passmed

Question 1

what is clang associations

Answer 1

ideas related only by rhyme or being similar sounding

Question 2

first line treatment for delirium tremens

Answer 2

Chlordiazepoxide or diazepam

Question 3

what is an obsession

Answer 3

an intrusive, unpleasant, unwanted thought

Question 4

what is a compulsion

Answer 4

a senseless action taken to reduce the anxiety caused by the obsession

Question 5

patients under 25 started on an SSRI, when should they first be reviewed

Answer 5

after 1 week

Question 6

what type of incontinence does tricylic antidepressants cause

Answer 6

overflow incontinence

Question 7

which psych drug can cause memory loss

Answer 7

lorazepam

Question 8

life threatening side effect of clozapine

Answer 8

agranulocytosis/neutropenia

Question 9

what is circumstantiality

Answer 9

the inability to answer a question without giving excessive, unnecessary detail

Question 10

how long should antidepressants be continued for after remission of symptoms

Answer 10

6 months

Question 11

first line treatment for prevention of alcohol withdrawal

Answer 11

chlordiazepoxide or diazepam

Question 12

what is thought withdrawal

Answer 12

belief of having the removal of a thought by external force

Question 13

what drug class does mirtazapine belong to

Answer 13

noradrenergic and specific serotonergic antidepressants (atypical)

Question 14

first line medication for GAD

Answer 14

sertaline

Question 15

side effect of ECT

Answer 15

retrograde amnesia
-can’t recall memories formed before the ECT

Question 16

factors associated with poor prognosis of schizophrenia

Answer 16

strong family history
gradual onset
low IQ
prodromal phase of social withdrawal
lack of obvious precipitant

Question 17

SSRI risk in first trimester

Answer 17

congenital heart defects

Question 18

SSRI risk in third trimester

Answer 18

persistant pulmonary hypertension of the newborn

Question 19

which antipsychotic causes the least hyperprolactinaemia

Answer 19

apiprazole

Question 20

contraindication of olanzapine

Answer 20

diabetes is the main one

Question 21

side effect of clozapine

Answer 21

agranulocytosis

Question 22

A false or exaggerated and sustained belief that is maintained with much less than delusional intensity (i.e., the individual is able to acknowledge the possibility that the ideas may not be true).

Answer 22

overvalued idea

Question 23

which antidepressant should be prescribed in someone who doesn’t want to be tired

Answer 23

SNRI
-venlafaxine
-duloxetine

Question 24

should antidepressants be continued in mania

Answer 24

no they should be stopped and an antipsychotic should be started

Question 25

when changing dose in lithium, when should the levels be checked

Answer 25

every week until stable

Question 26

how do you manage acute dystonia secondary to anti-psychotics

Answer 26

procyclidine

Question 27

Sudden onset psychosis following course of corticosteroids

Answer 27

steroid induced psychosis

Question 28

antipsychotic drug that is very effective but loads of side effects so should only be used for treatment resistant schizophrenia

Answer 28

clozapine

Question 29

antidepressants and ECT

Answer 29

antidepressant dose should be reduced not stopped when a patient is getting ECT

Question 30

whats it called when it takes someone ages to get to their point

Answer 30

circumstantiality

Question 31

can patients on SSRIs take triptans?

Answer 31

no

Question 32

wandering from a topic without returning to it

Answer 32

tangectality

Question 33

what do you do if someone presents with post partum psychosis

Answer 33

admit to hospital -medical emergency !!