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Question 1

What headache medicine should be avoided in those taking SSRIs?

Answer 1

Triptans

Question 2

What is the protocol for cervical screening?

Answer 2

25-64

Every 5 years - first HPV testing

HPV +ve -> cystoscopy -> +ve -> colposcopy
Cystosopy -> -ve -> recall in 1 year and repeat HPV testing -> -ve HPV then back to normal recall if +ve then same cycle again

Question 3

How do you remember a mental state exam?

Answer 3

ASEPTIC

Appearance
Speech
Emotion (mood and affect)
Perception
Thought: control and context
Insight and judgement
Cognition

Question 4

Explain the following pysch terms:
Hallucinations
- 2nd person
- 3rd person
- thought echo

flight of ideas

thought insertion/broadcasting/withdrawal

Answer 4

2nd person
- “you” are doing something

3rd person
- “they/name” is doing sometime

Thought Echo
- their own thoughts spoken/repeated out load

Flight of Ideas
- words put together because of meaning or rhyme - aim lose and wander

Thought insertion
- thoughts can be inserted into patient’s head

Thought broadcasting
- others can hear their thoughts

Thought withdrawal
- thoughts can be removed from head

Question 5

When checking lithium levels when should the sample be taken?

Answer 5

12 hours post dose