Psychosis Flashcards

1
Q

List 4 (out of 11) organic causes of psychosis

A
  1. Acute confusion
  2. Dementia
  3. Temporal lobe epilepsy
  4. Infections of the nervous system eg AIDs, neurosyphilis, encephalitis
  5. Brain injury
  6. Brain tumours
  7. Huntington’s disease
  8. Metabolic disorders eg Vit B12 deficiency, porphyria
  9. Endocrine disorders eg Cushing’s syndrome, thyroid disease
  10. Medication effects eg high dose steroids
  11. Autoimmune disorders eg lupus, thyroid disease
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2
Q

What is the Oxford English Dictionary definition of ‘Psychosis’?

A

“a severe mental disorder in which thought and emotions are so impaired that contact is lost with external reality”

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3
Q

What treatments are first line for treatment of first presentation psychosis?

A
  • Antipsychotics

- CBT

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4
Q

What are 3 (out of 5) common side effects of antipsychotics?

A
  1. Metabolic - weight gain, diabetes, hyperlipidaemia
  2. Sedation
  3. Extrapyramidal
  4. CVS (prolonged QTc)
  5. Hormonal (Hyperprolactinaemia)
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5
Q

What NICE guidance is available about the monitoring requirements needed when patients are on antipsychotics?

A
  • Weight
  • Waist circumference
  • Pulse and BP
  • Fasting blood glucose and HbA1c
  • Blood lipids
  • Prolactin levels
  • Movement disorder assessments
  • Assessment of nutritional status
  • ECG
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6
Q

What is the duration of the following MHA section; 135?

A

Can be used once

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7
Q

What is the duration of the following MHA section; 136?

A

Can be used once

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8
Q

What is the duration of the following MHA section; 2?

A

Up to 28 days

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9
Q

What is the duration of the following MHA section; 3?

A

6 months

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10
Q

What is the duration of the following MHA section; 4?

A

72 hours

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11
Q

What is the duration of the following MHA section; 5(2)?

A

72 hours

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12
Q

What is the duration of the following MHA section; 5(4)?

A

6 hours

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13
Q

Give a description of the following MHA section; 135

A

Warrant to gain access to premises to remove the patient to a place of safety

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14
Q

Give a description of the following MHA section; 136

A

Allows police to remove a person from a public place to a place of safety

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15
Q

Give a description of the following MHA section; 2

A

Admission for assessment

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16
Q

Give a description of the following MHA section; 3

A

Admission for treatment

17
Q

Give a description of the following MHA section; 4

A

Emergency admission for assessment

18
Q

Give a description of the following MHA section; 5(2)

A

Emergency holding order (patient already admitted to hospital on an informal basis)

19
Q

Give a description of the following MHA section; 5(4)

A

Emergency holding order (patient already admitted to hospital on an informal basis)

20
Q

What treatment is required when someone is placed under the MHA section 135?

A

Does not allow for treatment

21
Q

What treatment is required when someone is placed under the MHA section 136?

A

Does not allow treatment

22
Q

What treatment is required when someone is placed under the MHA section 2?

A

Treatment can be given for the mental disorder itself or conditions directly resulting from the disorder

23
Q

What treatment is required when someone is placed under the MHA section 3?

A

Treatment can be given for the first 3 months, then consent is required or a second opinion

24
Q

What treatment is required when someone is placed under the MHA section 4?

A

Treatment can only be given under common law

25
Q

What treatment is required when someone is placed under the MHA section 5(2)?

A

Treatment can only be given under common law

26
Q

What treatment is required when someone is placed under the MHA section 5(4)?

A

Treatment can only be given under common law

27
Q

Who must apply/recommend the use of MHA section 135?

A
  • 1 Doctor
  • 1 AMHP
  • Police
28
Q

Who must apply/recommend the use of MHA section 136?

A

Police power, police will remain in attendance until further assessment is arranged

29
Q

Who must apply/recommend the use of MHA section 2?

A
  • AMHP or nearest relative

- Recommendation by 2 doctors (at least 1 must be section 12 approved)

30
Q

Who must apply/recommend the use of MHA section 3?

A
  • AMHP or nearest relative

- Recommendation by 2 doctors (at least 1 must be section 12 approved)

31
Q

Who must apply/recommend the use of MHA section 4?

A
  • Application by AMHP or nearest relative

- Recommendation by any doctor

32
Q

Who must apply/recommend the use of MHA section 5(2)?

A

Recommendation from the doctor or approved clinician in charge of the patients care or their nominated deputy

33
Q

Who must apply/recommend the use of MHA section 5(4)?

A

Recommendation from registered nurse

34
Q

Who can discharge/renew the MHA section 2?

A

Patient can appeal to a tribunal, can be discharged by the responsible clinician, hospital manager or nearest relative

35
Q

Which MHA sections do not allow a patient to appeal?

A
  • 4
  • 5(2)
  • 5(4)