Psychiatry Flashcards
Is there a critical period to develop attachment between mother and child?
NONNNN
What are the 4 pillars of action on drug-related harm?
- Screening
- Referral to treatment
- Brief interventions
- Harm reduction
What are the types of PD in cluster C?
(Worried Cluster)
- Avoidant
- Dependent
- Obsessive-compulsive
What are the types of PD in cluster A?
(Weird Cluster)
- Paranoid
- Schizoid
- Schizotypal
What is the first line pharmacological treatment of generalized anxiety disorder?
- SSRI
- SNRI
- Pregabalin
What is the second line pharmacological treatment of generalized anxiety disorder?
- Benzodiazepine
- Buproprion XL
- Buspirone
- Imipramine
- Hydroxyzine
- Quetiapine XR
What drugs can have a deathly withdrawal effect?
- Alcohol
- Benzo
What are the screening questions of an alcohol use disorder?
CAGE
- Have you ever felt you should cut down on your drinking?
- Have people annoyed you by criticising your drinking?
- Have you ever felt bad or guilty about your drinking?
- Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (eye-opener)?
What are the 7 reasons to hospitalize someone with an eating disorder?
- Precipitous or extreme weight loss
- Hypokalemia- Hyponatremia –Hypoglycemia
- Pulse (< 40/50 bpm); EKG; Orthostatic hypotension (BP decreases by ≥20/Pulse increases by ≥20)
- Elevated liver enzymes
- Hypothermia ( ≤ 35.0°)
- Weakness; Fainting
- Total fasting; Refusing to drink
What medication can be used for nightmares in PTSD?
Prazosin
Does medication work better than CBT?
They are the same, depends on the patient preference
- CBT: longer to work, lower relapse rate
What are the risks of antidepressent medication during pregnancy?
- Small association with autism
- Miscarriage (3%)
- Neonatal adaptation syndrome
- Persistent pulmonary hypertension (very small)
- Preterm birth (smaller increase)
What are the risks for the child of an untreated postpartum depression?
Neonatal developmental delay
What are the risk of an untreated depression during pregnancy?
- Stillbirth
- Major congenital anomaly
- LBW or SGA
- Preterm birth
- Poor maternal adaptation
- Admission to NICU
- Neonatal developmental delay
What are the 6 symptoms that raise the risk of suicide?
- High Anxiety
- Severe Insomnia
- Panic Attacks
- Low Concentration
- Anhedonia
- Alcohol Abuse