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Misc. Notes Year 3 > Psych Misc. > Flashcards

Psych Misc. Flashcards

1
Q

What does the ASEPTIC mnemonic stand for

A 
Appearance and behaviour 
Speech (pace, volume, tone, articulation) 
Emotion (speech & effect) 
Perception (hallucination) 
Though (thought disorders)
Insight
Cognition
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2
Q

What is Beck’s cognitive triad and which condition is it seen in

A 
Negative thoughts about : 
Oneself
The world
The future 
seen in depression
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3
Q

What are the 3 core symptoms of depression

A

Anergia (low energy)
Anhedonia (Low pleasure in normal activities)
Low mood

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4
Q

Which neurotransmitter is used in Appetitive/ Approach systems

A

Dopamine

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5
Q

Which neurotransmitter is used in Aversive/ Defensive systems

A

Serotonin

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6
Q

What are the 4 core diagnostic criteria for Anorexia Nervosa

A

Weight loss 15% of body weight
Self-induced weight loss
Self-perception of fatness
Widespread endocrine disorder

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7
Q

What are the three types of detention under the Mental Health Act

A

Emergency Detention
Short-term detention
Compulsory Treatment order

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8
Q

How long does an emergency detention last

A

Up to 72 hours

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9
Q

How long does a Short Term detention last

A

Up to 28 days

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10
Q

How long does a Compulsory Treatment Order last

A

Up to 6 months

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11
Q

Which of the Mental Health Act detentions authorise treatment

A

Short-term and compulsory treatment order

Emergency if the treatment is an emergency situation

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12
Q

Which Mental Health Acts are able to be appealed

A

Short-Term Detention

Compulsory Treatment Order

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13
Q

What are the 3 main anxiety disorders

A

Genralised Anxiety Disorder
Panic Disorder
Social Anxiety DIsorder

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14
Q

Describe Generalised Anxiety Disorder and the possible treatments

A

Excessive persistent worrying which is not restricted to particular circumstances
CBT –> SSRI –> Pregabalin

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15
Q

Describe Panic Disorder and the possible treatments

A

Recurrent and predictable panic attacks

CBT –> SSRI –> Tricyclic

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16
Q

Describe Social Anxiety Disorder and the possible treatments

A

Persistent fear of being observed or evaluated negatively by people
CBT –> SSRI

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17
Q

How long after a traumatic event can PTSD be diagnosed

A

3 Months

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18
Q

What does the mnenomic FAANDER stand for

A 
Flashbacks
Nightmares
Avoidance
Arousal (increased)
Emotional numbness
Dissociation
Re-enactment
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19
Q

Which tricyclic drug can be used for OCD

A

Clomipramine

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20
Q

What are the IQ cutoffs for Mild, Moderate, Severe and Profound learning disability

A

Mild - 50-69
Moderate - 35-49
Severe - 20-34
Profound - <20

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21
Q

Which pathway is involved in addiction

A

Mesolimbic

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22
Q

Which drugs can be given for alcohol relapse prevention and withdrawal symptoms and what should you start after detox

A

Alcohol relapse prevention –> Naltrexone
Withdrawal symptoms –> Chlorodiazepoxide (BZD)
Start Acamprosate

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23
Q

What is the ADHD diagnostic triad

A

Impulsivity
Inattention
Hyperactivity

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24
Q

Name two 1st line drugs for ADHD

A

Methylphenidate

Dexamfetamine

25
Q

What are Schneider’s 4 first rank symptoms of Schizophrenia

A

Delusions
Auditory Hallucinations (typically 3rd person)
Thought interference
Passivity phenomenon

26
Q

What are the 4 A’s of insight

A

Awareness one’s own symptoms
Attribution of symptoms to a mental health disorder
Appraisal of consequences
Acceptance of treatment

27
Q

What is early morning awakening defined as

A

Waking at least 2 hours before normal

28
Q

Define Bipolar I

A

At least 1 Manic episode

29
Q

Define Bipolar II

A

At least 1 Hypomanic episode

30
Q

Define Bipolar III

A

Hypomania following antidepressant use for depression

31
Q

Define Bipolar IV

A

Depressions arising from a normally elevated mood

32
Q

What is the difference between atypical and typical antipsychotics

A

Atypical antipsychotics have a high 5-HT2A to D2 ratio and are less likely to cause extrapyramidal side effects than typical antipsychotics

33
Q

Give 4 examples of extrapyramidal side effects

A

Acute Dystonic Reaction
Parkinsonism
Akasthisia
Tardive dyskinesia

34
Q

What is an acute dystonic reaction

A

Muscle spasms

Comes on as a side effect of antipsychotics in hours to days

35
Q

What is akathisia

A

Internal restlessness

patient will complain of a need to constantly move

36
Q

What is tardive dyskinesia

A

Repetitive involuntary purposeless movements- grimacing

Takes years to come on and may persist even after antipsychotics are stopped

37
Q

What is the long-term serious side effect of atypical antipsychotics

A

Metabolic syndrome

38
Q

What is Pseudodementia

A

Severe depression which mimics dementia but gives a pattern of global memory loss instead of short term

39
Q

What is oculogyric crisis an example of

A

Tardive dyskinesia

40
Q

What drug can you give for someone experiencing acute dystonic reaction

A

Procyclidine

41
Q

What drug can you give for someone experiencing akathisia

A

Propanolol

42
Q

What drug can you give for someone experiencing tardive dyskinesia

A

Tetrabenazine

43
Q

What is the most common endocrine disorder as a result of chronic lithium toxicity

A

Hypothyroidism

44
Q

What is somatisation and how long must symptoms be present for

A

Multiple physical symptoms for >2 years

Patient refuses reassurance

45
Q

What is hypochondria disorder

A

Persistent belief in serious underlying disorder

46
Q

What is conversion disorder

A

Purely motor or sensory symptoms in a person who is not looking for material gain

47
Q

What is factitious disorder and what is another name for it

A

Munchausen syndrome

Intentional production of physical/ psychological symptoms

48
Q

What is malingering

A

Fraudulent simulation for material gain

49
Q

What can differentiate mania from hypomania

A

Presence of psychotic symptoms

e.g delusions of grandeur or auditory hallucinations

50
Q

Which of the antipsychotics is least likely to cause hyperprolactinaemia

A

Aripiprazole

51
Q

How are pseudohallucinations different from normal hallucinations

A

The patient knows that what they are seeing isn’t real

52
Q

SSRI’s in pregnancy can cause what

A

1st trimester - a risk of congenital defects

2nd trimester - a risk of persistent pulmonary hypertension

53
Q

Which SSRI is used for children and adolescents

A

Fluoxetine

54
Q

What kind of incontinence is caused by tricyclics

A

Overflow

55
Q

Most things are low in anorexia nervosa

Which 6 things are raised

A

3 G’s and 3 C’s
GH Cortisol
Glucose Cholesterol
salivary Glands Carotene

56
Q

Increase in appetite is a characteristic side effect of which anti-depressant

A

Mirtazapine

57
Q

What lifestyle change can cause a significant rise in clozapine blood levels

A

Smoking Cessation

58
Q

If someone is showing poor compliance to oral antipsychotics, what should be considered

A

Should be considered for a once monthly IM depot

59
Q

Name a 2nd line drug for ADHD

A

Atomoxetine

Misc. Notes Year 3 (25 decks)

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