Final things you aren't getting right

Question 1

Who introduced concept of mental age?

Answer 1

Binet

Question 2

Premorbid Intelligence test.

Intellignece tests.

Answer 2

Premorbid = NART
WAIS = intelligence test (also ravens progressive matrices)

Question 3

What model did Freud talk about id, ego, superego?

What is the id/ego/superego?

Answer 3

Structural model.
Id: pleasure principle. primary process thinking
Ego: reality principle
Superego: critical agency. conscience

Question 4

Severity scale for anorexia

Answer 4

Mild = BMI > 17
Moderate = BMI 16 – 16.99
Severe = BMI 15 – 15.99
Extreme = BMI < 15

Question 5

What options do the Maudsley suggest for treatment-resistant depression?

Answer 5

Add lithium
ECT
Add T3 (tri-iodothyronine)
Combined use of olanzapine and fluoxetine
Add quetiapine to an SSRI or SNRI
Add risperidone
Add aripiprazole
Bupropion and SSRI
SSRI and venlafaxine, mirtazapine, or mianserin

Question 6

Sedatives used in liver disease

Answer 6

Lorazepam
Oxazepam
Temazepam
Zopiclone

Question 7

Positive and negative symptoms of schizophrenia?

best antipsychotic in negative symptoms

Answer 7

Positive symptoms include:-

Hallucinations
Delusions
Thought disorder

Negative symptoms include:-

Social withdrawal
Apathy
Lack of energy
Poverty of speech (alogia)
Flattening of affect
Anhedonia

The most robust data support the effectiveness of amisulpride in primary negative symptoms (Maudsley Guidelines 10th Ed).

Question 8

How long should someone with schizophrenia remain on antipsychotic?

Answer 8

1-2 years (otherwise high risk fo relapse)

Question 9

Placebo facts according to Kaplan & Saddocks (5)

Answer 9

• Placebos are pharmacologically inactive
• The placebo response rate is usually low for patients with mania, schizophrenia, and psychotic depression
• In cases of mild and moderate depression the placebo effect can be over 30%
• Inert placebos can have adverse effects
• Placebo induced analgesia can be blocked by naloxone (suggesting placebo effects can be mediated by biological mechanisms)

Question 10

If clozapine trial fails, what is the next step?

Answer 10

Adding amisulpride or sulpride

Question 11

Clifton assessment usage?

Answer 11

Used ot assess elderly needs in care homes

Question 12

Features of prader-wili

Answer 12

Hyperphagia (excessive eating) and obesity
Short stature
Delayed puberty, hypogonadism, infertility
Learning difficulties
Compulsive behaviour (e.g. skin picking)