Psychiatric conditions

Question 1

Physical symptoms of anxiety

Answer 1

Trembling 
Sweating 
Palpitations 
SOB 
Nausea
Headaches 
Hot flushes 
Feeling on edge 
Muscle aches and tension 
Irritability 
Fatigue 
Restlessness

Question 2

Physical causes that need to be excluded on anxiety

Answer 2

HyperT
Angina
Asthma
Excessive caffeine

Question 3

Short term treatment for anxiety

Answer 3

2-4 weeks of benzos

Question 4

Long term treatment for anxiety

Answer 4

psychotherapy

Question 5

First line long term medical therapy for anxiety

Answer 5

SSRIs

Question 6

Risk factors for dementia

Answer 6

Genetic
Vascular
Head injury
Low educational attainment

Question 7

Risk factors for vascular dementia

Answer 7

T2D
Hypercholestrolaemia
HTN

Question 8

Type of deterioriation in vascular dementia

Answer 8

Stepwise

Question 9

Presentation of lewybody dementia

Answer 9

combo of alzheimers and parkinsosn

• marked fluctuations throughout the day
• disrupted sleep
• hallucinations
• parkinsonism

Question 10

Picks disease

Answer 10

Frontotemporal dementia

Question 11

Dementia screen

Answer 11

TSH 
B12 
Blood glucose 
U&eS
LFTs
Infection screen 
Autoimmune screen 
CT head

Question 12

Cognitive function tests (2)

Answer 12

MMSE
MoCA
ACE-R

Question 13

RF prevention in vascular dementia

Answer 13

Aspirin / clopidogrel

Stop smoking

Question 14

Drugs used to maintain cognitive function in Alzhiemers

Answer 14

Cholinesterase inhibitors

Question 15

What group of medications should be avoided in those with dementia

Answer 15

Benzodiazepines

Question 16

Core symptoms of depression

Answer 16

Low mood
Loss of interest or pleasure
Fatiguability

Question 17

Psychotic symptoms in depression are usually..

Answer 17

mood congurent

Question 18

Medical conditions to be ruled out in depression

Answer 18

HypoT 
Parkinsons 
Dementia 
Cushings 
MS 
HIB 
Hepatitis 
Chronic fatigue 
Malignancies

Question 19

Common SE for SSRIs

Answer 19

N&V 
Diarrhoea 
Anxiety- early but wears off 
loss of appetite 
insomnia 
sweating

Question 20

Cautions for SSRIs

Answer 20

Epilepsy
Peptic ulcer
Young patient
hepatic impairment

Question 21

How long should take for improvement with SSRIs

Answer 21

Few weeks

Question 22

How long should they ideally try and SSRI before considering changing ?

Answer 22

4 weeks

Question 23

Prescribing cautions in those with eating disorders ?

Answer 23

Medications causing long QT and arrhythmias can cause more of a problem due to electrolyte abnormalities.

Question 24

how long should SSRIs be used for?

Answer 24

6m after symptoms improve

Question 25

Two types of auditory hallucinations

Answer 25

secondary - voices talking at them | tertiary - voices talking about them

Question 26

Though disorders

Answer 26

``` Thought with drawl Thought insertion Thought echo Thought broadcast Flight of ideas Loosening of association ```

Question 27

-ve sx in schizophrenia

Answer 27

``` blunted affect apathy decreased speech social withdrawl impaired attention anhedonia letheragy sexual problems ```

Question 28

what is schizoaffective disorder

Answer 28

suffer from psychotic symptoms and mood disordered symptoms

Question 29

Medical disorders which may induce a secondary psychotic episode?

Answer 29

``` Encephalitis Stroke Drug induced Neoplasm Truma Hyperthyrodism Hypercalcaemia ```

Question 30

which antidepressant should be used in a patient who has recently had an MI

Answer 30

Sertraline

Question 31

1st line in delirium trems

Answer 31

lorazepam

Question 32

Alcohol withdrawl peak indicence 1) symptoms 2) seizures 3) delirium trems

Answer 32

6-12hrs 36hrs 72hrs

Question 33

score for severity of depression

Answer 33

PHQ-9 score

Question 34

score for suicidal risk

Answer 34

SADPERSONs score