Psych

Question 1

prevalance of dystonia

Answer 1

10% - young men

Question 2

prevalance of parkinsonism

Answer 2

20% - old women

Question 3

prev akithisia

Answer 3

25%

Question 4

prev TD

Answer 4

5% per year of exposure - old women

Question 5

treatment of dystonia

Answer 5

anticholinergics, switching antipsychotic, botox, rTMS

Question 6

treat parkinsonism

Answer 6

reduce the dose, anticholinergics, switch

Question 7

treat akithisia

Answer 7

reduce dose, switch (quetiapine.olanzapine),

propanolol, mirtazepine/mianserin, antimuscarinic, benzos, cyproheptadine

Question 8

treat TD

Answer 8

stop anticholinergic, reduce dose, switch to atypical (cloz/quetiapine), tetrabenzine, ginkobilboaq

Question 9

list the prolactin sparing antipsychotics

Answer 9

clozapine
aripiprazole
asenapine
quetiapine

Question 10

low risk antipsychotics for prolactin

Answer 10

lurasidone
olanzaapine
ziprasidone

Question 11

high risk antipsychotics for prolactin

Answer 11

all the typicals
risperidone
amisulpride
paliperidone
sulpride

Question 12

list the antipsychotics associated with postural hypotension

Answer 12

risperidone
clozapine
olanzapine
paliperidone
quetiapine
ziprasidone

Question 13

which antipsychotics are suitable in postural hypotnesion

Answer 13

amisulpride
aripiprazole
haloperidol
sulpridie
trifluoperazine

Question 14

gottesman - general

Answer 14

1%

Question 15

gottesman - first cousin

Answer 15

2%

Question 16

gottesman - grandchildren

Answer 16

5%

Question 17

gottesman - parents

Answer 17

6%

Question 18

gottesman - siblings

Answer 18

9%

Question 19

gottesman - children

Answer 19

13%

Question 20

gottesman - fraternal twins

Answer 20

17%

Question 21

gottesman - identical twins

Answer 21

48%

Question 22

pre of conduct disorder in 5-10 year old boys?

Answer 22

7%

Question 23

annual prev for psychotic disorders uk

Answer 23

0.4%

Question 24

annual prev for psychotic disorders internationally

Answer 24

.33%

Question 25

lifetime prev for psychotic disorders in england

Answer 25

.63%

Question 26

List the positive sxx on PANSS

Answer 26

``` delusions conceptual disorganisation hallucinations hyperactivity grandiosity suspiciousness, hostility ```

Question 27

List the negative sxx on PANSS

Answer 27

``` blunted affect emotional withdrawal poor rapport passive/apethetic difficulty in abstract thinking lack of sponteity in thought, poor flow stereotyped thinking ```

Question 28

low risk antidepresants in epilepsy

Answer 28

SSRIs | mirtazepine

Question 29

high risk antidepressants in epilepsy

Answer 29

bupropion | TCAs

Question 30

low risk antipsychotics in epilepsy

Answer 30

amisulpride, aripiprazole, ziprasidone, high potency FGA, risperidone

Question 31

high risk antipsychotics in epilepsy

Answer 31

clozapine chlorpromazine loxapine depots

Question 32

augmentation of anitdepressant?

Answer 32

lithium aripiprazole, olanzapine, quetiapine, risperidone mirtazepine or mianserin