Psychiatry Flashcards
A patient has the fixed belief that he is the reincarnation of Christ. Which type of delusion does this represent?
Grandiose delusion
Which class of drugs are more likely to cause extrapyramidal side effects?
First generation anti-psychotics, specifically haloperidol
Should sodium valproate be used during pregnancy?
No, it’s teratogenic and very risky to the foetus in the first trimester
What is the treatment of choice in a catatonic patient who is unable to eat and drink?
ECT
Which part of the mental health act can an FY2 doctor use?
Emergency detention order
Define hypochrondriasis
A person who has fixed anxiety on having a severe or potentially fatal illness
What is the IQ cut-off for a learning disability?
70
What is the most appropriate first-line intervention for behaviour challenges in people with intellectual/learning disabilities?
Behavioural support plan
What is a strong indicator of aggressive behaviour?
Previous violent behaviour
What is Russel’s sign?
Calluses on the knuckles or back of the hand due to repeated self-induced vomiting over long periods of time
How can you differentiate between anorexia and bulimia?
High BMI (bulimia)
What are the main features of ADHD?
Inattention
Impulsivity
Hyperactivity
A 23 year old man with paranoid schizophrenia has been treated with olanzapine for 6 months following his first psychotic episode. He has had good control of his symptoms, but has gained 4 stones in weight despite trying to maintain a healthy diet and exercise routine. What would you advise?
A. Refer to dietician
B. Convert to aripiprazole
C. Convert to quetiapine
D. Taper and stop his antipsychotic
E. Change onto clozapine
B. Convert to aripiprazole
What is Obsessive-Compulsive Personality Disorder otherwise known as?
Anankastic
What proportion of patients with Emotionally Unstable Personality Disorder will improve to the point of not having the disorder for 2 years or more with appropriate treatment when followed up over a long period?
> 90%
