Psychiatry

Question 1

IQ range categories

Answer 1

Mild: 50-69
Moderate: 35-49
Severe: 20-34
Profound: below 20

Question 2

what are the details of a section 5,2

Answer 2

Section 5.2 = doctor’s holding power (Max 72 hours).

Question 3

what are the details of a section 5,4

Answer 3

Section 5.4 = nurse’s holding power (Max 6 hours).

Question 4

section 17

Answer 4

Section 17 is used during section 2 or 3 for trial leave.

Question 5

what is diagnostic overshadowing

Answer 5

Diagnostic overshadowing occurs when a patient’s presenting symptoms are assumed to be related to their Learning Disability rather than another, potentially treatable, cause

Question 6

target lithium levels

Answer 6

The lithium dose is usually adjusted to achieve a plasma level of 0.6 mmol/L to 1 mmol/L.

Question 7

target lithium: first time user

Answer 7

0.6–0.8 mmol/L

Question 8

target lithium: relapse of still showing symptoms

Answer 8

0.8–1.0 mmol/L

Question 10

lithium: what are the monitoring requirements?

Answer 10

Measure weight or Body Mass Index (BMI), urea and electrolytes estimated glomerular filtration rate (eGFR), calcium, and thyroid function every 6 months

Question 11

cognitive tests for dementia

Answer 11

10-point cognitive screener (10-CS), the 6-item cognitive impairment test (6CIT) or the Memory Impairment Screen (MIS).

Question 12

onset of Alzheimer’s disease

Answer 12

gradual

Question 13

caution: cholinesterase inhibitor

Answer 13

peptic ulcer disease, asthma, COPD and cardiac arrhythmias

Question 14

depressed?

Answer 14

14 days

Question 15

level of paracetamol after overdose?

Answer 15

after 4 hours