Psychiatry Flashcards

1
Q

what anti-psychotic can be used in pregnancy?

A

olanzapine

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2
Q

what anti-depressant is licenced for use in children

A

fluoxetine

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3
Q

what are the absolute contraindications to ECT?

A
  • MI within the last 3 monhts
  • recent stroke/TIA
  • intracranial lesion
  • pheochromocytoma
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4
Q

what is the diagnostic criteria for anorexia nervosa

A
  • BMI <17
  • self induced weight loss
  • fear of fatness
    amenorrhoea
  • body image disturbance
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5
Q

what features make someone high risk with anorexia nervosa

A
  • BMI <13 with weight loss more than 1kg per week
  • prolonged QT, HR<40, BP <80
  • temp <34
  • unable to rise from squat without arms for leverage
    cognitive impairment
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6
Q

What are the PTSD criteria

A
  • traumatic event + 1 intrusive symptom + 2 increased arousal symptoms + 3 avoidance symptoms
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7
Q

what is the management for PTSD

A
  • CBT or eye movement desensitisation and reprocessing
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8
Q

when can you diagnose PTSD?

A

4 weeks

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9
Q

what are examples of SSRIs

A

fluoxetine, sertraline, citalopram

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10
Q

what are examples of SNRIs

A

venlafaxine, dluloxetine

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11
Q

what are examples of tricyclics

A

amitriptyline, imipramine, doselupin

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12
Q

what are examples of monoamine oxidase inhibitors

A

phenalzine - irreversible

meclobamide - reversible

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13
Q

what are examples of typical antipsychotics?

A
  • haloperidol, chlorpromazine
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14
Q

what are examples of atypical antipsychotics?

A

-olanzapine, risperidone, quetiapine, clozapine, aripiprazole

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15
Q

what are the 4 key side effects of typical antipsychotics?

A
  • acute dystonic reaction (spasms that present hours to days within starting med)
  • parkinsonism ( days-months)
  • akathisia (restless legs)
  • tardive dyskinesia (orofacial twitches/ movements years after starting drug)
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16
Q

what are side effects of clozapine

A
  • agranulocytosis
  • myocarditis
  • paralytic ileus
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17
Q

what is an emergency detention order?

A
  • 72 hour assessment
  • no treatment authorised
  • FY2 or above
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18
Q

what is a short term detention order?

A
  • up to 28 days for assessment/treatment
  • approved medical practitioner plus mental health officer
  • right of appeal
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19
Q

what is a compulsory treatment order

A
  • initially up to 6 months
  • mental health disorder present
  • mandatory tribunal
    treatment authorised
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20
Q

what is an advanced statement?

A

patient writes what they wish to happen in terms of illness. Must be witnessed, dated and signed when the person is well. Can be overruled

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21
Q

what is a named person

A

patients can choose someone to support them and protect their interests. They have the right to be notified of, attend and be represented at tribunal hearings

22
Q

what is a nursing holding power?

A
  • up to 3 hours of detention
  • by registered mental health nurse or intellectual disability nurse
  • patient needs to be in hospital receiving treatment
23
Q

what are policing powers

A
  • removal of a person from a public place to a place of safety
  • up to 24hrs to allow an assessment to be carried out
24
Q

what is the ADHD triad?

A

Inattention + hyperactivity + impulsivity

25
Q

what perinatal factors are associated with ADHD?

A

tobacco and alcohol in pregnancy

significant prematurity and perinatal hypoxia

short or long labour, foetal distress, low forceps delivery, eclampsia

26
Q

what is the treatment for ADHD

A
  • psychosocial interventions (parent training etc)

- stimulants: methylphenidate, dexamphetamine

27
Q

what are the core features of autism spectrum disorder?

A
  • impaired social communication
  • impaired social integration
  • impaired social imagination
  • impaired repetitive behaviours
28
Q

what is capgras delusion

A

people you know have been replaced by imposters

29
Q

what is fregoli delusion

A

see different people as the same person

30
Q

what is a nihilistic delusion

A

feel you have already died

31
Q

what is de clerabault delusion

A

delusion that a celebrity is in love with you

32
Q

what is othello syndrome

A

delusion that your partner is having an affair

33
Q

what are the learning disability ranges

A

Normal = 70-120
mild LD = 50-70
moderate LD = 35-50
severe/profound LD = <35

34
Q

what is paranoid personality disorder

A
  • suspicious of others

- bears grudges

35
Q

what is schizoid personality disorder

A
  • few activities provide pleasure
  • emotionally cold, detached
  • indifferent
  • likes to bbe alone
36
Q

what is schizotypal personality disorder

A
  • ideas of refernce
  • odd beliefs and magical thinking
  • peculiar behaviour
37
Q

what are the cluster B personality disorders

A
  • antisocial
  • emotionally unstable
  • histrionic
  • narcicisstic
38
Q

what is antisocial personality disorder

A
  • callous unconcern for feelings of others
  • blames others
  • cannot maintain lasting relationships
  • low threshold for aggression
  • does not feel guilt
39
Q

what is emotionally unstable personality disorder?

A
  • acts without consideration of consequences
  • rapidly cycling mood changes
  • conflicts with others
40
Q

what is histrionic personality disorder

A
  • exaggerated expression of emotions
  • shallow
  • overly concerned with physical attractiveness
  • inappropriately seductive
41
Q

what is narcissistic personality disorder

A
  • grandiosity
  • fantasies of infinite success
  • they are extraordinary
  • wants admiration
  • no empathy
42
Q

what are the cluster C personality disorders?

A
  • avoidant/anxious
  • dependent
  • obsessive compulsive/ Anankastic
43
Q

what is avoidant personality disorder

A
  • persistant feeling of tension/apprehension
  • beleif that they are inferior to others
  • crippling fear of rejection
44
Q

what is dependent personality disorder

A
  • encourgaing or allowing others to make most of their important life decisions
  • helpless when alone
  • cant make decisions
45
Q

what is anankastic personality disorder

A
  • feeling of excessive doubt and caution
  • preoccupation with details, rules, list, schedule
  • perfectionist
  • wants things done their way
46
Q

what is anankastic personality disorder

A
  • feeling of excessive doubt and caution
  • preoccupation with details, rules, list, schedule
  • perfectionist
  • wants things done their way
47
Q

what symptom is pathopneumonic for schizophrenia

A

form of thought disorder

48
Q

what drug is most likely to cause neuroleptic malignant syndrome

A

haloperidol

49
Q

what is the triad for wernickes encephalopathy

A

ataxia, confusion, nystagmus

50
Q

what drug can given to manage tardive dyskinesia

A

tetrabenazine

51
Q

what drug can be given to manage akathisia

A

propanolol