Psych Must knows Flashcards

1
Q

Normal MRI in the presence of leukocytes in CSF with seizures / confusion?

A

Autoimmune enceph

=> Methylprednisilone + Iv IVG

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2
Q

What is a common normal side effect in lithium therapeutic dose regards to tremor?

A

Fine tremor => normal

Coarse tremor => abnormal

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3
Q

What common drug increases lithium levels for hypertension?

A

Ramipril

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4
Q

Wet / Wobbly / Wacky?

A

Normal Pressure Hydrocephalus

=> Ventriculopertioneal shunting

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5
Q

Neuroleptic malignant syndrome blood to take?

A

CK raised due to muscle rigidity

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6
Q

SSRI with anticoagulants?

A

No use Mirtazapine (NaSSA)

SSRI inc.bleed risk

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7
Q

What do we need to measure with Venlafaxine?

A

BP

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8
Q

What ECG is found in refeeding syndrome?

A

U wave

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9
Q

shiver, sweat, retch and has a tremor. His pupils are dilated

A

Opiate withdrawal

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10
Q

anti psychotics increase risk of what?

A

Stroke

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11
Q

Lithium toxicity landmark?

A

Seizure

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12
Q

No associations with sentences and doesnt answer question

A

Derailment

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13
Q

hair loss in sodium valproate?

A

yes

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14
Q

Imiprimine is what used for?

A

TCA => Depression

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15
Q

Lithium causes what to thyroid?

A

Hypothyroid

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16
Q

Dilated ventricles disproportionate to cerebral atrophy

A

Normal pressue hydrocephalus

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17
Q

Donepezil common SE?

A

Diarrhoea

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18
Q

Widespread cerebral atrophy?

A

Alzeih

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19
Q

Other than thyroid relate, what other marker in the blood can suggest problems with the lithium causing issues?

A

Creatine => renal issues

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20
Q

De Clerambault’s syndrome?

A

Erotomania
=> doctor in love with them

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21
Q

Bipolar type 2?

A

Hypomania

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22
Q

wet weird wobbly
Enlarged ventricles and absent sulci seen on CT brain scan

A

Normal pressure hydroceph

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23
Q

tingling / numbness is caused by what problem with calcium?

A

Hypo

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24
Q

Capgras =>

A

Clone that someone has replaced them

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25
Q

AMTS >8?

A

Normal

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26
Q

quetiapine type of?

A

Atypical

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27
Q

3rd
2nd
1st person hallucinations

A

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

28
Q

5 key lithium toxicity

A

coarse tremor (a fine tremor is seen in therapeutic levels)
hyperreflexia
confusion
piss a lot
seize

29
Q

High risk of suicide what not to take for anti depressants?

A

TCA

30
Q

Memantine mechanism?

A

NDMA

blocks glutamate

31
Q

Donepezil / galantamine mechanism?

A

Achetylcholinesterase inhibitors

32
Q

53yr olld to act extremely out of character, going gambling most evenings and eating huge amounts of sweet food.

A

frontal temporaal dementia

33
Q

when to stop lithium in pregnancy?

A

1st trimester

34
Q

really sensitive to criticism?

A

Avoidant

35
Q

What to do with the SSRI in a manic episode?

A

stop it

36
Q

What not to eat with cheese?

A

MAIO (tyramine in cheese)

37
Q

Crowds, Public spaces,
Travelling alone

A

AgarophobiA

38
Q

Somatic passivity?

A

Schizophrenia 1st rank symptom
=> external forces controlling you

39
Q

are visual hallucinations a 1st rank feature?

A

no -> 2nd rank

40
Q

what to give for extra-pyrimidial SE?

A

Anticholinergics

=> Procyclidine

41
Q

Dialectical behavioural therapy?

A

EUPD

42
Q

Delusion of passivity?

A

someone controlling their thoughts / feelings

headmater telling me what to do kid

43
Q

are Obsessive thoughts egosystonic or egodystonic?

A

They are NOT in keeping with the persons values so therefore are egodystonic

44
Q

how often to measure clozapine?

A

Weekly 18weeks

45
Q

Lilliputian?

A

Seeing lots of small people => delirium tremens

46
Q

MONOZYGOTIC TWIN

parent

sibling

A

Higher Risk of schizophrenia

47
Q

ekbom

A

parasitic

48
Q

class A

A

MDMA/ecstasy
LSD
Heroin
Cocaine
injectable amphetamine

49
Q

Class b

A

amphetamine
cannabis
ketamine

50
Q

Asssesing cognition (2)

A

MOCA + ACE-III

51
Q

art therapy is useful in

A

schizo

52
Q

exposure & response prevention

A

OCD

53
Q

Rivastigmine =>

A

Lewy - body

corticol atrophy + enlarged ventricles

54
Q

GAIT THINK WERNICKE

A

WENIRCKE

55
Q

diplegic more common than scissors

A

yes

56
Q

feeling depressed ever since she can remember but still high functioning at work?

A

Dysthmia

57
Q

broken a bone whereas in reality i havent broken a bone?

A

Delusional disorders

58
Q

dissociative disorder?

A

not feeling they are themselves

59
Q

De-realisation

A

not feeling the world is real

60
Q

labile one day to being pessimistic the next day?

A

EUPD

61
Q

OCD 1st line =>

A

CBT

62
Q

when you see “most appropriate treatment, think definitive”

A

thiamine > Diazapam

63
Q

if u see urinary incontinence?

A

think delirium (over filled bladder0

64
Q

if we know treat pathway (Lithium) and know his diagnosis, what section =>

A

section 3

65
Q

Dialectical behavior therapy

A

EUPD