1

Question 1

profound learning disability IQ

Answer 1

<20

Question 2

define conduct disorder

Answer 2

characterised by repetitive and persistent patterns of antisocial, aggressive or define behaviours which violate age appropriate societal norms

Question 3

factors increasing risk of suicide

Answer 3

• poor social support
• lower level education
• chronic conditions
• impulsivity
• hopelessness
• low self esteem
• high lethality of methods used
• high suicidal intent and motivation
• ongoing precipatory stress
• physical and sexual abuse

Question 4

depression in PC management step 1

Answer 4

recognition, assessment and initial management

• assessment
• support
• psycho-education
• lifestyle advice
• active monitoring
• referral for further assessment
• interventions

Question 5

Gynae FNS

Answer 5

• loin pain haematuria syndrome

- chronic pelvic pain

Question 6

GI FNDs

Answer 6

• IBS
• cyclical vomitting
• functional dysplasia

Question 7

when are sleep drugs licenced in insomnia

Answer 7

melatonin >55 for use <13 weeks

hypnotics e.g. benzodiazepines in severely disabling insomnia causing marked stress

Question 8

management prolonged grief disorder

Answer 8

• counselling
• antidepressants
• behavioural/ cognitive/ exposure therapy

Question 9

presentation prolonged grief disorder

Answer 9

• can still feel happy
• symptoms associated with thinking about deceasesed
• want to be with others where depressed people want to be alone
• longing/ yearning for loved ones

Question 10

what should you do if patient on lamotrigine develops a rash

Answer 10

discontinue immediately

Question 11

motivational factors affecting school attendance

Answer 11

• learning difficulties
• lack of friends/ relationships
• bullying
• lack of paternal attention/ concern
• maternal depression

Question 12

first and second line management ADHD

Answer 12

• methylphenidate

- atomoxetine

Question 13

ADHD management

Answer 13

• psychoeducation
• behavioural interventions
• parent training
• school interventions
• treat comorbidity
• voluntary organisations
• benefits
  medication:
• methylphenidate
• atomoxetine

Question 14

how is ADHD characterised

Answer 14

core features of developmentally abnormal:
- inattention
- hyperactivity
- impulsivity
presence across time and situations

Question 15

describe foetal alcohol syndrome

Answer 15

• growth retardation
• body->head-> brain
• sensorimotor
• cognitive development
• executive function
• language

Question 16

management FND

Answer 16

• explanation
• CBT
• psychodynamic therapies

Question 17

criteria mild depression

Answer 17

2/3 of:
- depressed mood >2 weeks
- loss of interest/ pleasure
- increased fatigue
additional 4 from:
- reduced appetite
- increased guilt
- suicidal thoughts
- loss of confidence/ self esteem
- decreased concentration
- agitation/ retardation
- sleep disturbance

Question 18

neuroleptic malignant syndrome

Answer 18

life-threatening reaction that can occur in response to neuroleptic or antipsychotic medication- severe muscle rigidity

• fever
• altered mental status
• autonomic instability
• elevated WBC, CPK, LFT

Question 19

side effects quetiapine

Answer 19

• abnormal LFTs
• weight gain
• orthostatic hypotension

Question 20

tardive dyskinesia

Answer 20

• involuntary muscle movements that may not resolve with drug discontinuation

Question 21

step 3 management anxiety in PC

Answer 21

for those with marked functional impairment/ have not improved with step 1/2

• CBT
• SSRI (continue for atlas 12months after initiation)
• applied relaxation

Question 22

carbamazepine side effects

Answer 22

• rash
• sedation
• N+V
• diarrhoea
• confusion
• AV conduction delays
• hyponatraemia