Psychiatry Flashcards
How long do the symptoms of depression need to persist for in order to be classified as depression?
2 weeks
Describe how the ICD-10 classifies mild, moderate and severe depression
- Mild: two main criteria + four additional
- Moderate: two main criteria + six additional
- Several: all main criteria + 8 additional
What is hypomania?
- Lesser degree of mania
- No psychosis
- No severe disruption to life
How long do the symptoms of mania need to persist for to be classified as manic
1 week
How many episodes of affective disorders needs to occur for a diagnosis of bipolar disorder?
Repeated (2+) episodes of depression and mania/hypomania
Name the pharmacological management options for anxiety
- SSRIs
- SNRIs
- Pregabalin
Name the positive and negative symptoms of schizophrenia
- Positive: hallucinations, delusions and disordered thinking
- Negative: apathy, lack of interest and lack of emotions
Name the screening tools used for alcohol misuse
- CAGE
- AUDIT
- FAST
- PAT
Name the medical management options for alcohol dependency
- Thiamine
- Alcohol Withdrawal: BZDs and chlordiazepoxide
- Deterrent: Disulfiram
- Anti-craving: acamprosate, naltrexone and nalmefene
How is lithium monitored?
- Before starting: U&Es, TSH and pregnancy test
- Monitoring: 5 days and 12 hours after commencing, 3 months and six months
Name the features of lithium toxicity
- Vomiting and diarrhoea
- Ataxia
- Dizziness
- Slurred speech
- Nystagmus and blurred vision
- Clonus and convulsions
- Oliguria and renal failure
Give three examples of typical antipsychotics
- Chlorpromazine
- Haloperidol
- Pimozide
Give examples of atypical antipsychotics
- Risperidone
- Olanzapine
- Quetiapine
- Aripiprazole
- Clozapine
