Psychiatry block Flashcards

1
Q

bipolar disorder has a weak/strong genetic component?

A

Strong genetic component

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2
Q

If someone is ‘catatonic’ what does this mean?

A

They are unable to move in a normal way

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3
Q

What does stupor mean

A

Person can’t move / speak / respond to stimuli

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4
Q

In which psychiatric condition is ‘knight move thinking’ commonly found?

A

Schizophrenia

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5
Q

What does knights move thinking suggest?

A

unexpected, illogical connections between ideas. Jumping from one thing to another when speaking

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6
Q

Triptans should be avoided in patients taking which type of anti-depressant medication?

A

SSRI

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7
Q

Which atypical anti-psychotic medication used in schizophrenia can cause seizures?

  • Quetiapine
  • Clozapine
  • Risperidone
  • aripiprazole
A

Clozapine

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8
Q

What is the most likely SSRI to cause prolonged QT interval?

A

Citalopram

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9
Q

Patients in hospital who are suffering from alcohol withdrawal should be treated with what medication?

A

Benzodiazepines

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10
Q

Starting lithium and blood testing

A

blood tests weekly for first month

blood tests monthly for next 3 months

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11
Q

Briefly describe OCD.
Obsessions are thoughts/actions
Compulsions are thoughts/actions

A
Obsessions = thoughts / impulses / images 
Compulsions = actions
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12
Q

Treatment required for OCD

A

CBT + meds (SSRI)

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13
Q

Patient who presents repeatedly with physical symptoms but is not reassured by normal examination / investigation findings. What is the likely condition?

A

Somatisation disorder

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14
Q
What class of medicines used to treat hypertension are most likely to cause depression?
ACE inhibitors 
ARBs
Thiazide diuretics 
Beta blockers
A

Beta blockers

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15
Q

A first episode of depression should be treated for a minimum of _____ after remission

A

6 months

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16
Q

High / low hipocampal volumes are seen in depression

A

Low

- hipcampus is vulnerable to damage from cortisol (which is released during stress)

17
Q

There is increased / decreased monoamine in depression

A

Decreased

18
Q

Name the 3 indications for using ECT

A

Severe/life threatening depression (eg patient refusing to eat or drink)
Psychotic depression
Depression refractory to several antidepressant treatments