Severe Mental Illness — Flashcards

Flashcard 131: What cluster of personality disorder is Avoidant Personality Disorder? _____

Answer: C

Flashcard 132: _____ personality disorder can only be diagnosed if the patient is > 18 years old and has a history of conduct disorder before age 15.

Answer: Antisocial

Flashcard 133: Which personality disorder is characterised by odd beliefs, speech, behaviour, or appearance as well as magical thinking? _____

Answer: Schizotypal (cluster A)

Flashcard 134: _____ is a psychiatric disorder characterised by persistent restriction of energy intake leading to significantly low body weight, an intense fear of gaining weight, & a distorted perception of body shape or size

Answer: Anorexia nervosa

Flashcard 135: What cluster of personality disorder is Histrionic Personality Disorder? _____

Answer: B

Flashcard 136: What is the pharmacological management of severe, treatment-resistant PTSD (as an augmenting agent)? _____

Answer: Risperidone

Flashcard 137: Describe how clozapine is monitored: _____

Answer: 0-18 weeks = weekly FBC 18-52 weeks = fortnightly FBC 1 year+ = montly FBC

Flashcard 138: What cluster of personality disorder is Schizoid Personality Disorder? _____

Answer: A

Flashcard 139: 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 140: What is the management of mania (bipolar disorder) if the patient is currently taking an antidepressant? _____

Answer: Stop the antidepressant and start an antipsychotic