Psychiatry

Question 1

the following definition is that of a psychiatrist, psychologist or psychotherapist?

medical doctor that diagnoses/treats mental illness and can prescribe medication

Answer 1

psychiatrist

Question 2

the following definition is that of a psychiatrist, psychologist or psychotherapist?

an expert in the output of the human mind -> thoughts, feeling and behaviour

Answer 2

psychologist

Question 3

the following definition is that of a psychiatrist, psychologist or psychotherapist?

uses particular techniques to address emotional problems - anxiety etc.

Answer 3

psychotherapist

Question 4

name 2 classification systems for psychiatric disorders

Answer 4

ICD-11 -> international classification of diseases

DSM 5 -> diagnostic and statistical manual of mental disorders

Question 5

name 3 anxiety disorders?

Answer 5

generalised anxiety
phobias
panic attacks

Question 6

how are anxiety disorders treated? 2

Answer 6

Psychological/psychotherapy -> cognitive behavioural therapy CBT

Pharmacological -> fluoxetine

Question 7

how are depressive disorders managed? 3

Answer 7

Psychological/psychotherapy -> CBT

Pharmacological -> antidepressants and augmentation

ECT -> electrical current therapy

Question 8

what is bipolar effective disorder?

Answer 8

Either high elated mood or at the bottom (depression) in terms of emotional state

Question 9

what is the management of bipolar effective disorder? 4

Answer 9

Mood stabilisers

Antipsychotics

Antidepressants -> risk of pt being elated constantly

ECT

Question 10

define psychosis

Answer 10

Inability to distinguish between real world and their thoughts -> believe what they think is real -> delusions and hallucinations

Question 11

Psychosis vs schizophrenia

Answer 11

Psychosis is a symptom that is common is lots of mental disorders

Schizophrenia is a syndrome that consists of psychosis and other difficulties

Question 12

what is schizophrenia?

Answer 12

Is a group of problems with psychosis at the heart of it

Question 13

what is the management of schizophrenia?

Answer 13

Psychological/psychotherapy

Antipsychotic medication
- 1st generation -> chlorpromazine, haloperidol
- 2nd generation -> olanzapine, risperidone
- Clozapine
Depot

Question 14

define dementia

Answer 14

Lose cognitive ability starting with memory

Question 15

what is delirium a result of?

Answer 15

another medical condition
e.g. older person fractures hip, get hip replacement, surgical insult, physiology is distressed, this affects their mental faculty -> confusion, psychotic, loss of orientation.

Question 16

name 2 cognitive tests

Answer 16

MMSE -> mini-mental state examination

ACE-11 -> Addenbrooke’s cognitive examination

Question 17

what is MMSE -> mini-mental state examination

Answer 17

score out of 30 based on correct answers to questions

lower score = more severe cognitive impairment

Question 18

what does addenbrookes cognitive exam show?

Answer 18

<82/100 = dementia

Question 19

how does anorexia nervosa affects dentistry?

Answer 19

○ Self induced vomiting

Question 20

how does bulimia nervosa affect dentistry?

Answer 20

○ Pre-occupation with weight - overeating then purging

Question 21

what is bodily distress disorder?

Answer 21

○ Physical manifestation of psychological distress

Question 22

how does bodily distress disorder affect dentistry?

Answer 22

○ Can present as inexplicable dental pain, frequent attendance, unreasonable treatment requests