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phase 4 > psychiatry > Flashcards

psychiatry Flashcards

1
Q

what is word salad

A

sentences that don’t make sense

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2
Q

what is neologism

A

making up new words

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3
Q

peak incidence of delirium tremens

A

72 hours

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4
Q

treatment of tar dive dyskinesia

A

tetrbenazine

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5
Q

what is tar dive dyskinesia

A

involuntary mouth movements - lip smacking and sticking tongue out

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6
Q

treatment of akethesia

A

propranolol

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7
Q

treatment of acute dystonic reaction and oliguric crisis

A

procycladine

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8
Q

how long dp PTSD symptoms need to be present for

A

1 month

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9
Q

antidepressant for pregnancy

A

paroxetine - but ensure risks outweigh the benefits as can lead to increased risk of congenital malformations

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10
Q

interactions of SSRI

A

triptans, saids, warfarin, heparin, maois

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11
Q

risk factors of schizophrenia

A 
FHx!!!!
black caribbean
migration
cannbis
urban environment
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12
Q

what is the definition of bulimia

A

episodes of uncontrolled overconsumption followed by purging behaviour

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13
Q

purging behaviours

A

exercise, diuretics, laxatives

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14
Q

how do benzodiazepines work

A

increase frequency of chloride channels

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15
Q

risk factors

A

35-54years
being divorced or separated
living alone
being a lone parent

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16
Q

side effects of olanzipine

A

weight gain, diabetes, hypercholesterolaemia, dyslipidaemia

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17
Q

what is erotomania

A

a delusional disorder where you think famous people are in love with you without other psychotic symptoms

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18
Q

side effects of clozapine

A

reduces seizure threshold and agranulocytosis

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19
Q

what should be avoided with monoamine oxidase inhibitors

A

tyramine containing foods e.g. cheese, bovril, oxo, marmite

20
Q

what antidepressant causes hyponatraemia

A

ssri

21
Q

symptoms of anorexia

A 
raised gs and cs
increased gh
increased glucose
increased salivary gland
increased cortisol
increased cholesterol
increased catoinaema 
reduce BMI
bradycardia
hypotension
lanugo body hair 
amenorrhoea 
hypothyroidism
22
Q

treatment of ithdrawal

A

chlordiazepoxide

23
Q

how does mitazapine work

A

noradrenergic and specific serotonergic antidepressants

24
Q

score to look for alcohol withdrawal severity

A

CIWA - clinical institute withdrawal assessment for alcohol

25
Q

screening tools for alcohol

A

CAGE

AUDIT

26
Q

what does B12 deficiency cause

A

dementia

27
Q

treatment for opiate withdraw

A

methane maintenance treatment

28
Q

medications to help stop drinking

A

disulfram - increases SE of alcohol by blocking metabolism of alcohol

acamprosate - reduces cravings

naltrexone - reduces the pleasure

29
Q

side effects of disulfram

A

acetaldehyde poisoning

30
Q

treatment of alcohol withdrawal

A

chlordiazepoxide

31
Q

not pharmacological methods to give up drinking

A 
self help groups
simple advice
motivational interviewing 
cbt
alcoholics anonymous
32
Q

examples of SNRIs

A

venlafaxine

duloxetne

33
Q

what is apathy

A

the sense of indifference and lack of interest

34
Q

what is alogia

A

lack of spontaneous speech

35
Q

what is anhedonia

A

lack of ability to gain pleasure

36
Q

what is catatonia

A

disturbance of motor function with decreased reactivity to changes in patient’s environment

37
Q

side effects of haloperiodl

A

NMS
EPSE
raised prolactin

38
Q

physical symptoms of anxiety

A

dry mouth, difficulty swallowing, chest pain, shakiness, diarrhoea, urinary frequency, hot flushes, tense, sweating,, shaking, palo, restless, sighing

39
Q

psychological symptoms

A

irritability, intolerance, poor concentration and memory, fearful, apprehensive, continuous worrying thoughts

40
Q

what is depersonalisation

A

feeling that they are not being with ones own body or they are disconnecting or losing their mind

41
Q

what is korsakoffs syndrome

A

confabulation
personality change
peripheral neuropathy

due to chronic alcoholism

42
Q

treatment of korsakoffs

A

pabrinex

fluids

43
Q

what is wernickes

A

opthalmoplegia - nystagmus
ataxia
confusion

44
Q

what is capgras syndrome

A

delusion that schizophrenic has, that people being replaced by exact double

45
Q

what is derealisation

A

feeling that the world is not real

phase 4 (19 decks)

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