Psych Spot Test

Question 1

Define delusion of passivity

Answer 1

Actions, feelings or impulses are controlled by an external source

Question 2

Outline the features of PTSD

Answer 2

Re-experiencing 
Avoidance 
Hyperarousal 
Sleep disturbance 
Poor concentration

Question 3

Treatment for PTSD

Answer 3

CBT
EMDR
TCA’s
Mirtazapine

Question 4

Medications to treat anxiety

Answer 4

SSRI
SNRI
Benzos 
Pregablin 
B-Blockers

Question 5

Outline the criteria involved in the diagnosis of OCD

Answer 5

Obession or compulsions present most days
Acknowledgement they are from the patients own mind
Repetitive and unpleasant
Tries to resist them
Not pleasurable carrying out the task
Time loss

Question 6

What are Schneider’s first rank symptoms of schizophrenia

Answer 6

Delusional perception
Auditory hallucinations
Thought disorder
Passivity

Question 7

Outline the indications for ECT

Answer 7

Increased risk of suicide
Food refusal
Catatonic stupor
Refractory to antidepressants

• Major/Severe depression
• Catatonic schizo
• Prolonged mania

Question 8

Features of neuroleptic malignant syndrome

Answer 8

Hyperreflexia 
Autonomic dysfunction 
Rigidity 
Altered conscious state 
Raised CK

Question 9

Treatment of NMS

Answer 9

Stop meds
Cool the patient 
Bromocriptine 
Benzo
Dantralene

Question 10

Features of serotonin syndrome

Answer 10

Clonus
Hypereflexia
Tremor
Slight muscular rigidity

Question 11

Treatment of SS

Answer 11

Cyproheptadine

Question 12

What would typical bloods show in a patient with either NMS or SS

Answer 12

Increase CK
Increase WCC
Increase hepatic transaminases
Metabolic acidosis

Question 13

What are the negative symptoms seen in schizophrenia

Answer 13

Loss of volition
Emotional flatness
Speech decreased
Slowness in thought and movement

Question 14

Discuss the areas of a mental state examination

Answer 14

Appearance

• clothing
• posture
• gait
• evidence of self harm

Behaviour
- eye contact

Cognition

• attention
• orientation
• memory

Delusions

• thought content
• thought form

Emotions

• mood (climate)
• affect (weather)

Speech

• content
• form
• rate and rhythm and tone
• fluency
• content

Insight

Risk and suicide ideation

Question 15

Monitoring guidelines in clozapine

Answer 15

Weekly: 18 weeks
Fortnightly: 12 months
Monthly: onward

> 48hr missed must restart at starting dose

Question 16

Treatment for ADHD

Answer 16

Methylpheilate
Melatonin

Watch height and weight

Question 17

Core symptoms of autism

Answer 17

Persistent defects in social communication and social interaction across multiple contexts
Restrictive, repetitive patterns of behaviour, interests and activities

Question 18

Core symptoms of ADHD

Answer 18

Impulsivity
Inattention
Hyperactivity

Question 19

Key questions in determining suicide intent

Answer 19

Method of attempt
Precautions against being discovered
Seeking help prior
Planning attempt

Question 20

What are the key features of the mental capacity act 2005

Answer 20

1. Presume to have capacity
2. Individuals should be supported in making their own decisions where possible
3. People have the right to make unwise decisions
4. Best interests of the person should always be the priority
5. Least restrictive option should be chosen