Mental health
Download
1 / 23

Mental health - PowerPoint PPT Presentation


  • 101 Views
  • Uploaded on

Mental health. Which is not a criterion for substance abuse. Recurrent use when physically hazardous Tolerance Continued use despite persistent/recurrent social or interpersonal problems Recurrent substance-related legal problems. Match the correct drug and mechanism of action. Alcohol

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Mental health' - vivek


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Which is not a criterion for substance abuse
Which is not a criterion for substance abuse

  • Recurrent use when physically hazardous

  • Tolerance

  • Continued use despite persistent/recurrent social or interpersonal problems

  • Recurrent substance-related legal problems


Match the correct drug and mechanism of action
Match the correct drug and mechanism of action

  • Alcohol

  • Barbiturates

  • Benzodiazepines

  • Amphetamines

  • Cocaine

  • Nicotine

  • LSD

  • Codeine

  • Marijuana

  • Enhance GABA effects

  • Acts on serotonin receptors

  • Possibly dec Ca2+ channels

  • Potentiate GABA

  • Stimulate cannabinoid receptors

  • Stimulate opioid receptors

  • Inhibit DA, NA and 5-HT transporters

  • Stimulates nicotine receptors

  • Release of DA, NA and 5-HT


Which is generally not a recommended treatment option for drug overdose
Which is generally not a recommended treatment option for drug overdose?

  • Haemodialysis

  • Administer antidote

  • Emesis

  • Activated charcoal


What is the moa of paracetamol toxicity
What is the MOA of paracetamol toxicity? drug overdose?

  • Conjugation with glucuronide

  • Reaction with the scavenger glutathione

  • Conjugation with sulphate

  • Hydroxylation and rearrangement to NAPBQI


Which is a protective factor for suicide
Which is a protective factor for suicide? drug overdose?

  • Intelligence

  • Male gender

  • Lack of spouse

  • Ethanol intake


What are some considerations when communicating with patients in a mental health setting
What are some considerations when communicating with patients in a mental health setting?

  • Ensure privacy

  • Introduce yourself to patient (and carer)

  • Sit down, be willing to listen and do not hurry

  • Body language (comfortable distance, use eye contact but do not over-do it)

  • Generally do not touch the patient

  • Ask open ended questions where possible to facilitate discussion

  • Tolerate silences

  • Repetition

  • Identify the patient’s emotions

  • Allow the patient to maintain their dignity (engage them in planning)

  • Respect cultural/religious practices


What are the important points in a mental status examination
What are the important points in a mental status examination patients in a mental health setting?

  • Appearance and behaviour (eye contact and rapport; personal hygiene; facial expressions; motor behaviour; autonomic arousal)

  • Speech (form, volume, content)

  • Mood (affective expression, appropriateness, ?suicidal ideation)

  • Thought and perception (stream of thought, form, thought content, perceptions, delusions, hallucinations)

  • Cognition (orientation, concentration, registration, memory recall)

  • Insight


If a patient does not open their eyes, makes incomprehensible sounds and shows decerebrate extension to painful stimuli, what is their GCS score?

  • Eyes  1/4

  • Verbal  2/5

  • Motor  2/6

  • Total: 5/15


Which is not a goal of cbt
Which is NOT a goal of CBT? incomprehensible sounds and shows

  • Enhance the patient’s problem solving capacities

  • To relieve the role of GPs in the mental health setting

  • To modify patients’ perspectives about themselves

  • To assist in the regulation of distressing affective states


If a patient has recently been diagnosed with emphysema and is concerned that their smoking could be contributing to the problem, which stage of behavioural change are they at?

  • Pre-contemplation

  • Contemplation

  • Preparation

  • Action

  • Maintenance

  • Relapse


Match the term and definition
Match the term and definition is concerned that their smoking could be contributing to the problem, which stage of behavioural change are they at?

  • Mood

  • Affect

  • Euthymia

  • Anhedonia

  • Alexithymia

  • Normal mood

  • Inability to sense and describe mood states

  • Superficial and immediate emotional state

  • Pervasive emotional state

  • Inability to experience pleasure


Match the disorder and description
Match the disorder and description is concerned that their smoking could be contributing to the problem, which stage of behavioural change are they at?

  • Major depressive disorder

  • Dysthymic disorder

  • Bipolar disorder

  • Cyclothymic disorder

  • Adjustment disorder with depressed mood

  • Mood disorder not otherwise specified

  • Depression alternating with manic/hypomanic episodes

  • Minor depression/ mixed depression and anxiety

  • Pervasively depressed mood + impaired functioning

  • Chronic low-grade dysphoria

  • Feeling down in response to a loss or setback

  • Sudden and rapid alteration between depressive and manic/hypomanic states


Which of the following meets the criteria for a major depressive disorder
Which of the following meets the criteria for a major depressive disorder

  • Insomnia + anhedonia + high self-esteem + fatigue + reduced concentration

  • Anhedonia + dysphoria + insomnia + hallucinations

  • Insomnia + weight gain + anhedonia + reduced concentration + fatigue

  • Anhedonia + diurnal mood variation + low self-esteem + suicidal thoughts


Which is a first line antidepressant
Which is a first-line antidepressant? depressive disorder

  • Sertraline

  • Mirtazapine

  • Phenelzine

  • Amitriptyline


Which is not a hypothesised pathological process leading to schizophrenia
Which is NOT a hypothesised pathological process leading to schizophrenia?

  • Excess dopamine

  • Decreased serotonin

  • Glutamate deficiency

  • Elevated acetylcholine


Match the anti depressant and moa
Match the anti-depressant and MOA schizophrenia?

  • MAOI

  • SSRI

  • SNaRI

  • TCA

  • NaSSAs

  • Inhibit serotonin and noradrenaline reuptake

  • Inhibit monoamine oxidase

  • Inhibit presynaptic a2, 5-HT2 and 5-HT3 receptors

  • Inhibit serotonin reuptake

  • Older drugs which inhibit reuptake of NA and 5-HT


Which is not a possible treatment for bipolar disorder
Which is not a possible treatment for bipolar disorder schizophrenia?

  • Sodium valproate

  • Risperidone

  • Psychotherapy

  • Increased sleep

  • Electroconvulsive therapy


Which is not part of the diagnostic criteria for schizophrenia
Which is not part of the diagnostic criteria for schizophrenia?

  • Concurrent episodes of major depressive disorder

  • Presence of psychotic symptoms for at least a month

  • Presence of significantly impaired psychosocial function

  • At least six months duration of continuous signs of illness


Rehabilitation for people with schizophrenia includes
Rehabilitation for people with schizophrenia includes schizophrenia?

  • Pre-vocational programs

  • Vocational programs

  • Housing

  • Social and recreational support

  • All of the above


Which drug has the greatest extra pyramidal side effects
Which drug has the greatest extra-pyramidal side effects? schizophrenia?

  • Chlorpromazine

  • Haloperidol

  • Clozapine

  • Risperidone


Which anti psychotic is associated with seizures as an adverse effect
Which anti-psychotic is associated with seizures as an adverse effect?

  • Chlorpromazine

  • Haloperidol

  • Clozapine

  • Risperidone


Are doctors legally required to notify the police of domestic violence
Are doctors legally required to notify the police of domestic violence?

  • Yes  doctors are obligated to advise police of crimes, non-accidental injuries using weapons and application of heat or partial strangulation/asphyxiation

  • This includes wilful injury, property damage, intimidation, harassment and indecent behaviour

  • But otherwise MUST maintain confidentiality


ad