Psychiatry

Question 1

SSRI stop suddenly

Answer 1

gastro symptoms

Question 2

SSRI causing long QT and torsades de pointes

Answer 2

citalopram

Question 3

patient needs SSRI but takes aspirin

Answer 3

sertraline and PPI because SSRI + NSAID = bleeding risk

Question 4

personality disorder with the negative symptoms of schizophrenia

Answer 4

schizoid personality disorder

Question 5

clozapine side effect

Answer 5

hypersalivation

Question 6

typical antipsychotics side effect eg haloperidol, prochlorperazine

Answer 6

tardive dyskinesia

Question 7

lithium toxicity symptoms

Answer 7

anorexia, nausea, diarrhoea, muscle weakness, drowsiness, ataxia, tremor and fasciculation

Question 8

opioid withdrawal symptoms

Answer 8

epiphora (watering eyes), rhinorrhoea, agitation, perspiration, piloerection, tachycardia, vomiting, shivering, yawning and dilated pupils

Question 9

what test is essential in suspected neuroleptic malignant syndrome

Answer 9

CK for rhabdo

Question 10

confusion, fever and rigidity and takes antipsychotic

Answer 10

neuroleptic malignant syndrome

Question 11

involuntary muscle spasms and contractions causing painful postures

Answer 11

dystonia

Question 12

sudden, irregular movements which can’t be controlled

Answer 12

tardive dyskinesia

Question 13

avoidant PD

Answer 13

severe anxiety of rejection
avoidance of relationships or social situations

Question 14

dependent PD

Answer 14

reliance on others to make decisions and take responsibility for their life

Question 15

obsessive compulsive PD

Answer 15

unrealistic expectations and catastrophising if expectations not met

Question 16

paranoid PD

Answer 16

difficulties trusting or revealing personal info

Question 17

schizoid PD

Answer 17

lack of interest to form relationships and feels that this does not benefit

Question 18

schizotypal PD

Answer 18

unusual thoughts and behaviours with social anxiety

Question 19

borderline PD

Answer 19

fluctuating strong emotions, difficulties with identity and maintaining relationships

Question 20

histrionic PD

Answer 20

wants to be centre of attention and needs to perform to maintain attention

Question 21

narcissistic PD

Answer 21

feels they are special and others need to recognise this

Question 22

PTSD, done CBT or EMDR but not worked

Answer 22

SSRI or venlafaxine

Question 23

lithium toxicity symptoms

Answer 23

coarse tremor
hyperreflexia
acute confusion
polyuria
seizure
coma

Question 24

learning disability classes ish

Answer 24

borderline 70-80
mild 50-70
moderate 35-50
severe 20-35
profound <20