Psychiatry Flashcards
How do you treat moderate-severe dementia?
Memantine
How should mild-moderate dementia be treated?
Acetylcholinesterase inhibitors, e.g. Donepezil, galantamine, rivastigmine
How do you treat moderate-severe dementia?
Memantine
What is the risk of treating the elderly with atypical antipsychotics?
Increases stroke and VTE risk
What is the most important complication of clozapine?
Agranulocytosis
What is the first line drug therapy for schizophrenia?
Atypical antipsychotics
Name some atypical antipsychotics
Clozapine
Olanzapine
Risperidone
Quetiapine
What is the risk of treating the elderly with atypical antipsychotics?
Increases stroke and VTE risk
How do you define a somatisation disorder?
Multiple symptoms present for at least 2 years, patient refuses to accept reassurance or a negative test results
The persistent belief in the presence of an underlying disease and refusal to accept negative test results is an example of what kind of disorder?
Hypochondrial disorder
What disorder typically involves the loss of motor/sensory function, whilst the patient does not consciously feign symptoms?
Conversion disorder
What is the preferred antidepressant to use following an MI?
Sertraline
Which TCA is the most dangerous in overdose? Which is the safest?
Dosulepin most dangerous
Lofepramine safest
What would you expect growth hormone, glucose, cortisol and cholesterol levels to be in an anorexic patient?
High
Which section of the mental health act allows admission for 28 days? Who must agree to this?
Section 2
2 doctors and an AMP
What does section 3 of the mental health act allow?
Admission for treatment for 6 months. Anyone who has a diagnosis can be admitted.
Which section of the mental health act allows a 72 hour assessment for a patient not already in hospital?
Section 4
Section 5(2) of the mental health act allows what?
A doctor to detain a patient already in hospital for 72 hours
Section 136 of the mental health act allows what?
The police to take someone who is mentally ill from a public place to a place of safety. For the purpose of assessment
What are some features of neuroleptic malignant syndrome and when is it commonly seen?
Pyrexia, ridigity, tachycardia and increased creatinine kinase. Onset is usually within first 10 days of treatment or after a dose increase
Tardive dyskinesia can occur with what drugs?
Antipsychotics that act at D2 receptor antagonists
If you are switching from fluoxetine to another SSRI, e.g. citalopram, how long is the washout period before commencing the new drug?
1 week
What class of drug is used to treat alcohol withdrawal?
Benzodiazepines
How long into alcohol withdrawal does it take before a patient is symptomatic?
6-12 hours
How long into alcohol withdrawal does it take before a patient has seizures?
36 hours
How long into alcohol withdrawal does it take before a patient is delirium tremens?
72 hours
