Psychiatry Flashcards
Delusional disorder where you think you’re dead
Cotard’s syndrome, a rare subtype of nihilistic delusions, in which they believe they or part of them is dead or does not exist. This is seen most commonly in severe depression, but is also associated with schizophrenia.
Malingering definition
Purposely deceiving physician…. For tangible train, i.e. avoiding military duty
Without an understandable motivation then it’s Munchausen/factitious
First line for generalized anxiety
SSRI if low-intensity psychological interventions have been unsuccessfu
What’s the name of the side effect of anti psychotic of severe restlessness
Akathisia
Antipsychotic side effects mnemonic
ADAPT
Acute Dystonia
Akathisia
Parkinsonism
Tardive dyskinesia
What is perseveration
Repetition of word or phrase or gesture …
Frontal lobe
Blood results of patients with anorexia
Everything is low…
Except G and C
Cholesterol, Carotinaemia, Cortisol, Growth hormone, salivary Glands,
Difference between somatization and conversion
Somatization is multiple physical symptoms over 2yr, refuses reassurance of negative results
Conversion typically is motor or sensory signs
Treatment of lithium toxicity is sodium bicarbonate, then haemodynalysis.
MOA of how sodium bicarbonate works
Increasing the alkalinity of the urine promotes lithium excretion
What is raised and what is low in anorexia
Everything is low
Except G and C
… Growth hormone, glucose, salivary glands, cortisol, cholesterol,carotinaemia
Histrionic personality disorder
characterised by inappropriate sexual seductiveness, suggestibility and intense relationships
Which TCA Is worst in overdose
(D)osulepin is (D)angerous in overdose
And amitriptyline
Low-fepramine is lowest risk
