psychiatry

Question 1

What is a psychiatrist able to do that a psychologist cant?

Answer 1

can legally prescribe medication

Question 2

Name some anxiety disorders

Answer 2

generalised anxiety
panic
phobia
OCD
somatoform disorders

Question 3

Name some affective disorders

Answer 3

depression

bipolar affective disorder

Question 4

Name childhood disorders

Answer 4

ADHD
developmental disorders
conduct disorder

Question 5

Name organic disorders

Answer 5

dementia

delerium

Question 6

how can schizophrenia present?

Answer 6

delusions
auditory hallucinations
thought disorder
deficits in feeling and social skills

Question 7

how is schizophrenia treated?

Answer 7

antipsychotic drugs and psychosocial and supportive measures

Question 8

With regards to dentistry how can schizphrenia affect dental health?

Answer 8

reduced motivation and planning- poor OH
high rates of smoking
antisychotic medication = hyposalivation

Question 9

How doe depression present?

Answer 9

low mood
reduced interest/motivation
lethargy
sleep and appetite disturbance
poor concentration
low confidence
thoughts of suicide
anxiety
unreasonable guilt

Question 10

What is the onset age for depression?

Answer 10

any age

Question 11

how is depressio treated?

Answer 11

antidepressant drugs

CBT

Question 12

How does depression impact on dental health?

Answer 12

low motivation for OH
preference to carbohydrates
missed appointments due to anxiety, motivation etc.

Question 13

What are the three forms of anxiety disorder?

Answer 13

generalised anxiety disorder
panic disorder
phobic anxiety

Question 14

What is generalised anxiety disorder?

Answer 14

free floating anxiety in many/all situations

Question 15

what is panic disorder?

Answer 15

unpredictable extreme anxiety

Question 16

what is phobic anxiety?

Answer 16

intense anxiety/ panic in specific situations

Question 17

what can be physical symptoms of anxiety?

Answer 17

palpitations
sweating
trembling/shaking
sensations of shortness of breath
chest pain
nausea or abdominal distress
dizziness
parasthesia
chills/hot flushes
dry mouth

Question 18

What are somatoform disorders?

Answer 18

repeated presentation of physical symptoms that have no physical basis.

Question 19

With regards to eating disorders- what are the oral implications of chronic self induced vomitting

Answer 19

acid erosion- palatal aspect
dental caries
cheilosis
enlarged parotid gland
reddening of palate
submandibular lymphadenopathy

Question 20

What is munchausen’s syndrome?

Answer 20

individuals exaggerate symptoms and repeatedly present to healthcare.
No clear gain to patient

Question 21

What act is concerned with management of psychiatric disorders?

Answer 21

Mental Health Care and Treatment 2003

Question 22

What can the Mental Health Care 2003 act do?

Answer 22

have patients detained in the community on community treatment orders

Question 23

What does the adults with incapacity act 2000 allow for?

Answer 23

makes provision for treamtent to be provided when individual is inable to give informed consent
requires a certificate of incapacity
does not allow treatment against a person’s will

Question 24

what effect to antidepressants and antipsychotics have?

Answer 24

anticholinergic effect

increased salivation

Question 25

how do anti depressants work?

Answer 25

involve potentiation of NA / 5HT transmission be blocking pre synaptic re uptake

Question 26

what effect do anti psychotics have?

Answer 26

dopamine antagonists

Question 27

What tools can be used to measure depression and anxiety?

Answer 27

Patient Health Questionaire PHQ-9
General Anxiety Disorder GAD-7
hospital anxiety and depression scale