Psychiatry

Question 1

Difference between knight move and flight

Answer 1

Flight has connections, knight doesn’t

Question 2

Fregoli vs capgras

Answer 2

Frogoli single disguised as others capers twin imposter

Question 3

Side effects of clozapine

Answer 3

prolonged QT interval, dyslipidaemia, hypotension, anaemia, myocarditis, and impaired glucose tolerance

Question 4

Types of acute dyskinesia

Answer 4

Oculogyric and Torticollis

Question 5

Side effects of atypical

Answer 5

Diabetes- glucose intolerence, metabolic syndrome- weight gain, dyslipidaemia
Antimuscarinic

Question 6

What can’t you take with SSRI

Answer 6

Triptan and NSAIDs unless PPI

Question 7

Reducing fluoxetine

Answer 7

Reduce fluoxetine 2w- wait 7d- new (over 20mg)

Question 8

Lithium side effects

Answer 8

Hyperreflexia, HpTH- high calcium, hypothyroid, G

Question 9

Antognist for BDZ

Answer 9

Flumezanil

Question 10

Effects of opioid withdrawal

Answer 10

Piloerection, flu like, mydriasis

Question 11

Effects of bento withdrawal

Answer 11

Anxiety

Question 12

Timeframe of alcohol withdrawal

Answer 12

4-12 hrs shakes, anxiety
36hr- seizure
48-72hr- DT

Question 13

Treatment of DT

Answer 13

Lorzazepam

Question 14

Treatment of NMS and SS

Answer 14

NMS- bromocriptine or dantrolene

SS- BDZ

Question 15

Define BPAD

Answer 15

2 episodes of mania with complete recovery inbetween

Question 16

Rapid cycling BPAD treatemmtn

Answer 16

sodium valproate

Question 17

Areas in brain affect fro schizo symptoms

Answer 17

Mesolimbic- positive

Mesocortical- negative

Question 18

Types of schizo

Answer 18

Hebephrenic- thought and speech- innappropraite
Simple- negative
Catatonic- odd positions

Question 19

Length of time for persistent delusions

Answer 19

3m

Question 20

Adjustment disorder signal

Answer 20

Less than 6m, no biological

Question 21

What class of drug makes alcohol feel sick how does it work

Answer 21

Disulifram- acetaldehyde dehydrogenase inhibitor

Question 22

AN triad

Answer 22

Low BMI, deliberate WL and fear of fat

Question 23

electrolyte disturbance of refeeding

Answer 23

Low phos, potassium, Mg

Question 24

What is raised in AN

Answer 24

GH, glucose, cortisol, cholesterol

Question 25

Triad in BN

Answer 25

Binging/preoccupation, purging, pyschopathology

Question 26

Treatment and referral for AN

Answer 26

Mild- 17- monitor for 8w Moderate- routine Severe-<15 - urgent FT for child, CBT ED for adult Admission if rapid WL 1kg per week, electrolyte, suicide, <70% BMI

Question 27

IQ levels severity

Answer 27

``` Mild = 50-70 Moderate = 35-50 ``` ``` Severe = 20-35 Profound = <20 ```

Question 28

Medical treatment of delirium

Answer 28

Haloperidol

Question 29

Difference between harmful and dependent use

Answer 29

Harmful use- non dependent- continue despite harm Dependence- harmful use + dependence 3(tolerance, craving, withdrawal, neglect others )

Question 30

Max dose of sertraline

Answer 30

200mg

Question 31

What medication can you offer Lewy body

Answer 31

AchE

Question 32

DIffercne between grief and depression

Answer 32

Grief focus around person

Question 33

Symptoms of sudden cessation of SSRI

Answer 33

Flue, insomnia, sweating, tummy, parasthesia

Question 34

What is dysthymia

Answer 34

Sub threshold depression for 2 years

Question 35

Severity of depression and Tx

Answer 35

Mild- 2 core, 2- ww 2w Moderate- CBT (CAMHS id child) Severe- CBT SSRI

Question 36

Depression medications order

Answer 36

SSRI x2 | SNRI

Question 37

Treatment of depressive schizoaffective

Answer 37

Olanzipine and fluoxetine

Question 38

Examples of auditory disorder

Answer 38

* Thought echo * 3rd person voice * Running commentary

Question 39

Bad prognosis in schizo

Answer 39

Gradual onset FHx Low IQ Lack of precipitant

Question 40

Acute psychosis definition

Answer 40

<3m sudden onset

Question 41

Treatment of OCD

Answer 41

CBT with ERP

Question 42

Treatment for anxiety

Answer 42

GAD- CBT and SSRI Diff SSRI SNRI Panic- SSRI then TCA

Question 43

Therapy for Opioid recovery

Answer 43

Methadone- liquiod Buprenorphine- sublingual Clonidine- withdrawal

Question 44

Machausens(factitious) vs malingering

Answer 44

Facticous- like being patient | Malingering- gain- money/drigs

Question 45

ADHD diagnosis

Answer 45

Inattention, high activity, impulsive Over 6m and prior to 6y 2 or more settigns

Question 46

Monitoring ADHD on methyphendate

Answer 46

``` Weight 3m (<10)- 6 if above Hieght and HR 6m ```

Question 47

a patient thinks they are receiving messages in the dialogue of a TV programme

Answer 47

Reference

Question 48

Types of auditory hallucinations

Answer 48

a. Thought echo – the patient’s thoughts appear to be projected out loud b. 3rd person voices – people talking about you in the 3rd person c. Running commentary – hear a running commentary out loud d. Command – voices in the 2nd person tell a patient to do something