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Misc. Notes Year 3 > Psychiatry SB document > Flashcards

Psychiatry SB document Flashcards

1
Q

How do auditory hallucinations in depression differ from those in schizophrenia

A

Depression - 2nd person derogatory

Schizophrenia - 3rd person

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2
Q

What is psychomotor retardation and which condition is it seen in

A

Movements may be slowed and the voice quiet and monotonous

Seen in Severe depression

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3
Q

What is the diagnostic criteria for Moderate Depression

A

at least 2 of the 3 core features

additional symptoms must be present to give a total of 6

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4
Q

What is the diagnostic criteria for Severe Depression

A

all 3 of the core features

additional symptoms must be present to give a total of 8

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5
Q

What is mood reactivity in the context of Atypical Depression

A

mood brightens in response to positive events

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6
Q

Which syndrome should you think of from the phrase Nihilistic Delusions

A

Cotard Syndrome

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7
Q

What is dysthymia

A

Chronic and prolonged depression which is not severe enough to satisfy the criteria for a depressive episode

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8
Q

When is the average age of onset of bipolar disorder

A

Late teens or early 20’s

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9
Q

What must a patient have had to be placed in the Bipolar I category

A

At least 1 episode of Mania

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10
Q

What must a patient have had to be placed in the Bipolar II category

A

At least 1 episode of Hypomania, having never met the criteria for mania

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11
Q

Manic episodes can arise with or without psychotic symptoms - what are these

A

Delusions

Hallucinations

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12
Q

What is a contraindication to use of SSRI’s

A

Mani

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13
Q

Name 4 contraindications to use of TCA’s

A

recent MI
arrhythmias
severe liver disease
mania

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14
Q

Why should anti-depressants be used with caution in epileptic patients

A

They lower the seizure threshold

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15
Q

What is the triad of symptoms suggesting serotonin syndrome

A

Neuromuscular abnormalities

Altered consciousness level Autonomic instability

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16
Q

What is a cardiovascular disease which can occur as a side effect of Clozapine use

A

Myocarditis

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17
Q

How long does Acute Dystonia take to occur when a patient is put on anti-psychotics

A

72 hours

18
Q

Why do extra-pyramidal side effects occur with anti-psychotics

A

An excess of acetylcholine and relative deficiency of dopamine

19
Q

How long does Akathisia take to occur when a patient is put on anti-psychotics

A

within 6-10 days

20
Q

What types of Schizophrenia indicate use of ECT

A

Catatonia
Positive psychotic symptoms
Schizoaffective disorder

21
Q

What is the Hachinski Ischaemic Score used for

A

To differentiate between Vascular and Alzheimers Dementia

22
Q

What is the treatment for Alcohol Related Dementia

A

Pabrinex and Thiamine

23
Q

How long is treatment indicated for someone with Generalised Anxiety Disorder

A

At least 18 months

24
Q

How long is treatment indicated for someone with Generalised Anxiety Disorder

A

At least 6 months

25
Q

What is the timescale after a traumatic event for an acute stress reaction

A

48 hours

26
Q

What is the timescale after a traumatic event for acute stress disorder

A

4 weeks

27
Q

What is the timescale after a traumatic event for acute PTSD

A

3 months

28
Q

What is the timescale after a traumatic event for chronic PTSD

A

over 3 months

29
Q

How long is treatment indicated for OCD and PTSD

A

At least 12 months

30
Q

What are the first line psychological and drug therapies for PTSD

A

Eye Movement Desensitisation and Reprocessing (EMDR)

SSRI

31
Q

What are the first rank symptoms of Schizophrenia

A

Auditory hallucinations (3rd person)
Thought disorders
Passivity
Delusions

32
Q

What is the diagnostic triad of ADHD

A

Inattention
Hyperactivity
Impulsivity

33
Q

Name 2 first line drugs for ADHD

A

Methylphenidate (Ritalin)

Dexamfetamine

34
Q

What is currently the only licenced anti-psychotic drug for treatment of Schizoaffective disorder

A

Paliperidone

35
Q

Where is there reduced grey matter in Schizophrenia

A

temporal cortex
medial temporal lobe
frontal lobe

36
Q

What are the 1st and 2nd line treatments for Schizophrenia

A

1st line - Risperidone (atypical)

2nd line - Aripiprazole (atypical)

37
Q

Which mutation holds a high risk of Schizophrenia

A

22q11

38
Q

Which drug can 3x increase your chance of developing Schizophrenia

A

Cannabis

39
Q

What is your risk of developing Schizophrenia if your monozygotic twin has it

A

50%

40
Q

What is your risk of developing Schizophrenia if your parents both have it and if only one parent has it

A

both - 50%

one - 10%

Misc. Notes Year 3 (25 decks)

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