Psych Must knows Flashcards
Normal MRI in the presence of leukocytes in CSF with seizures / confusion?
Autoimmune enceph
=> Methylprednisilone + Iv IVG
What is a common normal side effect in lithium therapeutic dose regards to tremor?
Fine tremor => normal
Coarse tremor => abnormal
What common drug increases lithium levels for hypertension?
Ramipril
Wet / Wobbly / Wacky?
Normal Pressure Hydrocephalus
=> Ventriculopertioneal shunting
Neuroleptic malignant syndrome blood to take?
CK raised due to muscle rigidity
SSRI with anticoagulants?
No use Mirtazapine (NaSSA)
SSRI inc.bleed risk
What do we need to measure with Venlafaxine?
BP
What ECG is found in refeeding syndrome?
U wave
shiver, sweat, retch and has a tremor. His pupils are dilated
Opiate withdrawal
anti psychotics increase risk of what?
Stroke
Lithium toxicity landmark?
Seizure
No associations with sentences and doesnt answer question
Derailment
hair loss in sodium valproate?
yes
Imiprimine is what used for?
TCA => Depression
Lithium causes what to thyroid?
Hypothyroid
Dilated ventricles disproportionate to cerebral atrophy
Normal pressue hydrocephalus
Donepezil common SE?
Diarrhoea
Widespread cerebral atrophy?
Alzeih
Other than thyroid relate, what other marker in the blood can suggest problems with the lithium causing issues?
Creatine => renal issues
De Clerambault’s syndrome?
Erotomania
=> doctor in love with them
Bipolar type 2?
Hypomania
wet weird wobbly
Enlarged ventricles and absent sulci seen on CT brain scan
Normal pressure hydroceph
tingling / numbness is caused by what problem with calcium?
Hypo
Capgras =>
Clone that someone has replaced them
AMTS >8?
Normal
quetiapine type of?
Atypical
3rd
2nd
1st person hallucinations
3rd => person speaking about subject as (him / her)
2nd => person speaking directly to them as (you) (YOU MUST KILL THE BABY)
1st => they hear their own thoughts spoken out loud
5 key lithium toxicity
coarse tremor (a fine tremor is seen in therapeutic levels)
hyperreflexia
confusion
piss a lot
seize
High risk of suicide what not to take for anti depressants?
TCA
Memantine mechanism?
NDMA
blocks glutamate
Donepezil / galantamine mechanism?
Achetylcholinesterase inhibitors
53yr olld to act extremely out of character, going gambling most evenings and eating huge amounts of sweet food.
frontal temporaal dementia
when to stop lithium in pregnancy?
1st trimester
really sensitive to criticism?
Avoidant
What to do with the SSRI in a manic episode?
stop it
What not to eat with cheese?
MAIO (tyramine in cheese)
Crowds, Public spaces,
Travelling alone
AgarophobiA
Somatic passivity?
Schizophrenia 1st rank symptom
=> external forces controlling you
are visual hallucinations a 1st rank feature?
no -> 2nd rank
what to give for extra-pyrimidial SE?
Anticholinergics
=> Procyclidine
Dialectical behavioural therapy?
EUPD
Delusion of passivity?
someone controlling their thoughts / feelings
headmater telling me what to do kid
are Obsessive thoughts egosystonic or egodystonic?
They are NOT in keeping with the persons values so therefore are egodystonic
how often to measure clozapine?
Weekly 18weeks
Lilliputian?
Seeing lots of small people => delirium tremens
MONOZYGOTIC TWIN
parent
sibling
Higher Risk of schizophrenia
ekbom
parasitic
class A
MDMA/ecstasy
LSD
Heroin
Cocaine
injectable amphetamine
Class b
amphetamine
cannabis
ketamine
Asssesing cognition (2)
MOCA + ACE-III
art therapy is useful in
schizo
exposure & response prevention
OCD
Rivastigmine =>
Lewy - body
corticol atrophy + enlarged ventricles
GAIT THINK WERNICKE
WENIRCKE
diplegic more common than scissors
yes
feeling depressed ever since she can remember but still high functioning at work?
Dysthmia
broken a bone whereas in reality i havent broken a bone?
Delusional disorders
dissociative disorder?
not feeling they are themselves
De-realisation
not feeling the world is real
labile one day to being pessimistic the next day?
EUPD
OCD 1st line =>
CBT
when you see “most appropriate treatment, think definitive”
thiamine > Diazapam
if u see urinary incontinence?
think delirium (over filled bladder0
if we know treat pathway (Lithium) and know his diagnosis, what section =>
section 3
Dialectical behavior therapy
EUPD
