Psychiatry Flashcards

1
Q

Which SSRI can cause QT prolongation

A

citalopram

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2
Q

What is the mechanism of venlafaxine

A

serotonin and noradrenaline reuptake inhibitor

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3
Q

in which disorder is there a disorganisation of words known as a ‘word salad’

A

bipolar type 1

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4
Q

two differences between bipolar i and ii

A

i shows psychotic features like a word salad and a high functional impairment like sleep and eating points to i

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5
Q

difference between somatoform and illness anxiety disorder

A

somatoform is multiple persisting symptoms that cannot be explained by investigations. illness anxiety is when they believe one symptoms has an underlying severe disease

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6
Q

Difference between wernickes and korsakoff’s syndrome

A

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

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7
Q

side effect of memantine

A

constipation

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8
Q

What to do with sertraline before starting ECT

A

reduce dose

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9
Q

first rank symptoms of schizophrenia

A

thought withdrawal, thought broadcasting, auditory hallucinations and external delusions

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10
Q

difference between somatoform and hypochondriac

A

somatoform involves multiple symptoms that cannot be explained by investigations while hypochondriac refers to thinking its cancer

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11
Q

wry neck on taking haloperidol

A

torticollis

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12
Q

what is circumstantiality

A

cannot talk about a topic without excessive and unnecessary detail

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13
Q

what is tangentiality

A

move away from a topic and cannot return to it

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14
Q

what are somatic symptoms of depression

A

sleep wake problems, anhedonia, psychomotor agitation, loos of libido and loss of appetite

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15
Q

when would you measure lithium levels before commencing treatment

A

10-12 hours after

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16
Q

define histrionic personality disorder

A

attention seeking and over seductiveness

17
Q

define schiotypal disorder

A

involves a spirit guide

18
Q

define schizoid disorder

A

social interest and lack of interest in sexual relationships

19
Q

What are the risk factors for GAD

A

living alone, divorced or separated, aged 35-54, being alone

20
Q

first line treatment for GAD

A

venlafaxine or SSRI

21
Q

most commonly first-line medication for men with generalised seizures and first line in terminating

A

generalised: is sodium valproate. acute: benzodiazepines

22
Q

common side effect and serious side effect of clozapine

A

1) constipation 2) agranulocytosis

23
Q

difference between hypomania and mania

A

both have elevated mood and more agitated, but mania includes affected

24
Q

strongest risk factor for psychotic disorders

A

family history

25
Q

difference between sertraline overdose and tca overdose

A

in sertralline the skin wouldnt be dry