EFA Session

Question 1

contrast tardive dyskinesia and dystonia

Answer 1

tardive dyskinesia = involuntary repetitive actions
dystonia = involuntary / sustained muscle contraction

Question 2

give an example of tardive dyskinesia

Answer 2

lip smacking / grimacing

Question 3

give an example of dystonia

Answer 3

torticolis

Question 4

losing interest in activities and not feeling yourself. what sx is this?

Answer 4

anhedonia

Question 5

define alogia

Answer 5

poverty of speech

Question 6

define apathy

Answer 6

lack of goal directed activities in several domains

Question 7

define ataxia

Answer 7

neuro sign
cerebella lesion

Question 8

define avolition

Answer 8

lack of initiative

Question 9

loss of motivation and lack of pleasure. PMH schizophrenia. what type of Sx are these?

Answer 9

negative

Question 10

positive sx in schizophrenia

Answer 10

delusions
hallucinations

Question 11

51 year old Downs man. 6 months Hx of poor self care, aggression, personality change and memory loss. Dx?

Answer 11

Alzheimers disease

Question 12

man thinks he is dead and does not exist. feels miserable and just got divorced. increased alcohol and cannabis. weight loss. Dx?

Answer 12

depression with psychotic symptoms

Question 13

man thinks he is dead and does not exist. what sx is this?

Answer 13

nihilistic delusion

Question 14

what is important about psychotic symptoms in depression?

Answer 14

they are mood congruent (ie sad)

Question 15

66 year old woman with poor sleep and appetite. feels no longer useful to family and has memory problems. Dx?

Answer 15

depression

Question 16

what congenital abnormalities does sodium valproate lead to?

Answer 16

neural tube defects
cleft palate

Question 17

what congenital abnormalities does lithium lead to?

Answer 17

ebsteins anomaly

Question 18

what congenital abnormalities does carbamazepine lead to?

Answer 18

congenital diaphragmatic hernia

Question 19

biochemical changes seen after refeeding in anorexia?

Answer 19

electrolytes go DOWN
hypophosphataemia
hypokalaemia

Question 20

refusal to go to social activities, shy, isolated, no friends or boyfriends. worried that she will get criticised, very sensitive to rejection, attached to mother. Dx?

Answer 20

avoidant PD

Question 21

constantly asking mother to make decisions for her. won’t take any initiative. Dx?

Answer 21

dependant PD

Question 22

muscle contraction in neck causing pain and involuntary rotation. on risperidone. what Sx is this?

Answer 22

dystonia

Question 23

repetitive lip smacking or grimacing. on risperidone. what Sx is this?

Answer 23

tardive dyskinesia

Question 24

man with fear of public speaking. fears he will embarrass himself or vomit while speaking. gets palpitations when he thinks of public speaking. avoiding teacher and leaving flat. Dx?

Answer 24

social phobia

Question 25

what is agoraphobia?

Answer 25

fear that you wont be able to escape from a public place

Question 26

first line Tx for a 15 year old girl with poor sleep, concentration, appetite. getting into trouble for low marks. irritable. first line Tx?

Answer 26

CBT !!

Question 27

what does ‘irritable mood’ in paeds represent?

Answer 27

depression

Question 28

first line drug Tx for paeds depression

Answer 28

fluoxetine

Question 29

antidote to dystonia due to haloperidol?

Answer 29

procyclidine (anticholenergic)

Question 30

60 year old man thinks government are monitoring him. his beliefs are present regardless of mood. no auditory hallucinations. Dx?

Answer 30

delusional disorder

Question 31

60 year old man thinks government are monitoring him. his beliefs are present regardless of mood. no auditory hallucinations. why is this not schizophrenia?

Answer 31

need delusions + hallucinations for schizophrenia

Question 32

recurrent episodes of sweating, dry mouth, difficulty breathing, fear she will die. twice weekly for 2 years. Dx?

Answer 32

panic disorder

Question 33

30 year old man with no friends or relationships, which he doesn’t mind as he likes being alone. never felt happy, feels hes always lived in a shell. has a high up job in IT. Dx?

Answer 33

schizoid PD

Question 34

recurrent episodes of sweating, dry mouth, difficulty breathing, fear she will die. twice weekly for 2 years. why is this not GAD?

Answer 34

not continous panic, but seperate episodes

Question 35

15 year old boy with anorexia, who is currently not acutely unwell. most appropriate Mx?

Answer 35

family therapy

Question 36

33 year old woman with poor motivation, poor self care, social withdrawal. eats and sleeps well. 5 years ago she saw psych as she had a ‘period of acting strangely’. improved after 6 months but not returned to work. short answers, affect euthymic. no thought / perception abnormalities. Dx?

Answer 36

schizophrenia

Question 37

33 year old woman with poor motivation, poor self care, social withdrawal. eats and sleeps well. 5 years ago she saw psych as she had a ‘period of acting strangely’. improved after 6 months but not returned to work. short answers, affect euthymic. no thought / perception abnormalities. why is this not depression or mania or bipolar?

Answer 37

affect is euthymic - this rules out affective mood disorders

Question 38

rapid speech. “you;re a doctor, doctor who, hes a doctor, i watch him on tv, i like tv” what type of thought disorder is this?

Answer 38

flight of ideas

Question 39

contrast thought disorder and knights move thinking

Answer 39

flight of ideas, there’s logic between the different sections of speech.
knights move, there’s no association between speech sections

Question 40

man on antipsychotic has been making faces and sticking out tongue, which he’s unaware of. what sx is this?

Answer 40

tardive dyskinesia

Question 41

what type of medication should be started for someone with AD?

Answer 41

acetylcholinesterase inhibitor

Question 42

give an example of acetylcholinesterase inhibitor

Answer 42

rivastigmine