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Diseases of Human Systems BDS3 > Psychiatry 2 > Flashcards

Psychiatry 2 Flashcards

1
Q

what is cyclothymia

A

normal mood swings

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2
Q

what is recurrent depressive disorder

A

persists for some time but can return to normal

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3
Q

what is unipolar

A

patient usually moves down to low mood

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4
Q

what is bipolar

A

patient moves up and down spectrum

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5
Q

what is psychotic

A

at either end of the mood spectrum

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6
Q

name some depressive mood disorders

A

major dopamine disorder
persistent depressive disorder
bipolar depression
postpartum depression

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7
Q

what are the common symptoms of depression

A

low mood
reduced interest and motivation
lethargy and tiredness
sleep disturbance
appetite disturbance
poor concentration
loss of confidence and self esteem

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8
Q

what are the 2 types of bipolar

A

1 - mania
2 - cyclothymia/hypomania

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9
Q

what are the symptoms of mania and hypomania

A

increased productivity and feeling of wellbeing
reduced need for sleep
gradual reduction in social and occupational functioning
increase in reckless behaviour
period of depression

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10
Q

what symptoms occur in both euphoric and dysphoric mood disorders

A

rapid speech
restlessness
reckless behaviour
excessive energy
decreased sleep

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11
Q

how do you treat mood disorders

A

cognitive therapy
interpersonal psychotherapies
antidepressants and mood stabilising drugs
exercise
phototherapy
ECT

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12
Q

what type of acute phase antidepressants are used in mood disorders

A

selective serotonin reuptake inhibitor
venlafaxine/mirtazapine
tricyclic antidepressants
monoamine oxidase inhibitor

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13
Q

what mood stabilising drugs are used in mood disorders

A

lithium
carbamazepine
sodium valproate
lamotrigine

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14
Q

what are the uses for antidepressants

A

treating depression and anxiety disorders
pain relief
help psychological treatments

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15
Q

name a tricyclic antidepressant

A

amitriptyline

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16
Q

what are the side effects of tricyclic antidepressants

A

dry mouth, sedation, weight gain

17
Q

name 3 SSRIs

A

fluoxetine
citalopram
sertraline

18
Q

what are the side effects of SSRIs

A

acute anxiety disorders
sedation, dry mouth
GI upset

19
Q

name a MAOI

A

phenelzine

20
Q

what are the key interactions of MAOIs

A

enhanced vasoconstrictor effect
cold and cough remedies

21
Q

what drugs are antipsychotics and treat episodes of mania

A

olanzapine
risperidone
quetiapine

22
Q

what are the direct antidepressant drug effects which affect the oral cavity

A

dry mouth - caries
sedation
facial dyskinesias

23
Q

what are the drug interactions with antidepressants that can affect dentistry

A

drug metabolism
local anaesthetics

24
Q

what are the perceptual abnormality disorders with psychoses

A

manic depression
schizophrenia
Korsakoff’s psychosis - alcohol induced brain degredation

25
Q

what are the perceptual abnormality disorders with psychoses

A

manic depression
schizophrenia
Korsakoff’s psychosis - alcohol induced brain degradation

26
Q

what are the drug effects of psychoses dugs

A

dry mouth
drug interactions
dyskinesias

27
Q

what is schizophrenia

A

multifactorial abnormality of dopaminergic neurotransmission causing fundamental and characteristic distortions of thinking and perception

28
Q

what is used to manage schizophrenia

A

CBT
cognitive remediation
family intervention
oral or depot IM injection
dopamine antagonist drugs
atypical antipsychotics

29
Q

what kind of drugs cause extrapyramidal side effects

A

dopamine antagonist drugs

30
Q

what antipsychotics are there

A

butyrophenones
phenothiazines
thioxanthenes
new atypical antipsychotics

31
Q

name 3 atypical antipsychotics

A

clozapine
quetiapine
olanzapine

32
Q

what are the extrapyramidal side effects of antipsychotics

A

akathisia
dystonia
parkinsonism
tardive dyskinesia

33
Q

why do extrapyramidal effects happen

A

due to excess dopamine

34
Q

how do you treat extrapyramidal effects

A

use atypical antipsychotic instead
beta-adrenergic blockers
anticholinergics

35
Q

what is the oral effect of anorexia nervosa

A

ulcers, dry mouth, infection, bleeding

36
Q

what are the oral effects of bulimia

A

dental erosion and oesophageal stricture

37
Q

what symptoms does borderline personality disorder have

A

deep fear
unstable relationships
changes in self image
stress paranoia
impulsive behaviour
suicidal threats
excessive mood swings
feelings of solitude

Diseases of Human Systems BDS3 (16 decks)

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