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11 Cards in this Set
- Front
- Back
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Which type of dementia shows most affective changes, apathy, slowing of thoughts, difficulty with complex tasks and visuospatial disturbances. |
Subcortical dementia. Because it affects the subcortical nuclei its more likely to affect things like the limbic system which could cause the affective changes and the apathy. It reduces cognitive abilities by reducing the ability to formulate knowledge to problem solving. While cortical dementias also have visospatial disturbances its is more evident in subcortical dementias. |
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Which drug is known as 'kill cock' what are its side effects |
Respiradone. Named because of erectile dysfunction. Other side effects include reduced libido, galactorrhoea, hyperprolactinaemia, gynacomastia, amenorrhea, osteoporosis |
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Which is the weird antipsychotic |
Aripiprazole
It's weird because it's the only wright neutral atypical. It doesn't sedate like most. It is good for people naive to antipsychotic but is typically not well tolerated because it lacks sedation and people 'buzz off it' These effects exist because it's a partial dopamine antagonist. |
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Which antipsychotic is used in some disease but not typically for psychosis? |
Quetiapine It's used as a mood stabiliser and for treatment resistant depression and for personality disorders. It has lots of cholinergic effects and weight gain. |
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Which is the best antipsychotic? What are its issues? |
Clozapine seems to be the most effective antipsychotic. It is really used as first choice though because of its extreme side effect profile. It's thought to work on D4 receptors as opposed to the usual D2 receptors. It causes fatal agranulocytosis, so patients must be monitored regularly. It also causes the typical second generation side effects like metabolic syndrome and cholinergic affects. It doesn't cause much EPSE so can be used for parkinsons |
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Which antipsychotic causes skin reactions |
Lamotrigine Typically listed under antiepileptics it's also used as an antipsychotic. It causes rashes and uveitis as well as visual problems. |
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Define an obsession |
An repetitive, intrusive idea or impulse recognised by the patient as their own that causes distress and or anxiety |
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Define 'compulsion' |
A behaviour recognised as being futile but which the patient cannot resist the urge to do. The behaviour causes distress and anxiety and is often done to avoid some calamity. |
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What defines PTSD |
An involuntary experiencing and reliving of a historical traumatic event leading to hypersexual and avoidance. Often happens within 6 months of the event. Treated with EMDR eye movement desensitisation reprocessing, a type of CBT |
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What are typical symptoms of Huntingtons |
Autosomal dominant.psych: paranoia; poor impulse control; depression; hallucinations; and delusions physical symptoms: uncontrolled movements (chorea), clumsiness, balance problems, difficulty walking, talking, or swallowing, athetosis (writhing hands)Leads to huntingdons dementia, intellectual impairment; loss of fine motor control |
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Clinical features of dementia.CognitiveBehaviouralMoodThoughtPercepton |
Cognitive: inability to pay attention, agnosia, apraxia, aphasia, poor memory, poor orientation Behavioural: Wandering, irritability, aggression, disinhibition/impulsivity Mood: depression, apathy, irritability Thought: Hallucination, |
