PSYCHIATRY Flashcards

1
Q

List alcohol withdrawal symptoms based on time

A

Symptoms: 6-12 hours
Seizures: 36 hours
Delirium tremens: 72 hours

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2
Q

List some of the risk factors for schizophrenia

A

Family history
Sexual abuse
Long term cannabis use

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3
Q

What are the risk factors of SSRIs during pregnancy

A

Persistent pulmonary hypertension

Paroxetine has an increased risk of congenital malformations, particularly in the first trimester

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4
Q

What is the action of mirtazepine, when is it indicated

A

Alpha 2 adrenergic blocker
Indicated in anxiety and depression
Side effects appetite stimulant

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5
Q

Which antipsychotic is most likely to cause seizures

A

Clozapine

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6
Q

What are the risks of SSRIs in the first trimester

A

Congenital heart defects

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7
Q

What medication is used for paracetamol overdose

A

Acetylcysteine

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8
Q

What is the difference between flight of ideas and knights move thinking

A

Flight of ideas, has links/ some logic

Knights move thinking, no link between ideas

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9
Q

What is the mechanism of action of venlafaxine

A

Serotonin and noradrenalin reuptake inhibitor

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10
Q

What is paroxetine and what is it used for

A

SSRI
MDD, panic disorder, OCD
Migraine

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11
Q

Which atypical antipsychotic has the most tolerable side effect profile

A

Aripiprazole

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12
Q

What is the difference between tricyclic antidepressants and SNRIs

A

SNRIs have less side effects, eg no anticholingeric effects

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13
Q

What is a congenital heart defect caused by lithium

A

Ebsteins anomaly

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14
Q

What medications are used to treat alzheimers

A

Acetylcholinesterase inhibitors - rivastigmine
Donpezil
NMDA antagonists - memantine

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15
Q

What is the criteria for anorexia diagnoses

A
1. Weight 
<85% of expected body weight 
<17.5 BMI 
2.Fear (intense) of weight gain (emotion) + persistent behaviour to prevent weight gain (behavious)
3. Feeling fat when thin
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16
Q

What is refeeding syndrome

A

When you get a phosphate, k, na intracelluar shift from the introduction of a hyperglycaemic state. Also get thiamine deficiency from this.

17
Q

What is the management of personality disorders

A

Dialectical behavioural therapy - more of a focus on emotional regulation than CBT

18
Q

which psych drugs prolong qt interval

A

citalopram
haloperidol
clozapine

19
Q

what are the mechanisms of action of different generation antipsychotics

A

first gen - d2 antagonists
second gen- 5ht2a/d2 antagonists
third gen- d2 partial agonist