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PACES > Psych > Flashcards

Psych Flashcards

1
Q

What are the criteria for anorexia nervosa?

A

BMI <17.5/15% below expected, deliberate weight loss, distorted body image, endocrine disturbance.

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2
Q

Criteria for bulimia nervosa?

A

Binge eating, purging, body image distortion, BMI >17.5

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3
Q

Someone with acute dystonia what would you give?

A

Procyclodine

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4
Q

Community Psych Nurse

A

CPNs work outside hospitals and visit clients in their own homes, out-patient departments or GP surgeries. They can help you to talk through problems and give practical advice and support. They can also give medicines and keep an eye on their effects.

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5
Q

Social worker

A

They are able to give expert practical help with money, housing problems and other entitlements.

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6
Q

Occupational therapist

A 
to work out what you can and cannot do
with advice on where you could or should live
to find things to do that you want to do
to re-build your confidence
to become independent.
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7
Q

What is a normal grief reaction?

A

Feelings of being:

  • Numb (hours after the death)
  • Agitated
  • Angry
  • Guilty
  • Relieved:
  • Sad: After a few weeks
  • Reflective
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8
Q

What would classify an abnormal grief reaction?

A 
Extremely intense (=depression, disables the patient)
Prolonged (<6months) with no relief
Delayed (no sign of emotional response at first)
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9
Q

delirium tremens; when and what?

A

peak incidence of delirium tremens is at 48-72 hours post abstinence:

coarse tremor
confusion, delusions
auditory and visual hallucinations
fever
tachycardia
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10
Q

The first line drug treatment for PTSD

A

paroxetine or mirtazapine

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11
Q

Adverse effects of atypical antipsychotics

A

weight gain

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12
Q

score is used to calculate suicide risk

A

SADPERSONs

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13
Q

PHQ-9?

A

asks patients ‘over the last 2 weeks, how often have you been bothered by any of the following problems?’
9 items which can then be scored 0-3

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14
Q

Anorexia nervosa: features

A

most things low (sex hormones, T3, K+)

G’s and C’s raised: growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia

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15
Q

SSRI and NSAID risk?

A

There is an increased incidence of gastrointestinal bleeding - give lanzoprazole

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16
Q

SSRI during the third trimester can result in?

A

persistent pulmonary hypertension of the newborn

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17
Q

SSRI during the first trimester can result in?

A

congenital heart defects

18
Q

Someone who just started on an antipsychotic and becomes tachycardia, hyperthermia, sweating, urine drug screen negative. HIGH CREATINE KINASE

A

neuroleptic malignancy syndrome

19
Q

Someone who just started on an antipsychotic and becomes tachycardia, hyperthermia, sweating, urine drug screen negative

A

neuroleptic malignancy syndrome

20
Q

Capgras syndrome

A

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

21
Q

Fregoli syndrome

A

a delusion that a persecutor is able to change into many forms and disguise themselves

22
Q

de Clérambault’s syndrome

A

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

23
Q

emotional instability, disturbed views of self-image, feelings of emptiness and intense but easily broken, relationships. Self- harm is a common feature, o en in an attempt to avoid abandonment.

A

Emotionally unstable, borderline type

24
Q

Thought disorder, disorganized speech and behaviour and flat or inappropriate affect. Social isolation and prominent negative symptoms

A

Key symptoms of hebephrenic schizophrenia

25
Q

Serotonin syndrome

A

The combination of opioids with selective serotonin reuptake inhibitors

Sx: severe hypertension, tachycardia, high pyrexia, myoclonus, sweating and hyperreexia

26
Q

Argyll Robertson pupils

A

Neurosyphilis

27
Q

confusion, ophthalmoplegia (usually 6th nerve palsy resulting in lateral gaze), nystagmus, and ataxia

A

Weicke’s encephalopathy

28
Q

alcoholic, unable to form new memories

A

Korsakoff’s psychosis

29
Q

Withdrawal symptoms include tinnitus, rebound insomnia, tremor, dizziness, restlessness, depersonalisation

A

Benzodizepines

30
Q

withdrawal is associated with craving, agitation, dilated pupils, yawning, diarrhoea, nausea and vomiting, abdominal cramps, and goose pimples

A

opiates

31
Q

Alpha synuclein aggregates

A

LBD

32
Q

donepizil

A

Ach inhibtor - dementia

33
Q

amytriptaline class and side effects?

A

TCA

muscarinic (dry mouth, constipation, blurring of vision), H1 histaminergic (weight gain, drowsiness), and adrenergic (hypotension, sexual dysfunction)

arrhythmias, ventricular tachycardias, and QT pro- longation

34
Q

Drugs for alcohol detox when they go home?

A

Disulfiram (causes hangover symptoms) and acamprosate (to reduce cravings)

35
Q

AMTS?

A

ATAY WIDWM 20 A

Age?
Time to nearest hour?
Address (42 West Street)
Year
Where are we?
Identify 2 people
Date of birth?
Monarch?

Count backwards from 20 to 1?
Address recall

36
Q

Cognitive testing

A 
Addenbrookes
MMSE (out of 30, <24 = cognitive impairment)
MOCA (out of 30, <25 = cognitive impairment)
37
Q

Terms to describe “thought”

A

Linear and logical

Tangential

Flight of ideas

Held some persecutory/paranoid/grandiose/nihilistic delusions that….

38
Q

Mx of BPAD

A

Acute mania:

  • Admit, record suicidal ideation
  • Stop antidepressant
  • Consider olanzipine
  • If not working, give lithium but monitor LFT and RF

Long term:
- Lithium or valproate (not young women

39
Q

Tools to assess severity of LD

A

Wechsler Adult Intelligence Scale

Vineland Adaptive Behavioural Scale

40
Q

What are the symptoms of mild lithium toxicity?

A

Lethargy, drowsiness, coarse hand tremor, metallic taste in mouth, muscle weakness, nausea, vomiting, and diarrhea.

41
Q

Routine bloods for lithium

A

serum lithium, FBC, U+E, eGFR, TFTs, BMI. These should be completed every 3 months for the first year, then every 6 months after this in low risk groups or every 3 months in groups such as older patients, patients with poor renal function

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