Severe Mental Illness — Flashcards

Flashcard 151: What cluster of personality disorder is Paranoid Personality Disorder? _____

Answer: A

Flashcard 152: Before starting clozapine, what baseline tests should be done? (2) _____

Answer: FBC for leucocytes ECG for baseline cardiac function

Extra: Full baseline requirements for Clozapine: 1. FBC (Absolute Neutrophil Count must be >1500/mm³) 2. ECG (Cardiac history/baseline) 3. Metabolic: Weight, Waist circumference, BP, Fasting Blood Glucose, and Lipid profile. 4. Cardiac markers: Troponins and/or ESR/CRP are often done to monitor for myocarditis in the first few weeks.

Flashcard 153: What is the management of mania (bipolar disorder) if the patient is currently taking an antidepressant? _____

Answer: Stop the antidepressant and start an antipsychotic

Flashcard 154: What is the first-line long-term management for bipolar disorder? _____

Answer: lithium

Flashcard 155: What cluster of personality disorder is Borderline Personality Disorder? _____

Answer: B

Extra: Cluster B personality disorders are characterized by dramatic, overly emotional, or unpredictable thinking or behavior. They include: • Borderline Personality Disorder • Antisocial Personality Disorder • Histrionic Personality Disorder • Narcissistic Personality Disorder

Flashcard 156: Lithium is primarily excreted by the _____

Answer: kidneys

Flashcard 157: What cluster of personality disorder is Schizotypal Personality Disorder? _____

Answer: A

Flashcard 158: _____ syndrome is a rare psychiatric condition characterised by nihilistic delusions, where the individuals believes they are dead, do not exist, have lost internal organs, or are decomposing

Answer: Cotard

Flashcard 159: What is the first-line management for a manic episode of newly diagnosed bipolar disorder? _____

Answer: Oral antipsychotic (haloperidol, olanzapine...)

Flashcard 160: _____ is the most common cause of admissions to paediatric psychiatric wards

Answer: Anorexia nervosa