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Specialities > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

Difference between knight move and flight

A

Flight has connections, knight doesn’t

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2
Q

Fregoli vs capgras

A

Frogoli single disguised as others capers twin imposter

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3
Q

Side effects of clozapine

A

prolonged QT interval, dyslipidaemia, hypotension, anaemia, myocarditis, and impaired glucose tolerance

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4
Q

Types of acute dyskinesia

A

Oculogyric and Torticollis

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5
Q

Side effects of atypical

A

Diabetes- glucose intolerence, metabolic syndrome- weight gain, dyslipidaemia
Antimuscarinic

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6
Q

What can’t you take with SSRI

A

Triptan and NSAIDs unless PPI

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7
Q

Reducing fluoxetine

A

Reduce fluoxetine 2w- wait 7d- new (over 20mg)

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8
Q

Lithium side effects

A

Hyperreflexia, HpTH- high calcium, hypothyroid, G

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9
Q

Antognist for BDZ

A

Flumezanil

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10
Q

Effects of opioid withdrawal

A

Piloerection, flu like, mydriasis

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11
Q

Effects of bento withdrawal

A

Anxiety

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12
Q

Timeframe of alcohol withdrawal

A

4-12 hrs shakes, anxiety
36hr- seizure
48-72hr- DT

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13
Q

Treatment of DT

A

Lorzazepam

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14
Q

Treatment of NMS and SS

A

NMS- bromocriptine or dantrolene

SS- BDZ

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15
Q

Define BPAD

A

2 episodes of mania with complete recovery inbetween

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16
Q

Rapid cycling BPAD treatemmtn

A

sodium valproate

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17
Q

Areas in brain affect fro schizo symptoms

A

Mesolimbic- positive

Mesocortical- negative

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18
Q

Types of schizo

A

Hebephrenic- thought and speech- innappropraite
Simple- negative
Catatonic- odd positions

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19
Q

Length of time for persistent delusions

A

3m

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20
Q

Adjustment disorder signal

A

Less than 6m, no biological

21
Q

What class of drug makes alcohol feel sick how does it work

A

Disulifram- acetaldehyde dehydrogenase inhibitor

22
Q

AN triad

A

Low BMI, deliberate WL and fear of fat

23
Q

electrolyte disturbance of refeeding

A

Low phos, potassium, Mg

24
Q

What is raised in AN

A

GH, glucose, cortisol, cholesterol

25
Q

Triad in BN

A

Binging/preoccupation, purging, pyschopathology

26
Q

Treatment and referral for AN

A

Mild- 17- monitor for 8w
Moderate- routine
Severe-<15 - urgent

FT for child, CBT ED for adult
Admission if rapid WL 1kg per week, electrolyte, suicide, <70% BMI

27
Q

IQ levels severity

A 
Mild = 50-70
Moderate = 35-50
Severe = 20-35 
Profound = <20
28
Q

Medical treatment of delirium

A

Haloperidol

29
Q

Difference between harmful and dependent use

A

Harmful use- non dependent- continue despite harm

Dependence- harmful use + dependence 3(tolerance, craving, withdrawal, neglect others )

30
Q

Max dose of sertraline

A

200mg

31
Q

What medication can you offer Lewy body

A

AchE

32
Q

DIffercne between grief and depression

A

Grief focus around person

33
Q

Symptoms of sudden cessation of SSRI

A

Flue, insomnia, sweating, tummy, parasthesia

34
Q

What is dysthymia

A

Sub threshold depression for 2 years

35
Q

Severity of depression and Tx

A

Mild- 2 core, 2- ww 2w
Moderate- CBT (CAMHS id child)
Severe- CBT SSRI

36
Q

Depression medications order

A

SSRI x2

SNRI

37
Q

Treatment of depressive schizoaffective

A

Olanzipine and fluoxetine

38
Q

Examples of auditory disorder

A
  • Thought echo
  • 3rd person voice
  • Running commentary
39
Q

Bad prognosis in schizo

A

Gradual onset
FHx
Low IQ
Lack of precipitant

40
Q

Acute psychosis definition

A

<3m sudden onset

41
Q

Treatment of OCD

A

CBT with ERP

42
Q

Treatment for anxiety

A

GAD- CBT and SSRI
Diff SSRI
SNRI

Panic- SSRI then TCA

43
Q

Therapy for Opioid recovery

A

Methadone- liquiod
Buprenorphine- sublingual
Clonidine- withdrawal

44
Q

Machausens(factitious) vs malingering

A

Facticous- like being patient

Malingering- gain- money/drigs

45
Q

ADHD diagnosis

A

Inattention, high activity, impulsive
Over 6m and prior to 6y
2 or more settigns

46
Q

Monitoring ADHD on methyphendate

A 
Weight 3m (<10)- 6 if above
Hieght and HR 6m
47
Q

a patient thinks they are receiving messages in the dialogue of a TV programme

A

Reference

48
Q

Types of auditory hallucinations

A

a. Thought echo – the patient’s thoughts appear to be projected out loud
b. 3rd person voices – people talking about you in the 3rd person
c. Running commentary – hear a running commentary out loud
d. Command – voices in the 2nd person tell a patient to do something

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