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3rd Year > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

What are the signs of an opioid withdrawal?

A

Dilated pupils, yawning, watery eyes, rhinorrhoea

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2
Q

In schizophrenia what will a PET scan show?

A

Hypo-activity of prefrontal lobes and enlarged cerebral ventricles

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3
Q

What is a mini mental state exam mainly used to diagnose

A

dementia

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4
Q

What is a fatal side effect of clozapine?

A

agranulocytosis (do FBC)

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5
Q

When on lithium what needs to be checked regularly?

A

creatinine levels - for toxicity

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6
Q

What is the difference between GAD and panic disorder?

A

GAD - nervous at daily things
PD - irrational fears

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7
Q

How long do symptoms need to present for it to class at PTSD?

A

> 1 month

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8
Q

What are side effects of tricyclic antidepressants (e.g. amitriptyline)

A

Dry mouth and urinary retention

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9
Q

What are 3 common features of Korsakoff’s syndrome?

A

anterograde amnesia, retrograde amnesia and confabulations (false memories)

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10
Q

What is a side effect of risperadone?

A

hyperprolactinaemia

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11
Q

What is zopiclone?

A

A nonbenzodiazepine drug to treat insomnia (people who can’t get to sleep).

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12
Q

What is melatonin used for?

A

Helps to regulate the normal sleep-wake cycle and is effective in patients with learning difficulties.

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13
Q

What kind of drug is metaclopramide?

A

antiemetic

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14
Q

What kind of drug is fluoxetine?

A

SSRI

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15
Q

How long must symptoms last for mania?

A

at least 7 days

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16
Q

What is tardive dyskinesia?

A

Irregular movements you cannot control.

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17
Q

What are class A personality disorders?

A

odd and eccentric

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18
Q

What are class B personality disorders?

A

dramatic and emotional

19
Q

What are class C personality types?

A

anxious and avoidant

20
Q

What is repression?

A

An unconscious mechanism to keep disturbing or threatening thoughts from becoming conscious.

21
Q

What is displacement?

A

Satisfying an impulse with a substitute option.

22
Q

What is regression?

A

Back in psychological time when one is faced with stress? (e.g. child starts sucking their thumb / wets the bed)

23
Q

What is sublimation?

A

Satisfying an impulse with a substitute in a socially acceptable way.

24
Q

What can be used to treat heroin withdrawl?

A

loperamide, lofexidine (relieves physical symptoms)

25
Q

What is the triad for lewy-body dementia?

A

visual hallucinations, fluctuating cognition and parkinsonism

26
Q

What organ does lithium mainly affect?

A

kidneys

27
Q

What group of people is bipolar got a high heritability?

A

twins

28
Q

What is the chemical name for serotonin?

A

5-hydroxytryptamine

29
Q

What is CJD?

A

A rapidly progressive neurological condition caused by a misfolded protein, known as a prion.

30
Q

When does postpartum psychosis usually occur?

A

2 weeks after giving birth

31
Q

When should clozapine be used?

A

For resistant schizophrenia

32
Q

What condition presents with tactile hallucinations?

A

delirium tremens

33
Q

Which neurotransmitter is low is patients with depression?

A

5-hydroxytryptamine (serotonin)

34
Q

What are the 8 components of the MSE?

A
  1. appearance
  2. behaviour
  3. speech - rate, tone, volume, rhythm, fluency
  4. mood and affect
  5. thought - speed, flow, and coherence of the patient’s thoughts
  6. perception - see, hear, taste things that aren’t there
  7. cognition
  8. insight
35
Q

Who are tardive dyskinesia common in?

A

People on long term antidopaminergic drugs.

36
Q

What are the first choice non-pharmalogical treatments for OCD?

A

ERP and CBT

37
Q

What conditions indicate ECT?

A

prolonged mania, catatonia, severe depression

38
Q

Which medications cause tardive kynesia?

A

haloperidol

39
Q

What neurotransmitter is responsible for lack of pleasure?

A

dopamine

40
Q

What is a common side effect to notify patients about when starting an SSRI?

A

sexual dysfunction

41
Q

What investigation should be done in a patient with anorexia?

A

ECG - to exclude long QT syndrome

42
Q

What is a nihilistic delusion?

A

Being dead / some part of their body is dying.

43
Q

What organ secretes lithium and therefore toxicity can be shown in ____ levels?

A

kidneys - creatinine

44
Q

What drug increases the reabsorption of lithium?

A

ACEIs

3rd Year (7 decks)

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