Psychiatry

Question 1

When are lithium levels checked whilst on stable therapy?

Answer 1

12 hours post dose every 3 months

Question 2

Acute dystonia secondary to antipsychotics can be treated with what?

Answer 2

Procyclidine

Question 3

What does acute dystonia present like?

Answer 3

Sudden onset muscle spasms and stiffness.

Question 4

What is Schizotypal personality disorder?

Answer 4

• Displays social isolation.
• lack of attempt for social interaction.
• Maintains close relationships with family members.
• Overvalued ideas and odd beliefs.

Question 5

What is Schizoid personality disorder?

Answer 5

• More extreme than Schizotypal.
• patients often lack relationships even with family members and distance themselves from all.
• characterised by just negative symptoms and not associated with and positive symptoms such as overvalued ideas or odd beliefs.

Question 6

How is serotonin syndrome usually managed?

Answer 6

• management is supportive with fluids.
• Benzodiazepines may also be given
• More severe cases are managed using serotonin antagonists such as cyproheptadine and chlorpromazine