Show:
It's Friday
Teen Spirit
On a Horse
Not in Kanas
Normally
100
Name two main neurotransmitters in depression
serotonin and noradrenaline
100
What do plasma levels of drug indicate in the first 4 hrs?
Nothing! still being absorbed
100
Name three classes of treatment for depression
TCAs SSRIs MOAi
100
What is Euthymia?
Euthymia is the word used to describe normal mood
100
What are checklist questions?
Yes and no questions based specifically on DSM criteria.
200
Name two types of mood disorders
MDD Bipolar disorder
200
What drug is used in paracaetomol overdose?
N-acetylcysteine
200
What is the mechanism of action of TCA?
TCA inhibit the transporters for norepinephrine and serotonin in the neuronal plasma membrane.
200
How do domestic violence patients present physically? (Give Two examples)
Unexplained injuries, bruising delayed presentation lethargy chronic pain (pelvic, abdominal, back) - somatic disorders (e.g. irritable bowel syndromes) - chronic headaches sexual assault, sexually transmitted infections miscarriage, unwanted pregnancy, lack of prenatal care
200
What two types if questions do you have to balance in psych history taking?
Open ended and checklist
300
Which stage of a bipolar disorder has an increased likelihood of suicide and why?
Depressive stage because people come back down from the high and it makes the depressive stage more extreme.
300
What are the 4 core principles of treatment for overdose?
Decrease absorbtion, increase elimination, administer antidotes, treat symptoms
300
By prescribing both MAOIs with TCA, what could potentially happen to the patient?
Serotonin syndrome
300
How domestic violence patients present non-physically? (Give three examples)
Depression/ Anxiety Suicide ideation or attempts Chronic use of pain medication/ sleeping pills Alcohol or drug problems Post Traumatic Stress Disorder Evasive, embarrassed, ashamed, non-compliant low self-esteem Accompanied by an overbearing partner Eating disorders Repeated use of health services
300
The inability to experience pleasure or the absence of enjoyment from acts that are usually pleasurable is known as?
Anhedonia
400
What is the best treatment believed for bipolar disorder?
lithium with psychoeducation and CBT
400
Name 3 things (out of 7) that you should always test the overdose patients blood for?
Blood glucose tox screem urea and electrolytes LFT's arterial blood gases clotting profile
400
What is the mechanism of Monoamine oxidase inhibitors?
MAOIs inhibit the activity of monoamine oxidase enzymes, which are enzymes found within presynaptic neurons of the brain. By antagonising MOA, monoamine neurotransmitters will not be degraded as quickly and are more readily repackaged into pre-synaptic vesicles.
400
Name three effects of domestic violence on children & adolescent
Anxiety, stress, depression, withdrawal Cognitive development and problems at school Drug & alcohol abuse, suicidal ideation Aggressive behaviour and language Physical health e.g. bedwetting, sleep disorders and developmental problems Long-term effects on mental health Revictimisation
400
What is a key part of treating mental health patients?
To develop a good relationship and be collaborative.
500
What is the principal site of synthesis of norepinephrine in the brain?
Locus coeruleus
500
Broca’s and Wernicke’s area are connect by?
arcuate fasciculus
500
What are the three lobes of the cerebellum?
floculonodular, anterior and posterior
500
Where is CSF produced, and where is it filtered?
choroid plexus, arachnoid granulations
500
Name three structures that pass through the foramen magnum
spinal cord, vertebral arteries, anterior spinal artery, posterior spinal artery (also membrane tectoria and alar ligaments)