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Human Diseases > Psychiatry disorders dentally relevant questions > Flashcards

Psychiatry disorders dentally relevant questions Flashcards

1
Q

When is best to treat a patient with dementia?

A

First thing in the morning

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2
Q

What vitamin is deficient in Korsakoff’s psychosis? and which patients is this psychosis seen in?

A

B1/thiamine deficient

Chronic alcoholism

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3
Q

As a dentist what signs can be seen in a bulimia patient?

A

Dental erosion
Oesphagitis
Lesions on back of palate and calluses on back of fingers from self induced vomiting

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4
Q

When should hypnotics be used in dentistry?

A

Before surgery

Pain relief

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5
Q

What happens to sleep in drug induced sleep?

A

Increased NREM and decreased REM

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6
Q

What are the effects of BZDs?

A 
Hypnotic 
Anxiolytic 
Anticonvulsant 
Muscle relaxant 
Amnesic - dangerous medico-legal
Fantasies
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7
Q

What is the dose of BZDs used in masseteric spasms?

A

2mg TDS (max)

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8
Q

What BZDs are given as hypnotics?

A

Tempazepam - in hospital for initial insomnia
Nitrazepam - for early morning wakening
Midazolam - sedative used in dentistry
Diazepam - given for day time anxiety or severe insomnia
Loprazolam - less hangover, street drug

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9
Q

What action sites do BZDs work on?

A

RAS (reticular activating system) - consciousness and alert state
Limbic in cortex - emotions

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10
Q

What is MOA of BZDs?

A

Influence GABA at Cl channel and increase frequency of opening

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11
Q

What is the drug interaction of midazolam and methadone?

A

Midazolam potentiated by methadone, possibly causing respiratory arrest

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12
Q

What is the reversal drug of BZDs?

A

Flumazenil - antagonist, stronger binding at receptor

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13
Q

What determines how long a person stays drunk for?

A

Acetylation in liver can vary

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14
Q

What is busprione used for?

A

Short term anxiety help working as a serotonin receptor agonist

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15
Q

What is the dental side effect of busprione?

A

Dry mouth

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16
Q

What is somatisation disorder?

A

Physical symptom as a result of something non-physical

Need to rule out everything else with negative investigations

17
Q

What are the dental side effects of schizoprenia?

A

Delusional pain, poor OH, medication effects

18
Q

What medications do schizophrenia take?

A

Neuroleptics
Clozapine - treatment resistant schizo, side effect decreased WBC
Depot meds - injection 1/week

19
Q

What 2 types of classification are used to help diagnose schizophrenia?

A

ICD 10

DSM 5 - american classification

20
Q

What dental aspects are seen in depression?

A

Neglect, avoidance, alcohol excess and psychosis

Human Diseases (17 decks)

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