PassMed learning

Question 1

How long from withdrawal do symptoms occur for alcohol withdrawal?

Answer 1

6-12 hours

Question 2

What happens at 36 hours withdrawal from alcohol?

Answer 2

Seizures

Question 3

When does delirium tremens kick in after alcohol withdrawal?

Answer 3

72 hours

Question 4

How long should AD’s be continued after remission of symptoms?

Answer 4

6 months

Question 5

Which anti-psychotic is most effective for dealing with negative symptoms?

Answer 5

Clozapine

Question 6

What is the earliest time a <25 year old who has just started SSRI should be reviewed by their GP?

Answer 6

1 week post starting drug

Question 7

Which AD helps with sleep & increasing appetite?

Answer 7

Mirtazapine

Question 8

Difference between Knight’s move and flight of ideas?

Answer 8

Discernible link in flight of ideas

Question 9

Schizotypal Personality Disorder?

Answer 9

-Lack of close friends
-Can have odd or eccentric behaviour. speech and beliefs

Question 10

Schizoid Personality Disorder?

Answer 10

-Indifferent to praise or criticism
-Emotionally cold
-Lack of desire for companionship

Question 11

1st line drug OCD?

Answer 11

SSRI

Question 12

2nd line drug moderate/severe OCD?

Answer 12

Clomipramine

Question 13

What is circumstantiality

Answer 13

Inability to answer a question without giving excessive, unnecessary detail

Question 14

Most tolerable SE profile of anti-psychotics? Espesh prolactin wise

Answer 14

Aripiprazole

Question 15

Alcohol withdrawal treatment?

Answer 15

Benzos
-Chlordiazeooxide

Question 16

Opioid withdrawals treatment?

Answer 16

Methadone

Question 17

Opioid overdose treatment?

Answer 17

Naloxone

Question 18

Believing you are dead?

Answer 18

Cotard Syndrome

Question 19

Capgras syndrome?

Answer 19

Believing that a partner/family member/friend has been replaced by imposter

Question 19

SSRI of choice in children/adolescents?

Answer 19

Fluoxetine

Question 19

What med should be avoided when taking SSRIs?

Answer 19

Sumatriptan

Question 20

Dementia vs depression memory symptoms?

Answer 20

Rapid onset, biological symptoms and global memory loss = Depression

Question 21

What is included in Korsakoff’s amnesia?

Answer 21

-Anterograde amnesia
-Confabulations
-History of alcoholism

-Can lead to beriberi

Question 22

What is the pathology of Korsakoff’s amnesia?

Answer 22

Severe deficiency of thiamine (Vit B1) results in bilateral loss of mammillary bodies in brain

Question 23

What vitamin is thiamine?

Answer 23

Vitamin B1

Question 24

Young person torturing animals, being disruptive, bullying?

Answer 24

Conduct disorder

Question 25

Treatment of first presentation psychosis?

Answer 25

Olanzapine

Question 26

Presentation of vascular dementia?

Answer 26

Gait disturbances
Urinary symptoms
Changes in concentration and mood

Question 27

Specific phobia of getting married?

Answer 27

Gamophobia

Question 28

When a patient develops mania while being treated with AD and antipsychotic what do you do?

Answer 28

Discontinuing the antidepressant

Question 29

What does section 135 of the mental health act allow?

Answer 29

Police to detain a person who is an immediate risk to themselves or others.
-They can move them from a private property to an area of safety to be assessed

Question 30

Treatment of combat related PTSD?

Answer 30

Trauma Focused CBT

Question 31

What condition can lithium cause which has low urine osmolality and high serum osmolality?

Answer 31

Nephrogenic diabetes