Psych

Question 1

Schizophrenia allele R.F.

Answer 1

val increases risk of schizo with weed (skunk)

Val is a COM-T allele

Question 2

+ve schizophrenia symptoms

Answer 2

excess dopamine in mesoLIMBIC

Question 3

-ve schizophrenia symptoms

Answer 3

reduced dopamine in mesoCORTICAL

Question 4

Phobia Rx

Answer 4

Cognitive = stepwise desensitization OR reciprocal inhibition/flooding
Behaviour = exposure theory and control of hyperventilation

Question 5

Paroxysmal attacks Rx

Answer 5

SSRI: paroxetine
Can add benzo
For autonomic symptoms can use Beta blocker

Question 6

PTSD Rx

Answer 6

Eye Movement Desensitisation and Re-Processing

Can use paroxetine

Question 7

Adjustment disorder

Answer 7

Verbalisation helps; gets better usually by 6 months

Question 8

Driving after psychotic episode

Answer 8

Suspend license for 3 month post treatment

Question 9

OCD

Answer 9

Exposure response prevention and CBT. Sertraline for 12 weeks

Question 10

Psychosis brain association

Answer 10

In temporal lobe, particularly relevant in epilepsy

Question 11

Recent alcohol abuse

Answer 11

Carbohydrate deficient transferrin

Question 12

Bio management for alcoholism

Answer 12

Acamprosate = reduced cravings
Disulfram = ALDH inhibitor causing hangovers
Natrexone = reduced high/enjoyment
(SE: GI disturbance and headache)

Question 13

Bio management for opiates

Answer 13

Methadone (complete agonist) OR buprenorphine (partial agonist which comes in liquid form)
Naltrexone for long term use

Question 14

Bulimia + hypersomnia

Answer 14

Kleine Levin syndrome

Question 15

Obsessive orality and sexuality

Answer 15

Kluver Bucy syndrome

Question 16

PMDD or PMS Rx

Answer 16

Fluoxetine during luteal phase and diet change

Question 17

Vaginismus Rx

Answer 17

Graded trainers or Kegel’s exercise

Question 18

Non consensual rubbing on others

Answer 18

Frotterism

Rx = covert sensitisation, which creates associate of bad outcomes when looking at images

Question 19

Body part fettish

Answer 19

Paritalism

Question 20

Heller’s syndrome

Answer 20

Autism in boys after 2 years normal and reverts development by 10 years

Question 21

MECP2 gene on X Chr

Answer 21

Rett’s

Question 22

Hand wringing

Answer 22

Rett’s

Question 23

TCA in elderly

Answer 23

Avoid if can, prefer to use SSRI

Question 24

Reversing EPSE

Answer 24

IV procycline (Ach inhibitor)

Question 25

Delusional mood/atmosphere

Answer 25

Primary delusion that something strange will happen

Question 26

Alexithymia

Answer 26

Cannot describe mood

Question 27

Autochthonous delusion

Answer 27

Primary delusion that occurs out of the blue

Question 28

Reflex hallucination

Answer 28

Hallucination in different modality to stimulus, e.g. HEARING tap running and then SEEING hallucination of dead dog

Question 29

Simple hallucination

Answer 29

Hallucination in same modality to stimulus

Question 30

Elementary hallucination

Answer 30

Buzzing or flashing lights, minor hallucination | Usually organic cause

Question 31

Hypagogic hallucination

Answer 31

When about to sleep

Question 32

Hypopompic hallucinatio

Answer 32

When waking up

Question 33

Undifferentiated schizophrenia

Answer 33

Schneider's first rank symptom but nothing else for a month (neither +ve or -ve symptoms)

Question 34

Depression in young adults Rx

Answer 34

Citalopram

Question 35

Diagnostic overshadowing

Answer 35

LD or mental health obscures diagnosis of other illness either physical or mental

Question 36

LD

Answer 36

IQ < 70

Question 37

Serotonin syndrome

Answer 37

Everything up! Hypertension, tachycardia, high temp, hypertonia