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Mental Health

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  1. 3. Adult dose IV injection 200mcg over 15 seconds then 100mcg every 1 minute if required for benzo overdose
  2. 4. Tricyclic antidepressants may cause urinary retention, dry mouth, lethargy/drowsiness and -
  3. 6. 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
  4. 7. 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.
  5. 10. 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.
  6. 11. 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 midazolam
  7. 13. Syndrome; An elderly man with a history of macular degeneration presents with visual hallucinations but reports no other psychiatric symptoms
  8. 17. 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
  9. 21. The most common cause of admissions to child and adolescent psychiatric wards. Diagnosis is now based on the DSM 5 criteria
  10. 23. Antipsychotic drugs are also known as -
  11. 25. Indicated for status epilepticus, short-term anxiety, short-term insomnia associated with anxiety, acute panic attacks, and conscious sedation. Dose ranges 1-4mg
  12. 26. May cause dry mouth, blurred vision, impaired glucose tolerance, akathisia, urinary retention, neuroleptic malignant syndrome, and extra-pyramidal side effects.
  13. 28. DISORDER Examples include GAD, panic disorders, OCD, PTSD and adjustment disorders
  14. 29. Adult dose by IV injection, subcut or IM; 400mcg initially to treat opioid overdose
  15. 31. 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.
Down
  1. 1. 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 _________
  2. 2. Correction of acidosis with IV ______ is the first line in management of tricyclic induced arrhythmias and seizures
  3. 5. Tricyclic antidepressant
  4. 8. Toxicity includes coarse tremor, hyperreflexia, acute confusion, seizure, coma
  5. 9. The strongest risk factor for developing a psychotic disorder (including schizophrenia)
  6. 12. Antipsychotics may cause increased risk of -
  7. 14. Same class of drug as carbamazepine
  8. 15. One of the main causes of non-adherence to antipsychotic medications
  9. 16. Lithium remains the mood stabilizer of choice for bipolar. An alternative is -
  10. 18. Disorder; A middle-aged man with a history of depression presents with multiple unrelated physical symptoms over the past 5 years
  11. 19. Antipsychotic drugs like olanazapine, quetiapine, and _______ are useful in acute episodes of mania. If response is inadequate, lithium or valporate may be added
  12. 20. Treatment of choice for Generalised Anxiety Disorder
  13. 22. 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 _______
  14. 24. In overdose use N-acetylcycteine
  15. 27. 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 ______
  16. 30. Diagnosed in about 5% of American children, and in the UK, where the term hyperkinetic syndrome is preferred, only 0.1% are diagnosed