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Phase 3A > Psych peer teaching > Flashcards

Psych peer teaching Flashcards

1
Q

What is section 2 of the MHA

A

Admission for assessment.
28 days
2 doctors and an AMHP

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2
Q

What is section 3 of MHA

A

Admission for treatment
6 months
Can be renewed
2 doctors and an AMHP

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3
Q

What is section 4 of MHA

A

Emergency treatment.
Prior to 2 or 3
72 hours
1 doctor 1 AMHP

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4
Q

What is section 5(2)

A

Detention fo a patient already in hospital.
72 hours
Doctor looking after patient

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5
Q

What is section 5(4)

A

Nurses holding powers

6 hours

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6
Q

Section 135

A

Force entry into house for MHA assessment. Requires magistrates court warrant and AMHP or doctor present

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7
Q

Section 136

A

Arrest someone in public place who is suffering from a mental health disorder

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8
Q

Generalised anxiety disorder

A

Generalised anxiety persistent but not restricted to any particular environmental settings

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9
Q

Phobic disorders

A

Group of disorders where anxiety is evoked only in well defined situations that are not currently dangerous

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10
Q

Panic disorder

A

Recurrent attacks of severe anxiety, which are unpredictable and not restricted to any particular situation

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11
Q

Autonomic arousal symptoms

A

Palpitations
Tachycardia
Sweating
Dry mouth

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12
Q

Physical symptoms of neuroses (anxiety)

A

Breathing difficulties, choking sensation, chest pain, nausea, hot flushes, numbness, tingling

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13
Q

Mental state symptoms of neuroses

A

Depersonalisation, fear of losing control, concentration difficulties

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14
Q

Symptoms of tension present in neuroses

A

Muscle aches/pains, restlessness/inability to relax

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15
Q

Anxiety treatment

A

Education then IAPT then CBT or SSRI then inpatient

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16
Q

Which SSRI for anxiety

A

Sertralline

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17
Q

Define PTSD

A

Delayed or protracted response to a stressful event of a threatening or catastrophic nature

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18
Q

PTSD presentation

A 
Reliving of the stressor
Emotional blunting
Hypervigilence
Avoidance of things associated
Inability to recall aspects of the event
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19
Q

PTSD management

A

Watchful waiting at first
Trauma focussed CBT
Eye movement desensitisation and reprocessing
Antidepressants (paroxetine)

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20
Q

Acronym for depression symptoms

A

DEAD SWAMP

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21
Q

What are the symptoms of depression

A

Depressed mood
Energy levels reduced
Anhedonia
Disturbed sleep

Suicidal ideation
Worthlessness
Appetite reduced
Mentation decreased
Pscyhomotor retardation
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22
Q

Depression treatment

A

Eductation, IAPT and medications, CBT, then inpatient MDT

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23
Q

Examples of SNRI

A

Duloxetine

Venlafaxine

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24
Q

Examples of SSRIs

A

Sertralline
Fluoxetine
Citalopram

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25
Q

Examples of TCAs

A

Amitriptylline, clomipramine

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26
Q

Examples of NaSSA

A

Mirtazapine

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27
Q

Examples of MAO inhibitors

A

Phenelzine, moclobemide

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28
Q

What is the pharmacological treatment of depression

A

SSRI then SNRI then TCA

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29
Q

how do ssris work

A

Increase free serotonin by blocking reuptake pumps, stopping serotonin from being recycled in the synapse

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30
Q

SSRI prescribing info

A

Start low dose and titrate up, continue for 6 months after recovery

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31
Q

Sertralline fun fact

A

Most cardio or neuroprotective

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32
Q

Fluoxetine fun fact

A

Has a long half life

33
Q

How do SNRIs work

A

Inhibit reuptake of serotonin and noradrenaline.

