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PLABABLE 2.0 > Psychiatry > Flashcards

Psychiatry Flashcards

1
Q

It is a delusion that a certain person pose as a different person.

A

Fregoli delusion

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2
Q

Intense fear of public speaking is a hallmark of this psychiatric disorder

A

Social anxiety disorder

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3
Q

Context of persecutory delusions

A

Torment, Followed or spied on

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4
Q

Gold standard for the treatment of bipolar disorder

A

Mood stabilizer (lithium)

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5
Q

In a case of paracetamol poisoning, when would you decide to discharge the patient home?

A

If the patient ingested paracetamol at a dose of <150mg/kg with no hepatic risk factors

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6
Q

Has the best evidence for giving longest duration of effect in terms of managing panic disorder

A

Psychological treatment (CBT 1-2 hrs per week)

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7
Q

Which SSRI should not be given in a patient with panic disorder?

A

Escitalopram, Citalopram, Paroxetine, Sertraline

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8
Q

A rare but life-threatening reaction to anti-D medication

A

Neuroleptic malignant syndrome

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9
Q

Differentiate neuroleptic malignant syndrome from malignant hyperthermia.

A

Both present with hyperthermia, muscle rigidity and sweating.

NMS - caused by anti-psychotics and anti-dopaminergic; presents hours to days

Malignant Hyperthermia - caused by halothane or succinylcholine; presents minutes to hours

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10
Q

Management for Neuroleptic malignant syndrome

A

Stop offending drug
Rapid cooling
Start dopaminergic drug (Bromocriptine)

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11
Q

What is Othello’s syndrome

A

Delusional jealousy

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12
Q

Delusional disorder:

They are plotting against/spying on me

A

Persecutory delusion

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13
Q

Delusion

“I am infested by parasites”

A

Ekbom

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14
Q

What is Fregoli delusion

A

Many individuals are actually one person who just changes apperance (Remember Arya Fregoli Stark

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15
Q

An elderly with acute psychosis, also with Lewy body dementia or Parkinson’s diseasew is contraindicated to this type of dopamine-receptor antagonist.

A

IM Haloperidol

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16
Q

How do you test for serum lithium?

A

A week after initiation of lithium
Done within 10-14 hours (ideally 12 hours) after last intake of lithium
Repeat every 6 months

17
Q

Triad found in Wernicke’s encephalopathy

A

Confusion
Ataxia
Ophthalmoplegia

18
Q

Symptoms seen in Korsakoff’s psychosis

A

Triad of Wernicke’s (CAO)
PLUS
Amnesia
Confabulation

19
Q

First-line of treatment for delirium tremens vs. alcohol withdrawal

A

Delirium Tremens - oral lorazepam

ROH Withdrawal - chlordiazepoxide

20
Q

Acts as a deterrent for alcohol detoxificationD

A

Disulfiram

21
Q

Drug used in alcohol detoxication, acamprosate works for

A

Reduction of alcohol cravings

22
Q

Differentiate postpartum blues from postnatal depression.

A

Postpartum blues - start 2-3 days after birth and can last up to 1 week

Postnatal depression - peaks at 3-4 weeks postpartum

23
Q

This section is used to admit patients in which only one doctor is present

A

Section 4

24
Q

Somatisation vs. Conversion disorder

A

Somatisation
- many physical symptoms from different parts of the body

Conversion Disorder
- loss of motor or sensory function, initially thought of neurologic cause, however, tests are normal

25
Q

A patient, depressed, is taking warfarin. What to give for depression?

A

Mirtazapine

SSRIs increase the risk of GI bleeding when taken with warfarin

26
Q

Which anticholinergic is given to counter the parkinsonian symptoms induced by antipsychotic medications?

A

Procyclidine

27
Q

Thought withdrawal + Persecutory delision + passive phenomena

A

Schizophrenia

28
Q

Most appropriate management for OCD for a patient who is suicidal or severely incapacitated

A

Electroconvulsive therapy

29
Q

Which approach for cognitive behavioral therapy is intended for a patient with OCD?

A

Exposure and response prevention

30
Q

SSRIs licensed for OCD

A

Fluoxetine
Escitalopram
Paroxetine
Sertraline

31
Q

A person thinks that a TV show presenter is directly communicating to him when she looks at the camera and when she says some words

A

Delusion of Reference

32
Q

A false belief that another person or group of peopke or ext force controls his actions, thoughts, behaviors, feelings, or impulses.

A

Delusion of Control

33
Q

One believes that he is treated with malicious intent, hostility or harassment

A

Persecutory Delusion

PLABABLE 2.0 (33 decks)

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