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Jess > Psych > Flashcards

Psych Flashcards

1
Q

Normal pressure hydrocephalus presentation

A

Triad of:

  1. Dementia
  2. Gait disturbance
  3. Urinary incontinence
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2
Q

Wernicke’s syndrome triad

A
  1. Confusion
  2. Ataxia
  3. Nystagmus / opthalmoplegia
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3
Q

Korsakoff’s syndrome (irreversible)

A

Confusion
Antero and retrograde amnesia
Confabulation / frontal lobe dysfunction
Psychotic symptoms

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4
Q

Schneider’s first rank symptoms

A

Auditory hallucinations: third person, running commentary, thought echo
Thought disorder: insertion/withdrawal/broadcast
Passivity: made feelings/actions/impulses, or somatic passivity
Delusional perceptions

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5
Q

Anorexia nervosa diagnostic criteria

A

Requires all four:

1. Weight 15% below expected or BMI

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6
Q

Bulimia nervosa diagnostic critera

A

Requires all three:

  1. Binge eating
  2. Methods to prevent weight gain e.g. vomiting, purging, laxatives
  3. Morbid fear of fatness
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7
Q

Russell’s sign

A

Thick skin on back of hands from vomiting in bulimia

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8
Q

Functional hallucinations

A

A hallucination precipitated by a stimulus in the same sensory modality

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9
Q

Reflex hallucination

A

A hallucination precipitated by a stimulus in another sensory modality

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10
Q

Hypnagogic hallucination

A

Hallucination whilst falling asleep

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11
Q

Hypnopompic hallucination

A

Hallucination whilst waking up

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12
Q

Couvade syndrome

A

Man experiencing pregnancy symptoms around time of birth of his child

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13
Q

Pseudocyesis

A

Signs and symptoms of pregnancy in a non-pregnant woman

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14
Q

Treatment of opiate overdose

A

Naloxone

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15
Q

Euphoria, nausea and vomiting, constipation, anorexia, hypotension, respiratory depression, tremor, pinpoint pupils and erectile dysfunction

A

Opiate use

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16
Q

Dilated pupils, lacrimation, sweating, diarrhoea, insomnia, tachycardia, abdominal cramp-like pains, nausea and vomiting

A

Opiate withdrawal

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17
Q

Managing opiate detox

A

Methadone and buprenorphine (partial agonist)

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18
Q

Tachycardia, hypertension, N&V, dilated pupils (mydriasis), increased libido, formication

A

Cocaine use

19
Q

Dysphoria, cravings, irritability, paranoia

A

Cocaine withdrawal

20
Q

Anxiety, insomnia, sweating, tachycardia, tremor, seizures

A

Alcohol withdrawal

21
Q

Management of alcohol withdrawal

A

Benzodiazepines e.g. chlordiazepoxide

IV Pabrinex

22
Q

Delusion that one is infected by parasites +/- formication

A

Ekbom’s syndrome

23
Q

Nihilistic delusion that one is dead, has lost all one’s possessions, does not exist or is decaying

A

Cotard’s syndrome

24
Q

Syndrome of obesity with sleep apnoea and hypersomnia

A

Pickwickian syndrome

25
Q

Delusional belief that someone of higher social status is in love with them

A

De Clerambault’s syndrome (erotomania)

26
Q

Factitious disorder in which people give approximate answers to simple questions but show they still understand the question

A

Ganser’s syndrome

27
Q

Delusion that persecutor is able to change into many forms and disguise themselves to look like other people

A

Fregoli syndrome

28
Q

Feeling of delusional intensity that one’s partner is being unfaithful

A

Othello syndrome

29
Q

Delusional belief that a close acquaintance has been replaced by an identical double

A

Capgras’ syndrome

30
Q

When a delusion in one person becomes shared by someone close to them

A

Folie a deux

31
Q

ICD-10 diagnostic criteria for dependence syndrome

A

3+ symptoms present together at some time during past year:

  1. Strong desire or compulsion
  2. Difficulties controlling substance-taking behaviour
  3. Physiological withdrawal state
  4. Signs of tolerance
  5. Neglect of other interests
  6. Persistence despite clear awareness of harmful consequences
32
Q

ICD-10 diagnostic criteria for schizophrenia

A

One or more of:
1. Thought echo, insertion, withdrawal or broadcast
2. Delusions of control or passivity; delusional perception
3. Hallucinatory voices; running commentary, third person or ‘originating’ from some part of the body
4. Bizarre delusions
Or, two of:
1. Other hallucinations or sustained overvalued ideas
2. Thought disorganisation e.g. loosening of associations, neologisms
3. Catatonic symptoms
4. Negative symptoms e.g. anhedonia
5. Change in personal behaviour e.g. social withdrawal
Most of the time for >1 month

33
Q

ICD-10 diagnostic criteria for OCD

A 
Obsessions or compulsions present for at least 2 successive weeks, and are a source of distress or interference with functioning
Coming from pt's own mind
Unpleasantly repetitive
Resisted unsuccessfully
Compulsive act is not pleasurable
34
Q

ICD-10 diagnostic criteria for depression

A 
Key symptoms:
1. Low mood
2. Anergia
3. Anhedonia
Associated symptoms:
1. Disturbed sleep
2. Poor concentration or indecisiveness
3. Low self-confidence
4. Poor or increased appetite
5. Suicidal thoughts or acts
6. Agitation or slowing of movements
7. Guilt or self blame
2 key symptoms + 2 associated symptoms for 2 weeks =  mild depression
5-6 symptoms = moderate
7+ / psychotic symptoms = severe
35
Q

Common side-effects of SSRIs

A

Hyponatraemia, GI disturbance, insomnia, sexual dysfunction, agitation.

36
Q

Series of frenzied attacks, lasting several hours. If they survive, often followed by amnesia of the event. Form of dissociative disorder. Malaysian men.

A

Amok

37
Q

Fear of penis retracting into abdomen (Chinese men)

A

Koro

38
Q

Sudden onset hysteria, bizarre behaviour, removal of clothes, coprophagia and violence in women in the arctic circle.

A

Piblokto

39
Q

Anxiety and belief that semen is being lost in the urine. Excessive guilt about masturbation. Young Indian males.

A

Dhat

40
Q

Exaggerated startle response and echolalia. North African and Far Eastern women

A

Latah

41
Q

Severe depressive episode after traumatic event with diarrhoea and nervous tics. South America.

A

Susto.

42
Q

Craving human flesh. North American tribes.

A

Windigo

43
Q

Presentation of Niacin (B3) deficiency

A

Triad: dermatitis, diarrhoea and dementia

Jess (8 decks)

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