15

Question 1

what is onset of depression commonly associated with

Answer 1

adverse life event especially loss of a loved one

Question 2

akathisia

Answer 2

movement disorder characterised by feeling of inner restlessness and inability to keep still

Question 3

define PTSD

Answer 3

delayed or protracted reaction to a stressor of exceptional severity

Question 4

describe narcissistic PD

Answer 4

Cluster B

• long term exaggerated feelings
• excessive need for admiration
• lacks empathy
• grandiosity
• arrogant
• self-centred
• manipulative
• demanding
• grandiose fantasies

Question 5

management social phobia

Answer 5

therapy

SSRI

Question 6

potential PTSD triggers

Answer 6

rape
murder
assult 
serious ill health ;)
combat
natural/ human disasters
torture
witnessing any of the above

Question 7

describe autonomic arousal associated with anxiety disorders

Answer 7

GI - nausea, wind, diarrhoea, dry mouth, dyspepsia

Resp - tight chest, difficulty inhale

Cardio - palpitations, chest pain

Genitourinary - increased frequency/ urgency. ammenhorea/ dysmenorrhea/ erectile dysfunction

CNS - dizzy, sweating

Question 8

first and second line medical management ADHD …

can you see this won’t stick in my head???

Answer 8

atomexetine
methylphenidate

I mean I got one this time so winning

Question 9

management akathisia

Answer 9

must treat (increased suicide risk)

anxiolytic or propanol

Question 10

describe paranoid personality disorder

Answer 10

Cluster C

• suffer from paranoia
• dont confide
• unforgiving
• preoccupied with doubt
• read hidden meanings
• counterattack quick

Question 11

causes nonketotic hyperosmolar coma in diabetes

Answer 11

illness

infection

Question 12

describe muscle tension associated with anxiety disorders

Answer 12

• tremor
• headache
• muscle pain

Question 13

what is wernickes encephalopathy

Answer 13

alcohol-thiamine deficiency

less chronic alcohol use than korsakoffs

Question 14

describe hyperventilation associated with anxiety disorders

Answer 14

• CO2 deficient hypocapnia
• numbness and tingling in extremities may lead to carporpedal spasm
• SOB

Question 15

describe schizotypal PD

Answer 15

cluster A

• severe social anxiety
• thought disorder
• paranoid ideation
• derealisation
• transient psychosis
• unconventional beliefs
• peculiare speech
• oddness

Question 16

first time side effects opitates

Answer 16

N+V

headaches

Question 17

nonketotic hyperosmolar coma

Answer 17

can be caused by hyperglycaemia of antipsychotics

Question 18

schizophrenia symptoms

Answer 18

• hallucinations
• delusions
• disordered thinking
• apathy
• disordered behaviours
• lack of emotions

Question 19

management conduct disorders

Answer 19

parent training
modification school environment 
functional family therapy 
treat comorbidities 
treat child protection concern

Question 20

how can CTO be obtained

Answer 20

application to mental health tribunal made by mental health officer

Question 21

psychological effects of cannabis

Answer 21

• relaxing/ stimulating
• euphoriant
• increased sociability and hilarity
• increased appetite
• change in time perception
• anxiety
• panic
• persecutory ideation
• hallucinations

Question 22

main types of dementia

Answer 22

vascular
Lewy body
alzheimers