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 preferred for a patient with Parkinson's disease presenting with delirium?
Answer: Quetiapine (preferred) or Clozapine.
• If urgent treatment is required, Lorazepam may be used.
• Note: Haloperidol is contraindicated in Parkinson's disease.
• Careful reduction of Parkinsonian medications should also be considered.
Flashcard 12: What are usual precipitating events of Delirium? 7
Answer:
• Infection: particularly UTIs
• Metabolic: Hypercalcaemia, Hypoglycaemia, Hyperglycaemia, Dehydration
• Change of environment
• Significant cardiovascular, respiratory, neurological or endocrine condition
• Severe Pain
• Alcohol Withdrawal
• Constipation
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: In addition to late-onset dementia, _____ may present with other neuropsychiatric symptoms including depression, psychosis, and disturbed sleep
Answer: Parkinson disease
Flashcard 15: Dopamine agonists (e.g. pramipexole, ropinirole) may _____ impulsive activities such as gambling, hypersexuality, shopping, & binge eating
Answer: ↑
Flashcard 16: Tobacco triggers dopamine causing _____
Answer: euphoria
Flashcard 17: 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 18: Do NOT offer varenicline & bupropion in _____ or breast feeding women
Answer: pregnant
Flashcard 19: Signs of illicit opioid dependence include _____ marks & skin infections
Answer: needle track
Flashcard 20: _____ is opted for in pregnant women to reduce cravings in smoking cessation
Answer: Nicotine replacement therapy (NRT)
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