formative

Question 1

bipolar depression meds

Answer 1

Quetiapine (monotherapy)
Antipsychotic with good evidence for bipolar depression.
Sedating → helps with sleep.
Start low, titrate gradually to 300 mg daily (or more as needed).

Olanzapine + Fluoxetine (Symbyax)
Effective combo but weight gain and metabolic issues common.
Use if monotherapy not effective.

Question 2

5(2) always make sure

Answer 2

not in ED

Question 3

preferred antihypertensives with lithium

Answer 3

Question 4

always remember in psych differentials

Answer 4

organic cause

Question 5

osce feedback

Answer 5

ask more personal questions e.g. names and ages and genders of kids, what they do for work

thorough risk assess - e.g. lashing out at children, make it personal

OCD go in straight away with SSRIs

no leading questions

offer to clean chair, ask if needs doctors note

Question 6

atypical antipsychotics in elderly increase

Answer 6

stroke risk and VTE risk