite, insomnia, tachy, systolic
in most symptoms within 5-7 days

insidiously at night. confusion, disorientation, disorientation, htn, agitation, fever, visual/auditory hallucination, paranoid ideation

Question 7

treatment of of alcohol dependance

Answer 7

general support. hydrate. analgesia. anti emetic.
diazepam. chlordiazepam.
thiamin proph

Question 8

relapse prevention

Answer 8

CBT
naltroxone
dusulfiram (altbuse)
acomprostate

Question 9

opiate misuse symptoms

treatment

Answer 9

rhinorrhea, pinpoint pupils, drowsy, watery eyes, yawning

emergency IV/IM naloxone
detox - lofexidine - alpha adrenergic agonist
substitute - methadone, buponephrine

Question 10

learning disabilities borderline 
mild
mod
severe
profound

Answer 10

70-84. MA 12-15
50-69 MA 9-12
34-49 MA 6-9
20-34 MA 3-6
<20 MA < 3

Question 11

ADHD triad
cormobities
physiological
pharma

Answer 11

inattention, hyperactivity, impulsivity
LD, attachment difficulties, mood and anxiety, behavioural problems, substance use

parent training. classroom management
social skills training. sleep and diet

methylphenidate (ritalin)
atomexetire
anti dep, anti h/s, anti psychotics

Question 12

ASD symptoms
cause
treatment

Answer 12

language impairment, thought and behaviour - restrictive and repetitive

strong hereditary

family and school based. melatonin. risperidone - aggression/self injury - short term, anti psychotics