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😤exam prep > psych formative > Flashcards

psych formative Flashcards

1
Q

What are the first rank symptoms of schizofrenia?

A

auditory hallucinations,

thought broadcast,

thought insertion, thought withdrawal,

delusional perception.

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2
Q

What is Apathy?

A

indifference, lack of emotion/motivation

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3
Q

what is Confabulation?

A

memory disturbance – unintentional fabrication

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4
Q

What is a nihilistic delusion?

A

delusion regarding non-existence of self/the world

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5
Q

Pressure of speech

A

ou have an extreme need to share your thoughts, ideas, or comments. It’s often a part of experiencing a manic episode

speech will come out rapidly

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6
Q

Which classification system used for mental illness?

A

ICD-10

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7
Q

An 8 year old boy is referred with behavioural problems to the Child Psychiatry Department. He is always active at home and moves from task to task. He finds it difficult to concentrate to read or watch TV. He often puts himself into dangerous situations like climbing onto high roofs. His performance at school is poor where he is distractible and causes distractions to others.

What is the most likely diagnosis?

A

Attention Deficit and Hyperactivity Disorder

inattention, hyperactivity and impulsivity – persist over time and different settings

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8
Q

What is the first line treatment for depression?

A

SSRI – selective serotonin reuptake inhibitor – 1st line

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9
Q

what piece of legislation is used if a patient is unable to consent but they need treatment- not psychiatry?

A

Adults with Incapacity (Scotland) Act 2000

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10
Q

what is Adult Support and Protection (Scotland) Act 2007?

A

vulnerable adults – mainly offers ‘social’ protection. Doesn’t allow ‘physical’ treatment

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11
Q

if patient needs psychiatric treatment but can’t consent what legislation is usedpsychiatric treatment

A

Mental Health (Care and Treatment)(Scotland) Act 2003

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12
Q

which term is used in CBT?

A

Negative Automatic Thoughts

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13
Q

first choice screening tool used for alcohol problems

A

FAST

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14
Q

Does Lithium have a wide or narrow therapeutic index?

A

narrow

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15
Q

How can lithium be used to treat unipolar depression?

A

can be used for recurrent depression, to augment treatment or as prophylaxis

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16
Q

what must be measured when a patient takes lithium?

A

Serum Lithium levels should be measured every 3 months

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17
Q

what do you usually see in patient with ASD?

A

abnormal social interaction and restricted, stereotyped, repetitive interests and activities

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18
Q

what do you see in OCD?

A

intrusive, unpleasant , resisted thoughts. Stereotyped, usually pointless behaviours – not inherently enjoyable

19
Q

A 39 year old woman presents with a complaint that she is fearful that something bad may happen to her. This fear occurs where-ever she goes and she cannot describe what might happen. She also complains of pains in her chest, a tremor and sweating at times.
What is the most likely diagnosis?

A

Generalised Anxiety Disorder – typical presentation

20
Q

A 33 year old male frequently presents to his GP practice appearing to be under the influence of a substance. He seems quite sedated, has small pupils and complains of constipation. He is also noted to Hepatitis C Virus positive. What is the most likely diagnosis?

A

opiate dependancy syndrome

21
Q

what is an assesment order?

A

court requests assessment of pt in custody

22
Q

what is a Guardship odrder?

A

act on pt’s behalf when capacity impair

23
Q

Place of safety order?

A

police can use in a public place

24
Q

WHatis power of attorney for?

A

patient plans ahead for when they have no capacity

25
Q

what is restriction order?

A

court restricts movements)

26
Q

A 28 year old woman with severe depression is admitted to the acute medical assessment ward having taken an overdose. She requires treatment but tries to leave the hospital. The FY2 is the only doctor available. Which is the most appropriate legal power to use in this situation?

A

Emergency detention certificate

27
Q

what is Akathisia?

A

unpleasant sensation of restlessness

28
Q

what is Anhedonia?

A

lack of pleasure/interest

29
Q

what is catatonia?

A

immobility, stupor

30
Q

What is Dysarthria?

A

difficulty articulating speech

31
Q

What is Dystonia?

A

involuntary muscle spasms/contractions

sometimes caused by antipsychotics

32
Q

what is agraphia?

A

inability to write

33
Q

what is Dyscalculia?

A

difficulty dealing with numbers

34
Q

what is Alexithymia

A

he inability to recognize or describe one’s own emotions.

emotional blindness

35
Q

cyclothymia

A

relatively mild mood fluctuations

36
Q

what is Nihilistic Delusion

A

believes they are rotting

37
Q

what is a grandiose delusion?

A

increased self importance/knowledge

38
Q

what is an idea of reference?

A

believing that casual events, remarks, and occurrences which happen in every day life illogically refer to oneself)

39
Q

A 22 year old man with no previous psychiatric illness sees a street lamp flicker and suddenly knows that he is the next Scottish ambassador to Wales. What is the correct term for this?

A

Delusional perseption

40
Q

You are a psychiatrist treating a 34 year old woman with depression. You are confident of the diagnosis. You have already tried two antidepressants and the second has had only partial effect. Her mood has lifted slightly but she complains of poor sleep, lack of energy and motivation and poor appetite.
what is the next step as she has treatment resistance? after that one what else do you add?

A

lithium

Mirtazapine

41
Q

what is the cheese crisis?

A

hypertensive crisis!

when MAOI’s taken with tyramine rich foods or sympathomimetics

42
Q

what syndrome can develop if you take MAO/s?

A

serotonin syndrome

abdo pain, diarhhea, tachycardia, HTN, myoclonus, irritability

43
Q

how do SSRI’s work?

A

block presynaptic serotonin terminal

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