psych

Question 1

electrolyte disturbance in panic attacks

Answer 1

hypocalcaemia
hyperventilation -> increased blood pH + increased Ca binding to aluminium

Question 2

IQ of learning disabilities

Answer 2

50-69 - mild
35-49 - moderate
20-34 - severe
>20 - profound

Question 3

common chemical change in antipsychotics

Answer 3

hyperprolactinemia

Question 4

anterograde vs retrograde amnesia

Answer 4

antrograde - cant remember new things
retrograde - forget things before injury

Question 5

antidepressant contraindicated on warfarin

Answer 5

SSRIs

Question 6

pharmaceutical treatment of OCD

Answer 6

SSRIs - fluoxetine
clomipramine

Question 7

blood chemical imbalance seen on SSRIs

Answer 7

hyponatremia

Question 8

antidepressant class that can cause sedation

Answer 8

tricyclics

Question 9

SCOFF questionnaire

Answer 9

S- ick (self induced) when you are full
C- ontrol what you eat
O- ne stone down in 3 months
F- at when others say you are thin
F- ood dominates your life

Question 10

SSRIs used in breastfeeding

Answer 10

sertraline
paroxetine

Question 11

antipsychotic with least risk of hyperprolactinemia

Answer 11

aripiprazole

Question 12

SSRI used in social phobia

Answer 12

paroxetine

Question 13

brain structural abnormalities in schizophrenia

Answer 13

enlarged ventricles
smaller hippocampus + frontal lobe

Question 14

raised chemicals in anorexia blood results

Answer 14

cholesterol
cortisol
growth hormone

(Cs and Gs)

Question 15

antipsychotic used in breastfeeding

Answer 15

olanzapine

Question 16

side effects of done vs meme (alzhiemers)

Answer 16

done - diarrhoea
meme - constipation

Question 17

investigation to be done before starting citalopram

Answer 17

ECG - causes QT prolongation

Question 18

which anti-epileptic causes weight gain

Answer 18

sodium valproate

Question 19

side effect of lamotrigin

Answer 19

Steven-Johnson syndrome

Question 20

side effects of phenytoin

Answer 20

gingival hypertrophy
hirstitism
coarse facial features

Question 21

mechanism of
sodium valproate
lamotrigin
phenytoin

Answer 21

sodium valproate - increases GABA
lamotrigin - Na channel blocker
phenytoin - increases Na channel refractory period

Question 22

drugs to help aclohol abstinence

Answer 22

naltrexon
disulfiram (alcohol makes you nausous)
acamprosate (no craving)

Question 23

tramadol + SSRI

Answer 23

serotonin syndrome

Question 24

treatment o LSD overdose

Answer 24

benzos

Question 25

pO2 in panic attacks

Answer 25

normal

Question 26

SSRI post MI

Answer 26

sertraline

Question 27

hypnagogic hallucinations

Answer 27

just before falling asleep

Question 28

narcolepsy investigation

Answer 28

sleep latancy EEG

Question 29

ABG in bulimia

Answer 29

alkalosis

Question 30

alcohol withdrawl med

Answer 30

chloridiazepoxide cirrhosis = lorazepam

Question 31

monitoring on venlafaxine

Answer 31

BP

Question 32

examples of MOAis

Answer 32

moclobemide phenelzine selegiline rasagiline

Question 33

why is levodopa given with carbidopa

Answer 33

prevents peripheral conversion of levodopa to dopamine

Question 34

aspirin overdose ABG

Answer 34

respiratory alkalosis then metabolic acidosis

Question 35

investigation into neuroepliptic syndrome (goes funny after starting an antipsychotic)

Answer 35

CK

Question 36

ssri review in under 25s

Answer 36

a week later