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Passmed finals > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

World salad is…

A

Disorganised speech

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2
Q

When might word salad be seen?

A

Schizophrenia

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3
Q

Expressive dysphasia is

A

Broca’s aphasia

Unable to speak but know what they want to say

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4
Q

Psychotic features

A

Hallucinations
Delusions
Thought disorganisation

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5
Q

Causes of psychotic symptoms

A

Schizophrenia
Depression
Bipolar
Corticosteroids

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6
Q

Treatment of OCD

A

CBT (including ERP)

SSRI if severe (fluoxetine)

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7
Q

Associations with OCD

A

Depression (30%)
Schizophrenia (3%)
Sydenham’s chorea!

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8
Q

What is ERP?

A

Psychological method where you expose the patient to an anxiety provoking situation

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9
Q

Treatment of generalised anxiety disorder

A

Sertraline

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10
Q

If first SSRI doesn’t work what do you try?

A

Another SSRI

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11
Q

What type of drug is venlafaxine?

A

SSRI

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12
Q

When can propanolol be used in anxiety?

A

To reduce autonomic syptoms (palpitations, tremor, sweating)

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13
Q

Setraline + NSAID, what should you also prescribe?

A

Omeprazole to protect the stomach

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14
Q

First choice SSRI in IHD

A

Sertraline

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15
Q

Schizophrenia having lots of seizures after a new drug, whats the drug?

A

Clozapine

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16
Q

Major RF of clozapine

A

Agranulocytosis

17
Q

Anti-psychotic with best side effect profile

A

Aripiprazole

18
Q

What should you measure during clozapine treatment?

A

Full blood count

19
Q

Recurrent self harm and history of intense interpersonal relationships

A

Borderline personality disorder

20
Q

What type of drug is phenelzine?

A

MAOi

21
Q

SSRI of choice in children and adolescents?

A

Fluoxetine

22
Q

Signs of SSRI discontintuation

A

Restlessness
Sweating
Difficulty sleeping
GI symptoms

23
Q

Treatment of acute dystonia (e.g. eyes locked looking upwards)

A

Procyclidine

24
Q

What do atypical antipsychotics (olanzapine, clozapine, risperidone) increase the risk of in the elderly?

A

Stroke and VTE

25
Q

Treatment for tardive dyskinesia

A

Tetrabenzanine

26
Q

What is tardive dyskinesia?

A

After a long period of antipsychotics can get repetitive movements e.g. jaw pouting, blinking, chewing

27
Q

What is the pathophysiology of refeeding syndrome?

A

Low glucose in starvation phase
Eating releases insulin
Drives down phosphate

Can lead to confusion

28
Q

What is schizoid personality disorder?

A

Loner

Maybe obsessed with one thing e.g. maths equations

29
Q

What is schizotypal personality disorder

A

Socially opposed

Magical thinking

Passmed finals (17 decks)

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