Passmedicine/Pastest

Question 1

delusion that someone has been replaced by an exact double

Answer 1

capgras syndrome

Question 2

delsusion that partner is cheating on you

Answer 2

othello syndrome

Question 3

delusion that you are dead/rotting

Answer 3

cotard syndrome

Question 4

delusion that someone is in love with you (usually celebrity)

Answer 4

de clerumbault syndrome

Question 5

triad of Wernicke’s encephalopathy

Answer 5

gait ataxia
confusion
opthalmoplegia (nystagmus, abducens palsy, problem with conjugate gaze)

Question 6

dissociation

Answer 6

immature ego defence where one’s personal identitiy is temporarily and drastically modified to avoid distress. usually a victim of abuse.

Question 7

reaction formation

Answer 7

unacceptable emotions are repressed and replaced by opposite e.g. man with homosexual desires becomes head of an antihomosexual public policy

Question 8

identification

Answer 8

when someone models theri behaviour after another more powerful type e.g. child abuse victim goes on to abuse children in future

Question 9

sublimation

Answer 9

mature ego defence where the person takes an unacceptable personality trait and uses it to drive respectable work

Question 10

splitting

Answer 10

view people as all good or all bad , no in between

immuature defence mechanism

Question 11

first line treatment of PTSD

Answer 11

Eye movement desensitisation

CBT

Question 12

pharmacological treatment of PTSD

Answer 12

first line is paroxatine

2nd line mirtazapine

Question 13

what can cause a significant rise in clozapine blood levels

Answer 13

smoking cessation

an alcohol binge

Question 14

strongest risk factors for psychotic disorders

Answer 14

family history

Question 15

risk of ssri’s in pregnancy is

Answer 15

congenital heart defects - 1st trimester

persistant pulmonary hypertension - 3rd trimester

Question 16

how can you tell if its alzhemiers of pseudodementia

Answer 16

alzheimers - short term mememory affect first

dementia - quick onset, global impairment, reduced appetite and sleep

Question 17

What adverse effects do antipsychotics increase the risk of in elderly patients?

Answer 17

vte

stroke

Question 18

how long must patients remain stable and well after an episode of mania before driving again

Answer 18

3 months

Question 19

treatment of acute dystonic reaction

Answer 19

IV procyclidine

Question 20

treatment of moderate/severe tardive dyskynesia

Answer 20

tetrabenazine.

Question 21

treatment of akathisia

Answer 21

propanolol

Question 22

adverse effects of clozapine

Answer 22

weight gain
excessive salivation
agranulocytosis
neutropenia
myocarditis
arrhythmias

Question 23

what is charles bonnet syndroem

Answer 23

Charles-Bonnet syndrome (CBS) is characterised by persistent or recurrent complex hallucinations (usually visual or auditory), occurring in clear consciousness. This is generally against a background of visual impairment (although visual impairment is not mandatory for a diagnosis). Insight is usually preserved. This must occur in the absence of any other significant neuropsychiatric disturbance.

Question 24

how can lorazepam affect your memory

Answer 24

can cause anterograde amnesia

Question 25

benzo withdrawal syndrome symptoms

Answer 25

insomnia
irritability
anxiety
tremor
loss of appetite
tinnitus
perspiration
perceptual disturbances
seizures

Question 26

what drug should be avoided with tramadol as it can reduce seizure threshold

Answer 26

venlafaxine

Question 27

what is alogia

Answer 27

lack of spontaneous speech