34
Q

Fun fact about venlafaxine

A

Needs monitoring (ECG and BP) for cardiovascular side effects as can exacerbate arrythmias

35
Q

How do tricyclic antidepressants work

A

Inhibit reuptake of serotonin and noradrenaline but act as anticholinergics

36
Q

Anitcholinergic side effects

A

Dry mouth, blurred vision, urinary retention

37
Q

TCA side effects

A

anticholinergic, overdose and arrythmias

38
Q

Mirtazepine mode of action

A

Noradrenergic and specific serotonergic antidepressant

39
Q

MAO inhibitors (phenelzine) special precautions

A

Dietary as hypertensive criss with tyramine

40
Q

Bipolar 1 definition

A

One or more manic episodes with or without a history of depressive episodes

41
Q

Bipolar 2 definition

A

One or more depressive episodes with at least one hypomanic episode

42
Q

Acronym for mania symptoms

A

I DIG FAST

43
Q

Mania symptoms

A

Irratibility/elevated mood

Distractibility
Inhibition loss
Grandiosity

Flight of ideas
Activity increased
Sleep not needed
Talkative

44
Q

Name three mood stabilisers

A

Lithium
Valproate
Lamotrigine

45
Q

Other treatments for bipolar

A

Antipsychotics (haloperidol, olanzapine) and antidepressants (fluoxetine)

46
Q

Lithium fun fact

A

Ebsteins phenomenon- cardiac anomaly in babies if mother has taken lithium

47
Q

Lamotrigine fun fact

A

Can cause steven johnsons syndrome- hypersensitivity

48
Q

Valproate fun fact

A

Terratogenic

49
Q

How does lithium work

A

inhibits cAMP which inhibits Monoamines

50
Q

What is a safe level of lithium

A

0.6-1

51
Q

What bloods for someone on lithium

A

Li, U and E, TFT, calcium

52
Q

Toxicity level of lithium

A

> 1.5mmol/L

53
Q

Symptoms of lithium toxicity

A

Tremor, anorexia, diarrhoea and vomitting, ataxia, dysarthria, delirium, fasiculations, hypotension, arrythmias, seizures, coma

54
Q

First rank symptoms of schizophrenia

A 
3rd person auditory halllucinations
Thought withdrawal, insertion and broadcast
Delusional perceptions
Delusions of control
Somatic passivity
55
Q

Positive symptoms of schizophrenia

A

An excess or distortion of normal functioning e.g. delusions, hallucinations, thought disorder. Caused by overactivity of recepetors in the mesolimbic pathway

56
Q

Negative symptoms

A

Decrease or loss of functioning e.g. blunting of affect, poverty of speech. Caused by underactivity of receptors in the mesocortical pathway

57
Q

Paranoid schizophrenia

A

Paranoid delusions, auditory hallucinations and perceptual disturbances

58
Q

Catatonic schizophrenia

A

Hyperkinesis or negativism

59
Q

Hebephrenic schizophrenia

A

Fluctuating affect

60
Q

Residual schizophrenia

A

Long term negative symptoms

61
Q

Simple schizophrenia

A

Negative symptoms without psychotic symptoms

62
Q

First generation antipsychotics

A

Chlorpromazine, haloperidol

63
Q

How do first generation antipscyhotics work

A

Dopamine (D2) antagonists

64
Q

How do second generation antipsychotics work

A

Dopamine (D2) antagonists and serotonin (5HT2A) antagonists.

65
Q

Antipsychotics side effects

A

Extrapyrimidal- dyskinesia, parkinsonism, neuroleptic malignant syndrome

66
Q

Second generation antipsychotics

A

Risperidone, olanzapine, clozapine

67
Q

Clozapine

A

2nd gen for treatment resistnat. Blocks D1 and D4 and 5HT2A. Risk of agranulocytosis

68
Q

Metabolic antipscyhotic side effects

A

Weight gain

Diabetes

69
Q

Anticholinergic side effects

A

Dry mouth, blurred vision, difficulty passing urine, urinary retention, constipation

70
Q

Antiadrenergic side effects

A

postural hypotension, tachycardia, sexual dysfunction

71
Q

Antihistminergic side effects

A

Sedation

72
Q

Cardiovascular antipscyhotic side effects

A

Prolonged QT interval

73
Q

Hormonal antipscyhotic side effects

A

Increased plasma prolactin

74
Q

Describe anorexia

A 
Restricted diet
Excessive exercise
Induced vomiting and purging
Use of appetite suppressants
Diuretics
75
Q

Describe bulimia

A

Repeated bouts of overeating

Pattern of overeating followed by vomiting or use of purgatives

76
Q

Signs of eating disorders

A

Loss of muscle mass
Dry skin, brittle hair and nails
Russel sign
Lanugo hair

77
Q

What is russel sign

A

Callused skin over interphalangeal joints

78
Q

What is lanugo

A

Fine, downy body hair

Phase 3A (25 decks)

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