UNDF - Psychiatry Flashcards
A 26-year-old university student who suffers from schizophrenia, presents complaining of side effects since starting an antipsychotic medication.
With reference to two different subcortical domininergic pathways in the schematic diagram shown, list different types of side effects she may complain of that would arise from dopamine antagonism. (3 marks)
List three core clinical and one core laboratory finding/s of neuroleptic malignant syndrome (2 marks).
Neuroleptic malignant syndrome (NMS) is a life-threatening idiosyncratic reaction to antipsychotic drugs characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction.
What is the formula for plasma osmolality. (1 mark)
2 x [Na] + [Glucose] + [Urea]
= C. Electroconvulsive therapy
= C. A perceptual abnormality
A patient is suffering from an acute relapse of schizophrenia, and tells his GP that he believes advertisements on the TV are in some way making specific mention of him.
What psychotic phenomenon is he describing?
= B. Delusion of reference
A patient is suffering from an acute relapse of schizophrenia and tells his GP that he believes his thoughts can be heard by others.
What psychotic phenomenon is he describing?
= E. Thought broadcasting
= E. Where the patient incorrectly evaluates the accuracy of their perceptions and thoughts and makes incorrect inferences about external reality
= B. Persistent concerns about suffering recurrent panic attacks
= E. Strong desire to do something which one finds difficult to control
What is a common side effect of tricyclic antidepressants?
- a. Diarrhoea
- b. Enuresis
- c. Hypersalivation
- d. Orthostatic hypertension
- e. Sexual dysfunction
What is a common side effect of tricyclic antidepressants?
- a. Diarrhoea
- b. Enuresis
- c. Hypersalivation
- d. Orthostatic hypertension
- e. Sexual dysfunction
Which structure is found within the brainstem and gives rise to the dorsal noradrenergic bundle?
- a. Arcuate nucleus
- b. Basal nucleus of Meynert
- c. Dorsal raphe nucleus
- d. Locus coeruleus
- e. Ventral tegmental area
= d. Locus coeruleus
A. Brainstem reticular formation
Which formal thought disorder is said to occur when a patient is over-inclusive in the detail they provide, but eventually reach their goal of thought process?
= A. Circumstantiality
