2017/2018
Psychiatry Phase 3A Revision Session Jennifer McMurran 15/10/18 The Peer Teaching Society is not liable for false or misleading information…
Terms Definition and implication for diagnosis: Illusion Hallucination Over-valued idea Delusion Delusional perception From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
Terms Definition and implication for diagnosis: Thought alienation Thought insertion Thought withdrawal Thought broadcast Thought echo Thought block From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
Terms Definition and implication for diagnosis: Concrete thinking Loosening of association Circumstantiality Perseveration From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
Terms Definition and implication for diagnosis: Confabulation Somatic passivity Made acts & feelings Delirium Catatonia / stupor Psychomotor retardation Flight of ideas Thought disorder From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
Terms Definition and implication for diagnosis: Poverty of speech Poverty of thought Pressure of speech From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
Terms Definition and implication for diagnosis: Anhedonia Flattening of affect Incongruity of affect Blunting of affect From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
Terms Definition and implication for diagnosis: Belle indifference Depersonalisation Derealisation Conversion/dissociation Stereotypy/mannerism Obsession/compulsion From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
Topics Addictive behaviours Personality and identity Anxiety Self-harm Mood problem Cognitive impairment Psychosis Learning disability Liaison (including eating disorders) From the UoS psychiatry handbook The Peer Teaching Society is not liable for false or misleading information…
ICD-10 http://apps.who.int/classifications/icd10/browse/2016/en#/V ICD 11 is on it’s way but not yet and handbook says ICD-10. Also DSM 5. The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours What are the 6 features of the dependence syndrome? The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours 1 – Craving 2 – Difficulty controlling use 3 – Physical withdrawal 4 – Tolerance 5 – Neglect of other activities 6 – Persistent use despite consequences Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours How many of the 6 features need to be present for dependence syndrome? The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours 3 features Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours Which 2 drugs are used to reduce off opiates? The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours Methadone and Buprenorphine Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours What is Naltrexone used for? The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours Opioid antagonist – blocks euphoria, prevents relapse Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours Opioid antagonist – blocks euphoria, prevents relapse Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours What is delerium tremens? The Peer Teaching Society is not liable for false or misleading information…
Addictive behaviours Alcohol withdrawal – tachycardia, hypotensive, tremor, fits, hallucinations e.g. insects crawling under skin Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Personality and identity Name as many personality disorders as you can The Peer Teaching Society is not liable for false or misleading information…
Personality and identity Paranoid Schizoid Schizotypal Antisocial (psychopathic) Borderline Histrionic Narcissistic Avoidant Dependent Obsessive-compulsive Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Anxiety What types of anxiety are there? The Peer Teaching Society is not liable for false or misleading information…
Anxiety GAD Panic disorder Phobia PTSD Social anxiety disorder OCD Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Anxiety What is the definition of Generalized anxiety disorder? The Peer Teaching Society is not liable for false or misleading information…
Anxiety Anxiety + 3 somatic symptoms for at least 6 months Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Anxiety What suggests anxiety in a child? The Peer Teaching Society is not liable for false or misleading information…
Anxiety Thumb-sucking Nail-biting Bed-wetting Foodfads Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Anxiety What is the management of anxiety? The Peer Teaching Society is not liable for false or misleading information…
Anxiety Symptom control Regular exercise Meditation CBT Relaxation Behavioural therapy (e.g graded exposure) Medication (Benzodiazepines, SSRIs, Azapirones, older antihistamines, beta blockers) Hypnosis Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Self-harm Key questions to ask in a suicide assessment following attempt about before the attempt? The Peer Teaching Society is not liable for false or misleading information…
Self-harm Before: Precipitant? Planned/impulsive? Final acts Precautions against discovery? Alcohol used? https://geekymedics.com/suicide-risk-assessment-osce-guide/ (accessed 15/10/18) The Peer Teaching Society is not liable for false or misleading information…
Self-harm Key questions to ask in a suicide assessment following attempt about during the attempt? The Peer Teaching Society is not liable for false or misleading information…
Self-harm During: -Method? -Alone? -Where? -Thoughts? -Did they think it would kill them? -What did they do straight after? https://geekymedics.com/suicide-risk-assessment-osce-guide/ (accessed 15/10/18) The Peer Teaching Society is not liable for false or misleading information…
Self-harm Key questions to ask in a suicide assessment following attempt about after the attempt? The Peer Teaching Society is not liable for false or misleading information…
Self-harm After: -Call anyone? How did they get to hospital? Who found them? -Feelings when help arrived? -Feelings about attempt now? -Current mood? -Still feeling suicidal? -If went home what would they do for next few days? -If felt same again, what would you do differently? -protective factors -Accepting of treatment? https://geekymedics.com/suicide-risk-assessment-osce-guide/ (accessed 15/10/18) The Peer Teaching Society is not liable for false or misleading information…
Mood problem How is Depression diagnosed? The Peer Teaching Society is not liable for false or misleading information…
Mood problem Anhedonia plus at least 4 of the following for at least two weeks -poor appetite and weight loss/increased appetite -early waking and diurnal mood variation -Psychomotor retardation/agitation -decreased libido -decreased concentration -ideas of worthlessness/guilt/self-reproach -recurrent thoughts of death/suicide/attempts Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Mood problem How is Depression classified? The Peer Teaching Society is not liable for false or misleading information…
Mood problem Mild/moderate/severe With/without biological features With/without delusions or hallucinations Bipolar/unipolar Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Cognitive impairment What causes of delirium are there? The Peer Teaching Society is not liable for false or misleading information…
Cognitive impairment CNS Infection Vascular Metabolic Endocrine Toxic Deficiency (thiamine, B12, folate, nicotinic acid) Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Cognitive impairment What types of dementia are there? The Peer Teaching Society is not liable for false or misleading information…
Cognitive impairment Alzheimer’s Huntington’s Lewy-body Pick’s CJD Parkinson’s Vascular Toxic Endocrine Infective Other CNS Deficiency (thiamine, B12, folate, nicotinic acid) Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Psychosis Causes of psychosis? The Peer Teaching Society is not liable for false or misleading information…
Psychosis Affective Substance abuse Medical (e.g brain tumour) Schizophrenia Schizophrenia-like non affective disorders Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Psychosis What is the name for symptoms you look for in schizophrenia? The Peer Teaching Society is not liable for false or misleading information…
Psychosis Schneider’s first rank symptoms Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Learning disability Causes of learning disability? The Peer Teaching Society is not liable for false or misleading information…
Learning disability Chromosomal Antenatal – infection, alcohol, hypoxia, nutrition, hypothyroidism Perinatal – cerebral palsy Post-natal – injury, infections, environment Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…
Liaison (including eating disorders) Diagnosic criteria for anorexia? The Peer Teaching Society is not liable for false or misleading information…
Liaison (including eating disorders) 1 – Weight <85% predicted 2 – Fear of weight gain 3 – Disproportionate idea of body 4 – Amenorrhoea in women or decreased libido in men Oxford handbook of clinical specialties 9th edition The Peer Teaching Society is not liable for false or misleading information…