Psychiatry Flashcards
Which are the ‘typical’ antipsychotics and therefore more associated with extra pyramidal side effects?
Chlorpromazine
Haloperidol
How quickly should a patient <25 years be reviewed after starting an SSRI?
1 week
Which SSRI is most associated with QT prolongation leading to torsades?
Citalopram
Which symptoms in what order in alcohol withdrawal?
6-12 hours: tremor, sweating, tachycardia, anxiety
seizures at 36 hours
delirium tremens is at 48-72
What’s the difference between circumstantialiy and tangentiality?
Circumstantiality is like a circumferance - talk about other stuff but eventually comes back to the point and concludes
Tangentiality involves talking about one thing and then another and then another leading on from one to the other with tangents and not concluding with the original point
Patients on clozapine who present with infections, what must you do?
Check the full blood count!!! It can cause agranulocytosis
Which artypical antipsychotic is generally accepted to have the best side effect profile?
Aripiprazole
In particular it is least associated with prolactin elevation
What can you do if low doses of mirtazapine are found to be sedating but still helpful?
Increase the dose
Mirtazapine is generally more sedating at lower BNF doses
Which: typical or atypical antipsychotics cause more weight gain?
Atypicals
Which medication is first line for PTSD after psychological therapies?
Venlafaxine
What’s the difference between conversion disorder and somatisation disorder?
conversion: stress is converted into a neurological symptom. AKA FND. Eg isolated sensory loss.
somatisation: many symptoms across different body systems.
Which is the most appropriate SSRI to use post MI?
Sertraline
How long is ‘nurses holding power’ in Scotland?
3 hours - allows nurses to hold a patient to allow time for a psychiatric assessment
At what age do you assume capacity in a youth?
Assume capacity from 16 years - can consent below this age if capacity is assessed
How long do they last for and who needs to give the says so:
Emergency detention
Short term detention
Compulsory treatment order
Emergency detention - any medical practitioner, preferrably with an MHO. 72 hours.
Short term detention - psychiatrist and MHO. 28 days.
Compulsory treatment order - Psychiatrist, MHO, another medic eg GP or another psychiatrist. 6 months.
