psych

Question 1

what are some general effects of ageing?

Answer 1

sarcopenia
- ADL struggle, constipation, respiration down

reduced renal function

less dense bones

lungs
- cough reflex blunted, cilia reduced, kyphosis

Question 2

define frailty

Answer 2

a physiological syndrome characterised by reduced reserves and vulnerability to adverse outcomes

Question 3

how does ICD10 diagnose dependence?

Answer 3

3 or more present of below in past year:

• withdrawal
• tolerance
• compulsion
• difficulty controlling
• neglect of interests
• persistence despite evidence of harm

Question 4

Sx of alcohol withdrawal syndrome?

Answer 4

tremor
sweating
N+V
tachycardia

then delirium tremens:

• delirium
• hallucinations
• agitation
• sleep disturb
• convulsions

Question 5

Sx of wernicke’s encephalopathy?

Sx of korsakoff’s?

Answer 5

mental impairment
ataxia
ophthalmaplegia

confabulations
retrograde amnesia

Question 6

domains of the mental state exam?

Answer 6

appearance
speech
mood
perception
thought
insight 
cognition

Question 7

Sx of depression?

Answer 7

anhedonia
persistent low mood

sleep changes
psychomotor changes
weight change
fatigue
guilt/worthlessness
poor concentration
suicidal

Question 8

Confusion assessment method?

Answer 8

1+2 +(3 or 4)
acute onset
inattention
disorganised thought
alter consciousness