Severe Mental Illness UK Medical PG Flashcards - Medical Study Cards
Master Severe Mental Illness with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Severe Mental Illness Flashcard Deck - 10 Cards
Flashcard 11: What medication is used in patients with Parkinson's disease presenting with Delirium? 2
Answer:
• Lorazepam is preferred if urgent treatment is required
• Or atypical antipsycotic (e.g. quetiapine, clozapine)
*Careful reduction of Parkinson medication may be useful
Flashcard 12: What is prescribed in palliative care for confusion? 2
Answer:
• Haloperidol (1st)
• Other options: chlorpromazine, levomepromazine
Flashcard 13: What is the Management for Delirium? 3
Answer:
• Treatment of underlying cause
• Modification of the environment
• Haloperidol 0.5mg may be used first-line -> if no Parkinson's, and pharmacological therapy required
Flashcard 14: What is the difference between Hyperactive and Hypoactive Delirium?
Answer:
• Hyperactive delirium = typical presentation
Agitation, Delusions, Hallucinations, Wandering, Aggression
- Hypoactive Delirium
Lethargy, Slowness with tasks, excessive sleeping, inattention
Flashcard 15: 8892364799924d4aa95741d3852db59a-ao-6
Answer:
Flashcard 16: In addition to late-onset dementia, _____ may present with other neuropsychiatric symptoms including depression, psychosis, and disturbed sleep
Answer: Parkinson disease
Flashcard 17: Dopamine agonists (e.g. pramipexole, ropinirole) may _____ impulsive activities such as gambling, hypersexuality, shopping, & binge eating
Answer: ↑
Flashcard 18: What investigation can be used to screen for smoking use?
_____
Answer: Carbon monoxide monitor (breath)
Flashcard 19: What is an important precaution before starting a patient on naltrexone?
_____
Answer: They must be completely opioid free (>7-10days) to avoid precipitation of withdrawal. *see bottom for caveat
Flashcard 20: Smoking cessation can cause _____ as a side effect
Answer: weight gain
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