Psychiatry Flashcards
What are the 5 A’s of Alzehimers?
Aphasia- speech Agnosia- recognition Amnesia- memory Apraxia- doing Associated behaviours- BPSD
What are the signs of opioid toxicity and what is the treatment?
bradypnoea, miosis, altered mental status
Naloxone
What is the SADPERSONs score used to calculate?
suicide risk
What is the CURB 65 score used for?
risk stratify in patients with pneumonia
Which score does NICE use to grade depression?
DSM-IV criteria
What is somatisation disorder?
- patients who have symptoms for which no organic cause can be found
- multiple physical SYMPTOMS present for at least 2 years
- Patient refuses to accept reassurance or negative test results
What is hypochondrial disorder?
-patients who have symptoms for which no organic cause can be found
• persistent belief in the presence of an underlying serious DISEASE, e.g. cancer
• patient again refuses to accept reassurance or negative test results
What is conversion disorder?
patients who have symptoms for which no organic cause can be found
• typically involves loss of motor or sensory function
• the patient doesn’t consciously feign the symptoms (factitious disorder) or seek material gain (malingering)
What is dissociative disorder?
-patients who have symptoms for which no organic cause can be found
• dissociation is a process of ‘separating off’ certain memories from normal consciousness
• in contrast to conversion disorder involves psychiatric symptoms e.g. Amnesia, fugue, stupor
What is Muchausen’s syndrome?
-patients who have symptoms for which no organic cause can be found
• also known as factitious disorder
• the intentional production of physical or psychological symptoms
What is Malingering?
-patients who have symptoms for which no organic cause can be found
• fraudulent simulation or exaggeration of symptoms with the intention of financial or other gain
Which atypical antipsychotic is known to have the least SE when it comes to prolactin secretion?
aripiprazole
What is perseveration?
repeating the same words/answers
What is echolalia?
repeating exactly what someone has said
What is neologism?
making up new words
What is word salad?
disorganised speech, sentences that do not make sense
What is clang speech?
using rhyming words
Which class of drug is associated with increased risk of VTE in elderly pts?
atypical antipsychotics
Which antidepressants are associated with urinary retention, tachycardia, dry mouth?
Amitryptaline, TCA
What are common SE of imipramine?
blurred vision and dry mouth (anti-miscarinic)
sulpiride
1st gen
amisulpride
2nd gen
haloperidol
1st gen
chlorpromazine
1st gen
