Psychiatry

Question 1

Drug choice GAD

Answer 1

Sertraline then another SSRI or SNRI

Question 2

How long depression to diagnose

Answer 2

2 weeks

Question 3

Mild, moderate, severe depression

Answer 3

Mild - 2 typical and 2 core
Moderate - 3 typical 2 core
Severe - 4 typical 3 core

Question 4

Depression questionanres

Answer 4

HAD

PHQ-9

Question 5

TCA OD features

Answer 5

Dry mouth, dilated pupil, agitation, blurred vision

Question 6

TCA OD treatment

Answer 6

IV bicarbonate

Question 7

TCA OD ECG

Answer 7

Sinus tachy, QRS widening, prolong QT

Question 8

Salicylate OD features

Answer 8

Tinnitis, sweating, nausea and vomiting

Question 9

Salicylate OD treatment

Answer 9

IV sodium bicarbonate (urinary alkalisation)

Haemodialysis if severe - pulmonary oedema, AKI

Question 10

Paracetomol OD treatment

Answer 10

Activated charcoal if <1h
Aceylcysteine
Liver transplant if pH < 7.3

Question 11

Beta blocker OD features

Answer 11

Bradycardia, hypotension, syncope

Question 12

Beta blocker OD treatment

Answer 12

Atropine

Question 13

Opioid OD treatment

Answer 13

Naloxone

Question 14

Acute stress disorder treatment after CBT

Answer 14

Benzo

Question 15

PTSD treatment after CBT

Answer 15

Venlafaxine or SSRI

Question 16

Schizophrenia diagnosis

Answer 16

1 month of 1 first rank symptom:

• thought echo/insertion/withdrawal/broadcast
• delusion of control/passivity/influence
• 3rd party auditory hallucinations
• persistent delusions

Question 17

Bulaemia nervosa sign

Answer 17

Russel sign - calluses on knuckle

Question 18

Alcohol withdrawal treatment

Answer 18

Long acting benzo - chlordiazepoxide

Lorazepam in hepatic failure

Question 19

Serotonin syndrome treatment

Answer 19

IV fluids

Benzodiazepam

Question 20

Neuroleptic malignant syndrome features

Answer 20

Hours to days of stopping antipsychotic

• pyrexia
• rigidity
• confusion

Question 21

Neuroleptic malignant syndrome bloods

Answer 21

CK increased
Leukocytosis
AKI secondary to rhabdomyolysis

Question 22

Neuroleptic malignant syndrome treatment

Answer 22

IV fluid to prevent renal failure

Dantrolene

Question 23

Charles bonnet syndrome

Answer 23

Hallucinations in visual impairment

Question 24

Cotard syndrome

Answer 24

Believe are dead

Question 25

De Clerambauths syndrome

Answer 25

Believes famous person loves them

Question 26

Othelos syndrome

Answer 26

Jealousy partner is cheating

Question 27

How long antidepressent continued after remission

Answer 27

6 months

Question 28

Treatment tardive dyskinesia

Answer 28

Tetrabenazine

Question 29

Anorexia bloods

Answer 29

Everything low, Gs and Cs raised

Question 30

Alcohol anti-craving

Answer 30

Acamprostate

Question 31

Alcohol prevention

Answer 31

Disulfiram - makes vomit when drinks alcohol

Question 32

Alternative to methadone

Answer 32

Buphrenorphine