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1
Q

What’s not a common feature of rapid SSRI discontinuation

A

Hypersomnolence

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2
Q

In stage 1 of STAR D, what percentage of depressed patients achieved remission after 14 weeks of treatment with citalopram?

A

28%

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3
Q

A patient reports seeing his hand move in front of him without his control, what is this symptom?

A

Delusion of control

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4
Q

What is not been helpful for depression treatment?

A

Multi vitamins

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5
Q

Following traumatic birth, mother of 9 month old afraid she is not a good mother and that she is doing everything wrong. What therapy?

A

Circle of security

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6
Q

Assessment of alcohol dependence with focus on late stage symptoms

A

Michigan alcoholism screening

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7
Q

What was assessed by Camberwl family interview

A

Expressed emotion

By Vaughn and Leff

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8
Q

45yo woman spends her afternoons and evenings at home drinking. She sleeps late nursing hang over and after an eye opening in morning, she spends the morning begging for or scrounging for money to buy alcohol. What stage of addiction?

A

Salience

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9
Q

Bipolar depression, mono therapy antipsychotics?

A

Olanzapine, quetiapine

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10
Q

60yo Eastern European immigrant, with isolation, delusion of being poisoned, long latency in reply, cognitive deficits and puffy face. Which organic disorder?

A

Hypothyroidism

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11
Q

42yo builder complains of irritability and sleep difficulties in context of chronic pain post injury. Which individual associated with psychological treatment of choice?

A

Jon Kabat Zinn - chronic pain and mindfulness

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12
Q

BPD, no symptom improvement with fluoxetine, which pharmacological measure best evidence based?

A

Lamotrigine titration up to 200mg as tolerated

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13
Q

77M post ECT, can’t tell where he had actual treatments

A

Anterograde amnesia

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14
Q

48M 5 episodes of depression, wanting to prevent further relapse. 3 prev courses of CBT. What’s next for psychotherapies?

A

MBCT

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15
Q

Which of these reduces with chronic dosing?

A

Carbamazepine

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16
Q

Recurrence of BPAD in postpartum period on no medication is:

A

50%

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17
Q

Which mood stabiliser worsens psoriasis

A

Lithium

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18
Q

Role of methylphenidate in ADHD and binging

A

Reduce impulsivity and reduce binging

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19
Q

A child with this disorder may go on to develop MDD as an adult

A

Disruptive mood dysregulation disorder

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20
Q

This benzodiazepine can be used in treatment of alcohol withdrawal

A

Chlordiazepoxide

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21
Q

Most immediate to address at start of DBT

A

Self destructive and most serious behaviours including SI and DSH

Then address QoL issues
Then address self esteem
Then address goals and happiness

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22
Q

Psychological treatment with evidence base in survivors of torture?

A

Narrative exposure therapy has some limited evidence

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23
Q

What does tetrabenezine do?

A

Blocks dopamine uptake by rote synaptic vesicles and dopamine storage this causing depletion of presynaptic dopamine

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24
Q

What points more to benzo withdrawal vs anxiety state

A

Sensory hypersensitivity

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25
The Hare Checklist Revised assesses twenty traits except:
Affect instability
26
Erythema multi forme most likely related to:
Lamotrigine
27
Logorrhea
Pressured speech, talking very fast
28
What’s a pentameter structure, composed of alpha, beta and usually gamma subunits arranged to form a central core
GABA-a
29
Features of this disorder include ataxia, dysarthria, seizure, impairment of consciousness and extensive demyelination of corpus collosun
Marchiafava-Bignami disease (found predominantly in alcohol dependent individuals)
30
Ropinorole can be associated with?
Impulse control issues and sexual disinhibition
31
Psychodynamically, BPD patients are considered to be arrested in?
Kornberg’s identity diffusion Klein’s paranoid schizoid positioning
32
Hippocampus and pyramidal cells of cerebral cortex use which neurotransmitters principally?
Serotonin
33
According to Vaillant, what’s a good promostic factor for schizophrenia
Family hx of depression
34
General psychopathology was published in 1913 by?
Karl Jaspers
35
Which serotonin receptors is a ligand gated cation channel?
5HT3
36
Methadone use is associated with which physical complication?
Gum hypoplasia
37
Why is confidentially important in treating patients?
Autonomy
38
What aspect of qualitative research was demonstrated by Glaser and Strauss’ work in 1960s on dying patients and health professionals?
Grounded theory
39
Which brain area associated with poor scores on the PASAT test?
Frontal lobe
40
Where are cannabinols CB2 receptors principally found?
Immune system
41
Legal term for intent to do harm
Mens rea
42
Trait most related to poor MH outcomes and mortality (big 5)
Low conscientiousness
43
Mood stabiliser with associated tremor
Lithium
44
Mood stabiliser with associated hair loss
Valproate
45
10-20mg of olanzapine, what’s plasma equivalence
10-50 microg/L
46
Immediate withdrawal symptom of meth
Fatigue and exhaustion
47
Catatonic excitement most commonly associated with?
Mania
48
Best evidence for assaultive and aggressive behaviour in patients with PD
Lithium
49
If transferred directly from one opioid substitution straight to suboxone, what would happen?
Displace the other opioid
50
Who came up with utilitarianism
Arrow
51
Disulfram can commonly cause:
Halitosis
52
Anxiety d/o diagnosis in any given year
15%
53
Benzo most likely to cause severe seizures if flumezinil given
Alprazolam
54
Patchy cell loss in globus pallidis, hippocampus and cerebral cortex on MRI scan
Poisoning with CO
55
Patient on maintanence methadone + meth
Prolonged QT
56
Who came up with delusional disorder, paranoid type
Starlin
57
What genetic disorder is associated with epilepsy
Kleinfelters
58
Antidepressant class causing most prominent gastrointestinal distress
Serotonin modulator
59
Mirror transference
Part of self psychology, by Kohut
60
Most associated with SCZ relapse post hospital
High EE
61
20yo F seizures, headache and depression
SLE
62
Mortality rate in DT
35%
63
What’s accurate regarding panic disorder?
Guided eCBT is effective
64
College position regarding neurosurgery
40-50% with OCD have a satisfactory response
65
Anglepoise lamp sign, and what is this?
Metgehen
66
What condition most associated with panic disorder
Mitral valve prolapse
67
Father with cognitive impairment, psychosis and hyper reflexia, what is this?
Neuro syphillus
68
Term for intent to do harm
Mens rea
69
Cloninger model of personality, four dimensions are novelty seeking, persistence, harm avoidance and?
Reward dependence
70
Kant’s categorical imperative - what’s the associated concept?
Deontology
71
Most common PD in western countries
OCPD
72
Zuclo should not be used with which antidepressant due to shared hepatic metabolism?
Paroxetine
73
12yo boy referred with IQ 68, behavioural problems and poor learning. Next psychometric?
Adaptive behavioural assessment scale
74
IPSRT established by?
Ellen Frank
75
Feature that does not support good prognosis in schizophreniform disorder
Blunted affect
76
First comprehensive multi informant epidemiological study of childhood psychopathology
The isle of Wight study
77
Atypical depression most closely linked with what?
BPAD
78
Negative cognitions about self, world and future
Cognitive triad
79
Which neurotransmitter stimulates prolactin release?
Serotonin

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