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Mental Health

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Across
  1. 4. / Treatment of choice for Generalised Anxiety Disorder
  2. 7. / Lithium remains the mood stabilizer of choice for bipolar. An alternative is -
  3. 8. / All 3 of the following features must be present for a diagnosis to be made; global impairment of language and communication; impairment of social relationships; ritualistic and compulsive phenomena
  4. 9. / The strongest risk factor for developing a psychotic disorder (including schizophrenia)
  5. 14. / Antipsychotic drugs like olanazapine, quetiapine, and _______ are useful in acute episodes of mania. If response is inadequate, lithium or valporate may be added.
  6. 17. / Drug treatments for PTSD should not be used as a routine first-line treatment for adults. If drug treatment is used then paroxetine or ________ are recommended
  7. 18. / Toxicity includes coarse tremor, hyperreflexia, acute confusion, seizure, coma
  8. 19. / First generation antipsychotics act predominantly by blocking dopamine D2 receptors in the brain - this can lead to extra-pyramidal side-effects. Examples include chlorpromazine and _________
  9. 21. / diagnosed in about 5% of American children, and in the UK, where the term hyperkinetic syndrome is preferred, only 0.1% are diagnosed
  10. 22. / Correction of acidosis with IV ______ is the first line in management of tricyclic induced arrhythmias and seizures
  11. 24. / May be helpful in the initial stages of treatment for behavioural disturbances or agitation. Not for long term use as risk of dependence. An example is lorazepam
  12. 26. / Adult dose by IV injection, subcut or IM; 400mcg initially to treat opioid overdose
  13. 27. / Examples include GAD, panic disorders, OCD, PTSD and adjustment disorders
  14. 28. / Antipsychotics may cause increased risk of -
  15. 29. / May cause dry mouth, blurred vision, impaired glucose tolerance, akathisia, urinary retention, neuroleptic malignant syndrome, and extra-pyramidal side effects.
  16. 32. / A young woman takes a paracetamol overdose after splitting with her boyfriend. Two days later she is in a new relationship which is troubled by her repeated outbursts of anger. Personality disorder.
  17. 33. / In overdose use N-acetylcycteine
Down
  1. 1. / SSRIs work by blocking the reuptake of serotonin into the nerve cell that released it, which prolongs its action in the brain. Examples include escitalopram, fluoxetine, paroxetine, sertraline and ______
  2. 2. / Disorder; A middle-aged man with a history of depression presents with multiple unrelated physical symptoms over the past 5 years
  3. 3. / Tricyclic antidepressants may cause urinary retention, dry mouth, lethargy/drowsiness and -
  4. 5. / One of the main causes of non-adherence to antipsychotic medications
  5. 6. / Tricyclic antidepressant
  6. 10. / A man asks for help with social anxiety. He prefers to be alone and doesn't like to share his beliefs, which other people think are odd. He has a strong interest in the paranormal and talks in an high-pitched voice when talking about his 'spirit-guide'. Personality disorder.
  7. 11. / SNRIs are very similar in action to SSRIs, but they act on noradrenaline as well as serotonin. They're sometimes preferred for treating more severe depression and anxiety. Examples include duloxetine and _______
  8. 12. / Antipsychotic drugs are also known as -
  9. 13. / A benzodiazepine, along with lorazepam, clobazam and clonazepam
  10. 15. / Same class of drug as carbamazepine
  11. 16. / Adult dose IV injection 200mcg over 15 seconds then 100mcg every 1 minute if required for benzo overdose
  12. 20. / An SSRI; other examples include citalopram, escitalopram and sertraline
  13. 23. / Syndrome; An elderly man with a history of macular degeneration presents with visual hallucinations but reports no other psychiatric symptoms
  14. 25. / The most common cause of admissions to child and adolescent psychiatric wards. Diagnosis is now based on the DSM 5 criteria
  15. 30. / Indicated for status epilepticus, short-term anxiety, short-term insomnia associated with anxiety, acute panic attacks, and conscious sedation. Dose ranges 1-4mg.
  16. 31. / A woman presents to her male family doctor wearing a low-cut top and a short skirt. She tries to flirt with the doctor. The consultation is filled with drama and she becomes annoyed with the centre of attention shifts from her. Personality disorder.