Pass Test Psychoatry

Question 1

What is neuroleptic malignant syndrome

Answer 1

Hyperpyrexia autonomic dysfunction rigidity altered consciousness and raised CK which is life threatening and seen after started neuroleptic meds

Question 2

What is flooding

Answer 2

Term used to describe a behaviouralbtherapy that exposes an individual directly to their worst fear and aims to trigger desensitisation

Question 3

What is section 135

Answer 3

Police can detain someone who is of immediate risk to them self or others

Question 4

What is section 2

Answer 4

Detained for 28 days to be assessed

Question 5

What is section 3

Answer 5

Detainment for up to 6 months

Question 6

What is section 4

Answer 6

Emergency application for admission of a person to hospital for up to 72 hours

Question 7

What is section 136

Answer 7

Police can detain a person who appears to have a mental health concern

Question 8

Which antipsychotics have extrapyramidal side effects

Answer 8

Typical like haloperidol and chlorpromazine

Question 9

What do you prescribe for someone who is first presenting with schizophrenia

Answer 9

Olanzapine with lorazepam (as olanzapine takes 10 days to work) and procyclidine (to reduce risk of extrapyramidal side effects)

Question 10

What is splitting

Answer 10

A person cannot see a person to have good or bad traits just a good or bad person

Question 11

What is reaction formation

Answer 11

Unacceptable emotions are replaced with the exact opposite eg a homosexual man displaying homophobic behaviour

Question 12

What is identification

Answer 12

Models the behaviour of another ie victim of child abuse doing the same to their children

Question 13

What is conduct disorder

Answer 13

Children under 18 who have persistent repetitive behaviour that violates the rights of others - they often can harm animals too

Question 14

What is oppositional defiant disorder

Answer 14

Behaviour in opposition to authority

Question 15

What is conduct disorder in adults

Answer 15

Antisocial personality disorder

Question 16

What is hebephrenic schizophrenia

Answer 16

Child like and disruptions in speech

Question 17

What is catatonic schizophrenia like

Answer 17

Prominent motor symptoms

Question 18

What is simple schizophrenia

Answer 18

Insidious onset of odd behaviour and negative symptoms without preceding delusions or hallucinations

Question 19

What is residual schizophrenia

Answer 19

Chronic stage where patient develops prominent negative symptoms after previous episodes of delusions and hallucination s

Question 20

What is gamophobia

Answer 20

Scared of getting married after being in a long term committed relationship

Question 21

What is the normal IQ

Answer 21

70 and above

Question 22

How to detain someone who is already in hospital

Answer 22

Section 5.2

Question 23

What can happen is a patient is on an antipsychotic is put on an antidepressant

Answer 23

Can develop mania so stop the antidepressant

Question 24

Can you renew a patients 6 month detention

Answer 24

First time you can renew is for 6 months and after that you can renew for one year at a time

Question 25

Bipolar and on lithium presenting with a manic episode

Answer 25

Check lithium levels and add an antipsychotic

Question 26

What is a neurosis and give an eg

Answer 26

An inappropriate emotional or behavioural response to a perceived stressor eg anxiety states phobic conditions

Question 27

Interpersonal therapy helps with what

Answer 27

The grief process of lasting much longer than normal

Question 28

What is capgras syndrome

Answer 28

Closely related person has been replaced by an exact double

Question 29

What is de clerambault syndrome

Answer 29

Also known as erotomania is when they believe someone is deeply in love with them - usually they think that the person they are infatuated with are deeply in love with them

Question 30

What are the elements of the cage questionnaire

Answer 30

C - have you ever felt you should cut down on your drinking A - have people annoyed you by critisising your drinking G - have you ever felt bad or guilty about your drinking E - have you ever had to take a drink in the morning to steady your nerve or get rid of the hangover

Question 31

In someone who is showing concerning alcohol intake what screening tests should you do

Answer 31

MCV LFTs and gamma gt

Question 32

What is the best treatment for treatment resistant schizophrenia

Answer 32

Clozapine

Question 33

What is ekbom syndrome

Answer 33

A patient believes there body is infected with insects or animals when it is not

Question 34

What is fregoli syndrome

Answer 34

A single persecutor impersonates several people familiar or not familiar to the patient

Question 35

How do you manage an initial drug overdose

Answer 35

FBC U and E glucose LFTs clotting has a paracetamol and salicylate levels (serum should be saved for other drug levels) activated charcoal via NG tube intubate and IV access Specific treatment against tablets he has taken

Question 36

Alcohol going into theatre

Answer 36

Chlordiazepoxide to stop seizures