Psychiatry Flashcards
It is a delusion that a certain person pose as a different person.
Fregoli delusion
Intense fear of public speaking is a hallmark of this psychiatric disorder
Social anxiety disorder
Context of persecutory delusions
Torment, Followed or spied on
Gold standard for the treatment of bipolar disorder
Mood stabilizer (lithium)
In a case of paracetamol poisoning, when would you decide to discharge the patient home?
If the patient ingested paracetamol at a dose of <150mg/kg with no hepatic risk factors
Has the best evidence for giving longest duration of effect in terms of managing panic disorder
Psychological treatment (CBT 1-2 hrs per week)
Which SSRI should not be given in a patient with panic disorder?
Escitalopram, Citalopram, Paroxetine, Sertraline
A rare but life-threatening reaction to anti-D medication
Neuroleptic malignant syndrome
Differentiate neuroleptic malignant syndrome from malignant hyperthermia.
Both present with hyperthermia, muscle rigidity and sweating.
NMS - caused by anti-psychotics and anti-dopaminergic; presents hours to days
Malignant Hyperthermia - caused by halothane or succinylcholine; presents minutes to hours
Management for Neuroleptic malignant syndrome
Stop offending drug
Rapid cooling
Start dopaminergic drug (Bromocriptine)
What is Othello’s syndrome
Delusional jealousy
Delusional disorder:
They are plotting against/spying on me
Persecutory delusion
Delusion
“I am infested by parasites”
Ekbom
What is Fregoli delusion
Many individuals are actually one person who just changes apperance (Remember Arya Fregoli Stark
An elderly with acute psychosis, also with Lewy body dementia or Parkinson’s diseasew is contraindicated to this type of dopamine-receptor antagonist.
IM Haloperidol
How do you test for serum lithium?
A week after initiation of lithium
Done within 10-14 hours (ideally 12 hours) after last intake of lithium
Repeat every 6 months
Triad found in Wernicke’s encephalopathy
Confusion
Ataxia
Ophthalmoplegia
Symptoms seen in Korsakoff’s psychosis
Triad of Wernicke’s (CAO)
PLUS
Amnesia
Confabulation
First-line of treatment for delirium tremens vs. alcohol withdrawal
Delirium Tremens - oral lorazepam
ROH Withdrawal - chlordiazepoxide
Acts as a deterrent for alcohol detoxificationD
Disulfiram
Drug used in alcohol detoxication, acamprosate works for
Reduction of alcohol cravings
Differentiate postpartum blues from postnatal depression.
Postpartum blues - start 2-3 days after birth and can last up to 1 week
Postnatal depression - peaks at 3-4 weeks postpartum
This section is used to admit patients in which only one doctor is present
Section 4
Somatisation vs. Conversion disorder
Somatisation
- many physical symptoms from different parts of the body
Conversion Disorder
- loss of motor or sensory function, initially thought of neurologic cause, however, tests are normal
A patient, depressed, is taking warfarin. What to give for depression?
Mirtazapine
SSRIs increase the risk of GI bleeding when taken with warfarin
Which anticholinergic is given to counter the parkinsonian symptoms induced by antipsychotic medications?
Procyclidine
Thought withdrawal + Persecutory delision + passive phenomena
Schizophrenia
Most appropriate management for OCD for a patient who is suicidal or severely incapacitated
Electroconvulsive therapy
Which approach for cognitive behavioral therapy is intended for a patient with OCD?
Exposure and response prevention
SSRIs licensed for OCD
Fluoxetine
Escitalopram
Paroxetine
Sertraline
A person thinks that a TV show presenter is directly communicating to him when she looks at the camera and when she says some words
Delusion of Reference
A false belief that another person or group of peopke or ext force controls his actions, thoughts, behaviors, feelings, or impulses.
Delusion of Control
One believes that he is treated with malicious intent, hostility or harassment
Persecutory Delusion
