Psychosis Flashcards

1
Q

what is the overall lifetime risk of scizophrenia/psychosis if both parents have it or a MZ twin has it

A

45%

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2
Q

what are signs that present early on in life that schizophrenic patients sometimes have

A

behavioural, motor, intellectual impairment

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3
Q

how is dopamine related to schizophrenia

A

schizophrenia is related to increased / overactive dopamine activity

drugs that increase dopamine activity can precipitate schizophrenia (amphetamine, apomorphine)

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4
Q

list some typical antipsychotics

A

Haloperidol

chlorpromazine

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5
Q

List some atypical antipsychotics

A

Olanzapine, Quetiapine, Respiridone, Clozapine, Aripiprazole

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6
Q

What are some advantages of the second gen antipsychotics

A

less extrapyramidal side effects
High 5-HT to Dopamine ratio
better at treating negative symptoms

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7
Q

what are some side effects of antipsychotics

A

Parkinsons, tardive dyskinesia, acute dystonic reaction, Akathisia

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8
Q

What can clozapine cause

A

Agranulocytosis

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9
Q

What other receptors do antipsychotics bind to and give some consequent side effects

A

Alpha adrenergic receptors
Histamine receptors - sedation
Muscarinic receptors - parasympathetic stimulation

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