psych

Question 1

mental state examination

Answer 1

mental state exam

ASEPTIC do not use, abs mat, (perception and cognition, insight and judgment)
appearance and behaviour
speech
mood and affect
Thought - thought disorder or delusions
perception - hallucinations
Cognition - AMT4, say would do formal assessment
Insight
(Judgment ?)
RISK RISK RISK (will fail if do not risk assess, self, safety, others, driving, forensic )

Question 2

which diagnostic criteria to learn

Answer 2

ICD 10 (not DSM-V)

Question 3

different types of delusions present in which conditions

Answer 3

delusions of poverty, guilt and nihilism - depression

delusion of grandeur - mania

delusion of persecution, reference, control, thought possession - schizophrenia

delusion of reference - thinking car number plates have secret messages

Question 4

history structure

Answer 4

history taking

-intro
-Presenting complaint, ICE, summary
-Past psychiatric history - see anyone for mental health, symptoms before, diagnosis, treatment, admission (voluntary or involuntary), forensic history
-PMH/DHx/allergies/FH
-Personal history (childhood, adolescence, occupation, relationships), premorbid personality
- Social history - living circumstances, ADL, smoke, drink, drugs
- Insight
- Closing the consultation

Question 5

psych station format

Answer 5

history, MSE, risk

Question 6

OSCE antipsychotic monitoring =

Answer 6

OSCE antipsychotic monitoring =
- FBC as antipsychotics can cause agranulocytosis or pancytopenia
- Lipids for hyperlipideamia
- LFTS for steatohepatitis
- Hba1c as cause DM
- Weight for weight gain weekly to spot upward trend quickly and do something about it earlier
- ECG for prolongued QTc
- Blood pressure as can cause HTN

Baseline, 3 months, yearly