Psychiatry Flashcards
Which SSRI can cause QT prolongation
citalopram
What is the mechanism of venlafaxine
serotonin and noradrenaline reuptake inhibitor
in which disorder is there a disorganisation of words known as a ‘word salad’
bipolar type 1
two differences between bipolar i and ii
i shows psychotic features like a word salad and a high functional impairment like sleep and eating points to i
difference between somatoform and illness anxiety disorder
somatoform is multiple persisting symptoms that cannot be explained by investigations. illness anxiety is when they believe one symptoms has an underlying severe disease
Difference between wernickes and korsakoff’s syndrome
werncikes affects the mamillary bodies, the brainstem and cerebellum. it involves COAT RACK, Confusion, Opthalmoplegia, Ataxia and thiamine deficiency.
korsakoff’s: involves the limbic system. retrograde amnesia, anterograde amnesia, confabulation and korsakoff;s
side effect of memantine
constipation
What to do with sertraline before starting ECT
reduce dose
first rank symptoms of schizophrenia
thought withdrawal, thought broadcasting, auditory hallucinations and external delusions
difference between somatoform and hypochondriac
somatoform involves multiple symptoms that cannot be explained by investigations while hypochondriac refers to thinking its cancer
wry neck on taking haloperidol
torticollis
what is circumstantiality
cannot talk about a topic without excessive and unnecessary detail
what is tangentiality
move away from a topic and cannot return to it
what are somatic symptoms of depression
sleep wake problems, anhedonia, psychomotor agitation, loos of libido and loss of appetite
when would you measure lithium levels before commencing treatment
10-12 hours after
define histrionic personality disorder
attention seeking and over seductiveness
define schiotypal disorder
involves a spirit guide
define schizoid disorder
social interest and lack of interest in sexual relationships
What are the risk factors for GAD
living alone, divorced or separated, aged 35-54, being alone
first line treatment for GAD
venlafaxine or SSRI
most commonly first-line medication for men with generalised seizures and first line in terminating
generalised: is sodium valproate. acute: benzodiazepines
common side effect and serious side effect of clozapine
1) constipation 2) agranulocytosis
difference between hypomania and mania
both have elevated mood and more agitated, but mania includes affected
strongest risk factor for psychotic disorders
family history
difference between sertraline overdose and tca overdose
in sertralline the skin wouldnt be dry
