What drug/drugs can be used in the detoxification of opiates and what class are they?
Methadone or Buprenorphine
They are both opioids
What condition is being described - ‘recurrent, sudden episodes of intense anxiety with symptoms like shortness of breath and palpitations’
Panic Disorder
What condition is being described - ‘Progressive impairment of intellect, memory and personality which may result in difficulties with activities of daily living’?
Dementia
What condition is being described - ‘Reduced ability to acquire new memories, confabulation and reduced insight’ ?
Korsakoff Syndrome
What condition is being described ‘Acute confusion state caused by an organic process with drowsiness and reduced reactivity’?
Delerium (hypoactive)
What condition is being described - ‘Progressive damage to the nervous system, resulting in muscle weakness and visible wasting’?
Motor Neuron Disease
What condition is being described ‘Progressive impairment of disinhibition, aphasia, memory and personality’?
Frontotemporal Dementia (aka Pick’s Disease)
In patients suspected of having bulimia nervosa what blood test can be used to help diagnose this?
U&Es - hypokalaemia [as excess potassium loss occurs as a result of repeated self-induced vomiting and laxative use - this can cause metabolic alkalosis due to loss of HCL which in turn increases renal potassium excretion]
In cases of methadone prescription for substance use disorder if more than X days are missed, reassessment and reinduction of treatment are necessary to prevent withdrawal symptoms and potential overdose.
X = 5
What is thought broadcasting?
Thought broadcasting is when the patient believes everyone can hear their thoughts like a radio broadcast.
What is thought withdrawal?
Thought withdrawal will involve disruptions to their train of thought or forgetting their own ideas as they believe someone/something is taking their thoughts out of their head
What is thought blocking?
Thought blocking is when a patient may stop speaking all of a sudden, and this can last for a few minutes. When the patient starts speaking again, they will talk about an entirely different topic. This can be similar to thought withdrawal, but the key to the diagnosis is the change of conversation topic.
What is thought insertion?
Thought insertion is the delusion that some of their thoughts are not their own but have been implanted by an outside agency.
What is delusional perception and think of an example.
Delusional perception is when a patient attributes a false meaning to a true perception. An example of this might be a TV presenter wearing a blue tie means that it is dangerous to go outside today. It does not present as the patient experiencing thoughts being put into their head or taken out of their heads.
What is this describing - ‘the presence of neurological symptoms without any underlying neurological cause.’ ?
Conversion Disorder
What is this describing - ‘he presentation of non-neurological symptoms without an obvious cause. Common symptoms are gastrointestinal pain, musculoskeletal pain and weakness.’ ?
Somatoform Disorder
What is this describing - ‘A condition where patients believe they have a serious illness and will frequently want tests and investigations to get answers. There is often no evidence of an underlying illness, but patients will have a history of frequent appointments and investigations. There are often high levels of anxiety associated with their health.’
Hypochondriasis
What is this describing - ‘A syndrome where patients fake illnesses to receive attention, playing the patient role. This includes adding blood to urine, not taking medications or faking pain.’
Munchausen Syndrome
How long do symptoms of opioid withdrawal tend to come on after stopping the drug?
12 hours of stopping the opioid
Common symptoms of opioid withdrawal
anxiety and agitation
dilated pupil
hypertension
diarrhoea
tachycardia
common symptoms of opioid toxicity
drowsiness
confusion
decreased RR
decreased HR
constricted pupils
track marks
What is first line for managing behavioural symptoms in frontotemporal dementia (e.g. behaviour changes, disinihibition and apathy) ?
Behavioural interventions and environmental modifications
Symptoms or lithium toxicity and what should you do?
Lithium toxicity can cause neurological symptoms such as confusion, ataxia, and tremors, requiring immediate discontinuation of lithium and supportive care.
What is being described - ‘temporary episode of memory loss that typically lasts for a few hours but can persist for up to 24 hours. It is characterised by sudden onset anterograde amnesia, with repetitive questioning and a preserved level of consciousness’ ?
Transient Global Amnesia
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Introduction and Social Aspects of Psychiatry13
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Mental State Examination52
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Introduction to the Mental Health Acts and Mental Health Capacity Act 200565
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The Epidemiology of Mental Health Conditions37
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Psychopharmacology 1: Anxiety and Mood150
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Phenomegaly and Assessment of Psychosis83
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Schizophrenia109
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Personality and Personality Disorder75
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Neurophysiology and Anatomy in Psychiatry64
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Depression43
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Phenomegaly and Assessment of Anxiety Disorders60
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Suicide and DSH35
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Phenomenology and Assessment of Affective Psychosis and Bipolar Disorder49
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Psychological Treatments for Mental Disorders43
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Psychopharmacology 2: Psychosis and Emergencies135
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Psychiatric Formulation13
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Risk Assessment and Management Pre-reading56
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Aspects of Older Peoples' Mental Health70
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Perinatal Psychiatry113
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Psychiatric Emergencies67
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Risk Assessment and Management50
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Alcohol and Substance Misuse107
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Eating Disorders69
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Medically Unexplained Symptoms56
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Learning Disabilities36
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Acute Behavioural Disturbance18
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4C - SBAs39
