Psych Buzzwords

Question 1

Third-person auditory hallucinations?

Answer 1

Schizophrenia

Question 2

Mesocortical dopamine hypo-activity?

Answer 2

-VE + cognitive symptoms in schizophrenia

Question 3

Subcortical dopamine hyperactivity?

Answer 3

Psychosis

Question 4

Dopamine pathways in a specific part of the brain?

Answer 4

Tuberoinfundibular (concerned with prolactin release).

Question 5

Nigrostriatal is responsible for?

Answer 5

Extra pyramidal motor movements.

Question 6

Mesolimbic is responsible for?

Answer 6

Involved in motivation + rewards.
DA blockade - Depression.
DA agonism - Psychosis.

Question 7

Brain changes in schizophrenia?

Answer 7

Reduced frontal lobe volume (+ grey matter), enlarged lateral ventricles, reduced grey matter in the temporal cortex.

Question 8

Pressure of thought

Answer 8

Varied ideas in abundance (characteristic of mania but can also be seen in schizophrenia)

Question 9

Poverty of thought

Answer 9

patient reports lack/absence of thoughts

Question 10

Thought blocking

Answer 10

abrupt and complete interruption of stream (strongly associated with schizophrenia).

Question 11

Flight of ideas?

Answer 11

quickly moving from one topic to another but there is a link unlike in knight’s move thinking where there does not appear to be a link between point A and point B. - seen in bipolar during manic phase

Question 12

Amygdala?

Answer 12

Involved in normal response to threat

Question 13

Management of OCD?

Answer 13

1. SSRI, 2. SSRI, 3. TCA or SNRI, 4. SSRI or TCA - (TCA used is chlomipramine) so essentially an SSRI and if there is a partial response at any of those points, consider CBT as an adjunct

Question 14

Alcoholic Withdrawal Management?

Answer 14

Use chlordiazepoxide ( 30mg QDS, 25mg QDS, 20 mg QDS, 15mg QDS, 10mg QDS, 10mg TDS, 10mg BD, 10mg OD - nocte).