Psych difficult topics Flashcards
symptom of hypomania in primary care ?
routine referral to CMHT
anorexia what is raised?
growth hormone
glucose
salivary glands
cortisol
cholesterol
carotinaemia
SSRI in third trimester
persistent pulmonary htn
treating OCD - medication
SNRI /SSRI
but higher dose and 12 weeks to respond
serotonin syndrome
features?
mydriasis - pupillary dilation
muscle rigidity
fever
seziure
diarrhoea
neuro sign like clonus / hyperreflexia
SSRI discontinuation?
increased appetite
restlessness
difficulty sleeping
sweating
GI
paraesthesia
suicide risk factors
male gender
35-49
mental illness
chronic pain
alcohol misuse
loss of a job
debt
bereavement
divorce
imprisonment
metabolic side effects of antipsychotics
dysglycaemia
diabets
dyslipidaemia
alcohol withdrawal assessed by?
clinical institute withdrawal for alcohol
what can be screening tools to identify problems with drinking?
AUDIT
CAGE
The Positive and Negative Syndrome Scale (PANSS) is used for assessing
severity of schizophrenia
what is the most appropriate for dealing with negative symptoms of schizophrenia?
clozapine
negative symptoms of schizophrenia?
incongruity/blunting of affect
anhedonia (inability to derive pleasure)
alogia (poverty of speech)
avolition (poor motivation)
social withdrawal
what are schneider’s first rank symptoms?
auditory hallucinations
thought disorder
passivity phenomena
delusional perceptions
auditory hallucinations
echo
third person commentary voices commenting
thought disorder
> insertion
withdrawal
broadcasting
first line medication for GAD?
sertraline
substance misuse:
medication for alcohol abstinence
deterrant- vomit if consume alcohol
disulfiram - anatbuse
how does disulfiram work?
why does it work in alcohol abstinence?
inhibitor of acetylaldehyde dehydrogenase
buildup of acetylaldehyde if you drink alcohol. = facial flush, nausea and vomiting
once daily effects last 7 days
what is an anticraving drug?
in alcohol misuse management
acamprosate taken 3 times daily
detox
how does ondansetron work?
5-HT3 receptor antagonist
anti emetic
Opioid dependence syndrome
methadone : most common drug, taken in liquid form
buprenorphine can also be used
MOA of methadone
opioid mu receptor agonist
liquid
buprenorphine
sublingual
mixed opioid agonist/ antagonist
what is delirium tremens and when does it start?
48-72 hours
> hallucinations
fever
tachycardia
confusion
delusions
how is wernickes differentiated from korsakoff’s?
wernicke is what happens first
1) Wernickes encephalopathy
2)(b1 thiamine deficiency
I)confusion, broad based gait, oculomotor dysnfunction
korsakoff is when the encephalopathy has progressed
ii)anterograde and retrograde amnesia. Confabulation
