Psychiatry

Question 1

Section 2

Answer 1

Admission for assessment (and treatment) 28 days

Question 2

Section 3

Answer 2

Admission for treatment of mental disorder 6 months, can be renewed Application by an AMHP and 2 Drs

Question 3

Section 4

Answer 3

Emergency assessment 72 hours, no second doctor available, cannot wait

Question 4

Section 5(2)

Answer 4

Doctor’s holding power Detention of INPATIENT 72 hours

Question 5

Section 5(2)

Answer 5

Nurse’s holding power Detention of INPATIENT 6 hours

Question 6

Section 135

Answer 6

Assessment on private premises (allow police to enter private residence)

Question 7

Section 136

Answer 7

Police can remove someone from public place to place of safety 72 hours

Question 8

Atypical antipsychotics (2nd gen)

Answer 8

Clozapine Olanzapine Quetiapine Risperidone Amisulpuride Aripiprazole

Question 9

Typical antipsychotics (1st gen)

Answer 9

Haloperidol Chlorpromazine Flupentixol Sulpiride Levopromazine

Question 10

TCAs

Answer 10

Amitriptyline Lofepramine Nortriptyline Imipramine

Question 11

SSRIs

Answer 11

Fluoxetine Citalopram Sertraline Paroxetine

Question 12

SNRIs

Answer 12

Venlafaxine

Question 13

NASSA

Answer 13

Mirtazepine

Question 14

MAOIs

Answer 14

Phenelzine Moclobemide

Question 15

Treatment of Alzheimer’s

Answer 15

Mild/moderate - ACh inhibitors (donepezil, galantamine, rivastigmine) Severe - NMDA antagonist (memantine)

Question 16

Safest TCA in overdose

Answer 16

Lofepramine

Question 17

At what point do symptoms, seizures, and delirium tremens occur following alcohol withdrawal?

Answer 17

Symptoms - 6-12 hours Seizures - 36 hours Delirium tremens - 72 hours

Question 18

Most dangerous TCA in overdose

Answer 18

Nor triptyline

Question 19

High and low values in anorexia nervosa

Answer 19

Most things low G’s and C’s raised: GH, glucose, salivary glands Cortisol, cholesterol, carotinaemia

Question 20

Treatment for PTSD

Answer 20

Eye movement desensitisation Mirtazepine

Question 21

Best antidepressant post-MI

Answer 21

Sertraline

Question 22

Problems with antipsychotics in the elderly (2)

Answer 22

Increased risk of stroke Increased risk of VTE

Question 23

Features of neuroleptic malignant syndrome (4)

Answer 23

*Hyperthermia *Muscle rigidity *Altered consciousness Autonomic instability: tachycardia, sweating, tremor, incontinence

Question 24

Management of neuroleptic malignant syndrome

Answer 24

Stop antipsychotic ABC - fluids Dantrolene or bromocriptine D Cooling ECT

Question 25

Dopaminergic pathways

Answer 25

A - mesolimbic B - nigrostriatal C - mesocortical D - tuberoinfundibular

Question 26

Pathophysiology of Alzheimer's

Answer 26

Beta-amyloid plaques and tau tangles

Question 27

Pathophysiology of vascular dementia

Answer 27

Microscopic bleeding

Question 28

Pathophysiology of Lewy Body Dementia

Answer 28

Intracellular eosinophilic inclusions Aggregated ubiquitin, alpha synuclein

Question 29

Pathophysiology of frontotemporal dementia - Pick's

Answer 29

Pick bodies (tau)

Question 30

Main symptoms of Alzheimer's

Answer 30

Memory loss Depression

Question 31

Main symptoms of vascular dementi

Answer 31

Impaired planning/judgement

Question 32

Main symptoms of Lewy Body Dementia (4)

Answer 32

memory loss sleep disturbance visual hallucinations parkinsonian movement

Question 33

Main symptoms of frontotemporal dementia (2)

Answer 33

Personality and behavioural changes, Language problems Develop symptoms at younger age