Psych Flashcards
prevalance of dystonia
10% - young men
prevalance of parkinsonism
20% - old women
prev akithisia
25%
prev TD
5% per year of exposure - old women
treatment of dystonia
anticholinergics, switching antipsychotic, botox, rTMS
treat parkinsonism
reduce the dose, anticholinergics, switch
treat akithisia
reduce dose, switch (quetiapine.olanzapine),
propanolol, mirtazepine/mianserin, antimuscarinic, benzos, cyproheptadine
treat TD
stop anticholinergic, reduce dose, switch to atypical (cloz/quetiapine), tetrabenzine, ginkobilboaq
list the prolactin sparing antipsychotics
clozapine
aripiprazole
asenapine
quetiapine
low risk antipsychotics for prolactin
lurasidone
olanzaapine
ziprasidone
high risk antipsychotics for prolactin
all the typicals risperidone amisulpride paliperidone sulpride
list the antipsychotics associated with postural hypotension
risperidone clozapine olanzapine paliperidone quetiapine ziprasidone
which antipsychotics are suitable in postural hypotnesion
amisulpride aripiprazole haloperidol sulpridie trifluoperazine
gottesman - general
1%
gottesman - first cousin
2%
gottesman - grandchildren
5%
gottesman - parents
6%
gottesman - siblings
9%
gottesman - children
13%
gottesman - fraternal twins
17%
gottesman - identical twins
48%
pre of conduct disorder in 5-10 year old boys?
7%
annual prev for psychotic disorders uk
0.4%
annual prev for psychotic disorders internationally
.33%
lifetime prev for psychotic disorders in england
.63%
List the positive sxx on PANSS
delusions conceptual disorganisation hallucinations hyperactivity grandiosity suspiciousness, hostility
List the negative sxx on PANSS
blunted affect emotional withdrawal poor rapport passive/apethetic difficulty in abstract thinking lack of sponteity in thought, poor flow stereotyped thinking
low risk antidepresants in epilepsy
SSRIs
mirtazepine
high risk antidepressants in epilepsy
bupropion
TCAs
low risk antipsychotics in epilepsy
amisulpride, aripiprazole, ziprasidone, high potency FGA, risperidone
high risk antipsychotics in epilepsy
clozapine
chlorpromazine
loxapine
depots
augmentation of anitdepressant?
lithium
aripiprazole, olanzapine, quetiapine, risperidone
mirtazepine or mianserin