Psychiatry

Question 1

Conversion disorder

Answer 1

involves loss of motor or sensory function. May be caused by stress

Question 2

Dissociated disorder

Answer 2

separating memories from normal consciousness - inc amnesia, fugue

Question 3

Charles Bonnet syndrome

Answer 3

Hallucinations (visual or auditory) occurring in clear consciousness

Question 4

Post traumatic stress disorder Mx

Answer 4

1st - CBT or EMDR

2nd - venlafaxine or sertraline

Question 5

“Baby blues”

description and Mx

Answer 5

<1 week post natal
Mothers are anxious, tearful and irritable
Mx - reassurance and support

Question 6

Postnatal depression

Answer 6

Between 1 - 3 months post partum
Features - depression
Mx - reassurance, CBT, SSRIs

Question 7

Puerperal psychosis

Answer 7

• 2-3 weeks following birth
• Mood swings and disordered perception (e.g. auditory hallucinations)
  Mx - admission to hospital

Question 8

SSRI side effect (2)

Answer 8

GI upset inc GI bleed

Prolonged QT

Question 9

Generalised anxiety disorder Mx

Answer 9

1st - Education and support
2nd - CBT
3rd - Sertraline

Question 10

Olanzapine side effect

Answer 10

weight gain

hyperlipidaemia

Question 11

Clozapine side effect

Answer 11

agranulocytosis