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Blurting > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

Pathophysiology of Depression

A

Monoamine Deficiency Hypothesis

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2
Q

Medical Management of Depression

A
  1. SSRI
    (Try at least 2 different SSRIs)
  2. Try TCA or SNRI - again try two from each class
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3
Q

Management of Depression

A

Antidepressant +/- psychological intervention e.g. CBT

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4
Q

Presentation of Generalised Anxiety Disorder

A

Anxiety not related to the situation
Recognised by person as irrational
Physical symptoms

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5
Q

Physical symptoms in GAD

A

Palpitations
Sweating
Shortness of breath
Problems concentrating

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6
Q

Investigation in GAD

A

FBC and TFT

Ruling out hyperthyroidism as cause for anxiety

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7
Q

Management of GAD

A

SSRI
CBT/behavioural therapy
B-blocker for anxiety

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8
Q

Presentation of PTSD

A

Intrusive images
Avoidance of situation **
Emotional detachment

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9
Q

Management of PTSD

A

Rapid eye movement desensitisation

High dose SSRI

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10
Q

Exception in the management of PTSD

A

CANNOT use REMD in combat PTSD

Mx: focused CBT

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11
Q

Complications of PTSD

A

Depression

Substance abuse

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12
Q

SSRI used in PTSD

A

Sertraline

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13
Q

Presentation of Panic Disorder

A

Attacks of severe anxiety
These are recurrent and unexpected
Can be triggered in susceptible individuals

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14
Q

Management of Panic Disorder

A

TCA/SSRI to reduce anxiety load

Able to then do CBT

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15
Q

Presentation of Agoraphobia

A

Fear of being in large spaces/places with lots of people

Prominent avoidance of situation

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16
Q

Management of Agoraphobia

A

Behavioural therapies

Anxiolytics

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17
Q

Management of Specific Phobias

A

Graded exposure therapy

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18
Q

Presentation of Depressive Psychosis

A

Delusions of self-worthlessness

2nd person auditory hallucinations

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19
Q

Associations with Delirium

A

Cognitive deficit
Drugs
Emergency Surgery

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20
Q

Presentation of Delirium

A

Nocturnal worsening
Fluctuating course
Hallucinations

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21
Q

Investigation of Delirium

A

4AT screening test

Bloods to look for cause e.g. infection

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22
Q

What should be avoided in delirium?

A

Benzodiazepines

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23
Q

What can be useful in hyperactive delirium?

A

Haloperidol

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24
Q

Cluster A Personality Disorders

A

Schizoid PD

Paranoid PD

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25
Q

Cluster B Personality Disorders

A

Borderline
Histrionic
Anti-Social

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26
Q

Cluster C Personality Disorders

A

Dependent
Obsessive Compulsive
Avoidant

27
Q

What type of PD is Schizoid PD?

A

Cluster A = odd and eccentric

28
Q

What type of PD is Paranoid PD?

A

Cluster A = odd and eccentric

29
Q

What type of PD is Borderline PD?

A

Cluster B = dramatic and emotional

30
Q

What type of PD is Histrionic PD?

A

Cluster B = dramatic and emotional

31
Q

What type of PD is Anti-Social PD?

A

Cluster B = dramatic and emotional

32
Q

What type of PD is Dependent PD?

A

Cluster C = anxious and avoidant

33
Q

What type of PD is Obsessive Compulsive PD?

A

Cluster C = anxious and avoidant

34
Q

What type of PD is Avoidant PD?

A

Cluster C = anxious and avoidant

35
Q

Key features of schizoid PD

A

Detachment from personal relationships

Takes pleasure in few things

36
Q

Key feature of paranoid PD

A

Unjustified doubt and paranoia

37
Q

Key feature of borderline PD

A

Unstable interpersonal relationships

38
Q

Key features of anti-social PD

A

Cannot read expression properly - interpret neutral as aggressive/malicious
Lack of remorse for actions

39
Q

Key feature of histrionic PD

A

Cannot cope with not being the centre of attention

40
Q

Key feature of dependent PD

A

Inability to make simple decisions

41
Q

Key features of obsessive compulsive PD

A

OCD tendencies, not the same level of compulsions to produce a neutralising effect
Perfectionism resulting in problems with task completion
Hoarding

42
Q

Key feature of avoidant PD

A

Fear of rejection so avoids social situations

43
Q

Presentation of ADD (4)

A

Inattention
Hyperactivity
Attention deficit
Cannot follow instructions

44
Q

Associations with ADD

A

Boys

Prenatal exposure to cannabis

45
Q

Investigation of suspected ADD

A

School observation

Parent report

46
Q

Management of ADD

A

Parental techniques

Methylphenidate = Ritalin

47
Q

IQ Thresholds for Intellectual Disability

A 
69-50 = mild 
49-35 = moderate 
34-20 = severe 
<20 = profound
48
Q

Presentation of Intellectual Disability (3)

A

Depends on severity
Delayed speech
Reading and writing problems
Delayed development

49
Q

Aetiology of Intellectual Disability

A

Trisomy 21
Trisomy 13 - Patau
Trisomy 18 - Edward’s

50
Q

Management of Intellectual Disability

A

Social and educational support

51
Q

Core features of ASD (2)

A

Inflexibility of thought
Social problems
e.g. problems with interaction and communication

52
Q

Other presentations of ASD

A

May have sensory differences

53
Q

Management of ASD

A

Cannot treat core symptoms
Modify learning environment
Reduce stresses

54
Q

Use of incapacity act

A

Treating physical disorder for someone who has a mental disorder
Includes delirium

55
Q

Incapacity act process

A

Section 47 certificate

56
Q

Incapacity act

Examples of exceptional cases and process

A

Abortion, sterilisation, ECT in someone with a mental disorder
Requires a section 48 which includes independent opinion and court order

57
Q

Use of Mental Health Act

A

Treating mental disorder

58
Q

Emergency detention
Process
Conditions

A

Section 5(2)
Allows person to be held for up to 72 hours
Can only be assessed

59
Q

Who can fill out emergency detention?

A

FY2 or higher

Ideally mental health officer

60
Q

Who can revoke emergency detention?

A

Psychiatrist

61
Q

Short term detention
Process
Conditions

A

Section 2
Allows person to be held for 28 days
Assessment and treatment
Can appeal against short term detention

62
Q

Who can fill out short term detention?

A

Psychiatrist and MHO

63
Q

Compulsory Treatment Order
Process
Conditions

A

Section 3
Application made to tribunal, they decide whether granted
Lasts for 6 months

64
Q

Re-applying for CTP

A

Can last up to 6 months
Can extend for another 6 months
Then for periods of 12 months at a time

Blurting (6 decks)

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