psychiatry Flashcards
peak incidence of seizures following alcohol withdrawal
36 hours
what suggests mania over hypomania
auditory hallucinations
what is malingering
lying or exaggerating for gain
- e.g. someone who fakes whiplash after a road traffic accident for financial gain
knights move of speech
illogical leaps from one idea to another
flight of ideas
discernible links between ideas
1st line management for anxiety
sertraline
SSRI discontinuation syndrome most common symptom
diarrhoea
GI side effects
what medication should be avoided in patients taking SSRI
triptans
what in anorexia is raised
G’s and C’s
growth hormone
glucose
salivary glands,
cortisol
cholesterol
carotinaemia
2nd line management for anxiety disorder
another SSRI or SNRI
what is circumstantiality
inability to answer a question without giving excessive, unnecessary detail
important side effect of clozapine
agranulocytosis
- do FBC
SSRI use during third trimester risk
of persistent pulmonary hypertension of newborn
how long should antidepressants be continued for after remission of symptoms to decrease risk of relapse
6 months
example of SNRI
duloxetine
how long for delirium tremens to occur after stopping alcohol consumption
72 hours
management of mania/hypomania in patients taking antidepressant
stop antidepressant
start antipsychotic therapy
SSRI of choice in children and adolescents
fluoxetine
what is avoidant personality
- social isolation
- avoidance of activities due to fear or embarrassment
what is antisocial personality
- impulsivity
- aggression
- irritability
- fight and lack of remorse
what can cause a rise in clozapine blood levels
smoking cessation
what is akathisia
severe restlessness
what is hypochondriac disorder
unexplained symptoms and they think its cancer
what is clang associated
ideas related only by rhyme or being similar sounding
what is echolalia
repetition of someone else’s speech
what is strongest risk factor for psychic disorders
family history
most common site effect seen from lithium at a therapeutic dose
fine tremor
- coarse tremor = lithium toxicity
management of paracetamol poisoning
n-acetyecysteine
if a patient is under 25 and started on sertraline when should they be reviewed
after 1 week
management of borderline personality disorder
dialectical behavioural therapy
what affect do SSRIs have on sodium
hyponatraemia
what is the management of acute dystonia
procyclidine
best test to do to diagnose bulimia nervosa
urea and electrolytes
- decreased potassium
what is cotard delusion
believes they are dead
can you give sertraline while breastfeeding
yes
what is venlafaxine
SNRI
what is Othello syndrome
delusional jealously - usually believing their partner is unfaithful
what neuropathic pain medication can cause urinary retention
amitriptyline - tricyclic antidepressants
side effects of carbamezipine
CARBA MEAN
- confusion
- ataxia
- rashes
- blurred vision
- aplastic anaemia
- marrow suppression
- eosinophilia
- ADH release
- neutropenia
patient believes someone familiar to them has been replaced by en exact clone =
capgras
1st line management of mania
olanzapine
management of auditory hallucinations caused by paranoid schizophrenia
risperidone
complication of St John Warts and COCP
reduces effectiveness of COCP as its P450 enzyme
what needs monitored in patient taking venlaflaxine
blood pressure
- causes an incrsae
side effects of imipramine
blurred vision and dry mouth
