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MC specialities > Psych > Flashcards

Psych Flashcards

1
Q

Treatment for acute dystonia

A

Procyclidine

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2
Q

Aggressive and needs rapid tranquilisation

A

Haloperidol

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3
Q

Moderate depression in young adult

A

Citalopram (sertraline 1st line)

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4
Q

Women with mild depression management

A

CBT

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5
Q

kid’s twin brother is most likely to have the same condition which is what

A

ADHD

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6
Q

21 yo depressed with suicidal ideation. how do you manage?

A

SSRI + 1 week f/u

or admit

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7
Q

Woman’s husband died 7 months ago. She recently started hearing the voice of husband. What is this

A

Abnormal grief reaction

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8
Q

Alcoholic has cellulitis, given chlordiazepoxide and abx.

What else do you give?

A

Oral vitabin B1
Pabrinex - is an injection that contains vitamins B and C (thiamine, riboflavin, pyridoxine, nicotinamide and ascorbic acid)
B12

Chlordiazepoxide, trade name Librium among others, is a sedative and hypnotic medication of the benzodiazepine class; it is used to treat anxiety, insomnia and withdrawal symptoms from alcohol and/or drug abuse

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9
Q

Old man, ex accountant, MMSE 28/30, somewhat forgetful, needs support from wife

A

Mild cognitive impairment

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10
Q

Woman with LD in care home with change in behaviour after carer left. What is going on?

A

Challenging behaviour or depressive episode

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11
Q

Refeeding syndrome - what’s the most important thing to check for? (pt had muscle spasm, abdo pain)

A

Calcium - because of the muscle spasms

otherwise hypophosphatemia is worse

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12
Q

Drug for depression in MI patient?

A

Sertroline

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13
Q

Old age boxer becomes aggressive on ward. What do?

A

Try to calm him down with verbal de-escalation, make him tea, debrief with nurses, start IV abx

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14
Q

Aggressive pt - deescalation failed. What do?

A

Lorazepam + haloperidol

antipsychotic + benzo

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15
Q

SE of clozapine

A

Neutropenia/ agranulocytosis

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16
Q

Widow has 6 months of low mood, low energy, anhedonia, forgetfullness, lacking concentration. What is this?

A Severe depression with psychosis
B Severe depression without psychosis
C Adjustment disorder with depression
D Alzheimers

A

Severe depression without psychosis

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17
Q

Guy on haloperidol gets muscle problems. What do?

A

Give IM procyclidine - acute dystonia

18
Q

Woman with sx of PTSD 6 months after traumatic experience. What’s the best management?

A

Eye Movement Desensitization and Reprocessing (EMDR)

Passmed says
Debriefing not reccomended
Watchful waiting for mild symptoms lasting less than 4 weeks
Trauma focused CBT or EMDR for severe

19
Q

Guy works in IT, doesn’t like sex or people. What kind of personality disorder is this?

A

Schizoid personality disorder

20
Q

Woman blushes in public???

A

Social phobia (buzzword??)

21
Q

Alcoholic wants to quit and wants something to help reduce cravings.

A

Acamprostate

22
Q

Guy with lewy body dementia is given a drug that makes his symptoms worse. What was the drug class?

A

Typical antipsychotics i.e. haloperidol

23
Q

Child with classic symptoms of ADHD, how do you manage?

A

1st line - family therapy

24
Q

What would an alcoholic need to have to be classified as being dependent?

A

Giving up pleasurable activities to drink more alcohol
Hallucinations
Drinking in different settings
Drinking in different modalties

25
Q

Lithium - what do you monitor?

A

Lithium, TFTs, U&E

26
Q

Woman fell over whilst gardening, comes in with paralysis of leg but no medical cause found. What is this?

A

Conversion disorder

27
Q

Patient on ward becomes aggressive, verbal de-escalation hasn’t worked whats the tx?

A

Offer oral lorazepam first
but if the questions suggests that verbal de-escalation aka also offering drugs didn’t work then go for IM lorazepam and have a crash trolley ready as risk of respiratory depression

28
Q 
Pt with dilated pupils, urinay retention, normal obs. 
What did he overdose with?
A TCA/amytriptiline 
B Benzos
C Opioids
D SSRI
A

TCA/ Amytriptiline

29
Q

Alcoholic wants to quit but keeps failing. What do?

A

Inpatient Chlordiazepoxide + motivational interview?

30
Q

Suicide risk - whats the highest predictor of doing it again?
A. Bad relationship with family
B. Feeling hopeless about the future
C. previous self harm

A

More likely B - hopelessness

31
Q

80 yo man new onset dementia, refuses MRI. You need someone to make the decision for him. Options
A. talk to family with his permission
B. independent mental health advocate

A

They said independent mental health advocate

32
Q 
Woman on SSRI, wants to know what risk is there to the baby? 
A. stillbirth
B pulmonary HTN of newborn
C delayed labour
D hypoglycemia at birht
A

B pulmonary HTN of newborn

33
Q

What is the only SSRI liscenced for under 18s?

A

Fluoxetine

34
Q

Woman wants to know risk to baby of getting schizophrenia, since baby’s father has it?

A

1 in 10 - 20-25%

35
Q

Guy on meds for schizophrenia gets muscle rigidity, altered consciousness, high BP, tachycardia. What is the management?

A 
Neuroleptic malignant syndrome
ABCDE approach
IV benzo if aggitated
IV fluids
Cooling if needed
IV sodium bicarb if rhabdomyolisis
Dantrolene and lorazepam to reduce rigidity
36
Q

What is high in anorexia nervosa?

A

Growth hormone

37
Q

Man with tx resistant schizophrenia on clozapine suddenly stops smoking. High levels of clozapine are in his blood. What is the most likely consequence of this?/

A

Seizures - dose dependent

Agranulocytosis is not dose dependent

38
Q

Alcoholic with PMH of delirium tremens wants home detox. What do you do?

A

Prescribe reducing dose of chlordiazepoxide

39
Q 
GP scenario - old lady comes in with hx classical of Alzheimers. What do?
A prescribe donazepil
B refer to memory clinic
C MRI head
D reassure
A

B refer to memory clinic - NICE guidelines

40
Q

Most likely effect from cheese reaction due to MAO-I

A 
Hypertensive crisis
(interaction between MAO-I and thyiamine containing drugs- causes Noradrenaline NA release whcih causes tachycardia, hypertension and vasoconstriction. May lead to intracerebral or SAH)

MC specialities (3 decks)

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