Psych Must knows

Question 1

Normal MRI in the presence of leukocytes in CSF with seizures / confusion?

Answer 1

Autoimmune enceph

=> Methylprednisilone + Iv IVG

Question 2

What is a common normal side effect in lithium therapeutic dose regards to tremor?

Answer 2

Fine tremor => normal

Coarse tremor => abnormal

Question 3

What common drug increases lithium levels for hypertension?

Answer 3

Ramipril

Question 4

Wet / Wobbly / Wacky?

Answer 4

Normal Pressure Hydrocephalus

=> Ventriculopertioneal shunting

Question 5

Neuroleptic malignant syndrome blood to take?

Answer 5

CK raised due to muscle rigidity

Question 6

SSRI with anticoagulants?

Answer 6

No use Mirtazapine (NaSSA)

SSRI inc.bleed risk

Question 7

What do we need to measure with Venlafaxine?

Answer 7

BP

Question 8

What ECG is found in refeeding syndrome?

Answer 8

U wave

Question 9

shiver, sweat, retch and has a tremor. His pupils are dilated

Answer 9

Opiate withdrawal

Question 10

anti psychotics increase risk of what?

Answer 10

Stroke

Question 11

Lithium toxicity landmark?

Answer 11

Seizure

Question 12

No associations with sentences and doesnt answer question

Answer 12

Derailment

Question 13

hair loss in sodium valproate?

Answer 13

yes

Question 14

Imiprimine is what used for?

Answer 14

TCA => Depression

Question 15

Lithium causes what to thyroid?

Answer 15

Hypothyroid

Question 16

Dilated ventricles disproportionate to cerebral atrophy

Answer 16

Normal pressue hydrocephalus

Question 17

Donepezil common SE?

Answer 17

Diarrhoea

Question 18

Widespread cerebral atrophy?

Answer 18

Alzeih

Question 19

Other than thyroid relate, what other marker in the blood can suggest problems with the lithium causing issues?

Answer 19

Creatine => renal issues

Question 20

De Clerambault’s syndrome?

Answer 20

Erotomania
=> doctor in love with them

Question 21

Bipolar type 2?

Answer 21

Hypomania

Question 22

wet weird wobbly
Enlarged ventricles and absent sulci seen on CT brain scan

Answer 22

Normal pressure hydroceph

Question 23

tingling / numbness is caused by what problem with calcium?

Answer 23

Hypo

Question 24

Capgras =>

Answer 24

Clone that someone has replaced them

Question 25

AMTS >8?

Answer 25

Normal

Question 26

quetiapine type of?

Answer 26

Atypical

Question 27

3rd 2nd 1st person hallucinations

Answer 27

3rd => person speaking about subject as (him / her) 2nd => person speaking directly to them as (you) (YOU MUST KILL THE BABY) 1st => they hear their own thoughts spoken out loud

Question 28

5 key lithium toxicity

Answer 28

coarse tremor (a fine tremor is seen in therapeutic levels) hyperreflexia confusion piss a lot seize

Question 29

High risk of suicide what not to take for anti depressants?

Answer 29

TCA

Question 30

Memantine mechanism?

Answer 30

NDMA blocks glutamate

Question 31

Donepezil / galantamine mechanism?

Answer 31

Achetylcholinesterase inhibitors

Question 32

53yr olld to act extremely out of character, going gambling most evenings and eating huge amounts of sweet food.

Answer 32

frontal temporaal dementia

Question 33

when to stop lithium in pregnancy?

Answer 33

1st trimester

Question 34

really sensitive to criticism?

Answer 34

Avoidant

Question 35

What to do with the SSRI in a manic episode?

Answer 35

stop it

Question 36

What not to eat with cheese?

Answer 36

MAIO (tyramine in cheese)

Question 37

Crowds, Public spaces, Travelling alone

Answer 37

AgarophobiA

Question 38

Somatic passivity?

Answer 38

Schizophrenia 1st rank symptom => external forces controlling you

Question 39

are visual hallucinations a 1st rank feature?

Answer 39

no -> 2nd rank

Question 40

what to give for extra-pyrimidial SE?

Answer 40

Anticholinergics => Procyclidine

Question 41

Dialectical behavioural therapy?

Answer 41

EUPD

Question 42

Delusion of passivity?

Answer 42

someone controlling their thoughts / feelings headmater telling me what to do kid

Question 43

are Obsessive thoughts egosystonic or egodystonic?

Answer 43

They are NOT in keeping with the persons values so therefore are egodystonic

Question 44

how often to measure clozapine?

Answer 44

Weekly 18weeks

Question 45

Lilliputian?

Answer 45

Seeing lots of small people => delirium tremens

Question 46

MONOZYGOTIC TWIN parent sibling

Answer 46

Higher Risk of schizophrenia

Question 47

ekbom

Answer 47

parasitic

Question 48

class A

Answer 48

MDMA/ecstasy LSD Heroin Cocaine injectable amphetamine

Question 49

Class b

Answer 49

amphetamine cannabis ketamine

Question 50

Asssesing cognition (2)

Answer 50

MOCA + ACE-III

Question 51

art therapy is useful in

Answer 51

schizo

Question 52

exposure & response prevention

Answer 52

OCD

Question 53

Rivastigmine =>

Answer 53

Lewy - body corticol atrophy + enlarged ventricles

Question 54

GAIT THINK WERNICKE

Answer 54

WENIRCKE

Question 55

diplegic more common than scissors

Answer 55

yes

Question 56

feeling depressed ever since she can remember but still high functioning at work?

Answer 56

Dysthmia

Question 57

broken a bone whereas in reality i havent broken a bone?

Answer 57

Delusional disorders

Question 58

dissociative disorder?

Answer 58

not feeling they are themselves

Question 59

De-realisation

Answer 59

not feeling the world is real

Question 60

labile one day to being pessimistic the next day?

Answer 60

EUPD

Question 61

OCD 1st line =>

Answer 61

CBT

Question 62

when you see "most appropriate treatment, think definitive"

Answer 62

thiamine > Diazapam

Question 63

if u see urinary incontinence?

Answer 63

think delirium (over filled bladder0

Question 64

if we know treat pathway (Lithium) and know his diagnosis, what section =>

Answer 64

section 3

Question 65

Dialectical behavior therapy

Answer 65

EUPD