2

Question 1

first line agent for acute mania/ mania prophylaxis

Answer 1

carbamazepine

Question 2

what should be measured prior to starting patients on valproic acid

Answer 2

baseline LFTs
pregnancy test
FBC

Question 3

factors predicting positive response to valproic acid

Answer 3

• rapid cyclin patients
• comorbid substance issues
• mixed patients
• patients with cormorbid anxiety disorders

Question 4

indications valproic acid

Answer 4

mania prophylaxis

Question 5

level and presentation of severe lithium toxicity

Answer 5

> 2.5

• generalised convulsions
• oliguria
• renal failure

Question 6

rheumatology FNDs

Answer 6

• fibromyalgia

- benign hypermobility syndrome

Question 7

describe compulsive acts associated with OCD

Answer 7

• feel they have to do them
• add no benefit to life/ have no purpose
• normally something ‘bad will happen’ if they don’t do them
• not enjoyable

Question 8

agoraphobia

Answer 8

fear of being in situations where escape may be difficult or that help won’t be available if things go wrong

Question 9

apathy

Answer 9

loss of interest in own surroundings

Question 10

anhedonia

Answer 10

loss of ability to derive pleasure from experience

Question 11

agitation

Answer 11

state of restless overactivity, aimless and ineffective

Question 12

attitudes for motivational interviewing

Answer 12

• never disagree
• empathy
• understand predicament
• support self efficacy
• patient sets agenda

Question 13

management of someone who’s in contemplation

Answer 13

information
risk screening
pros and cons

Question 14

stages of change cycle

Answer 14

1. pre-contemplation
2. contemplation
3. planning/ determination
4. action
5. maintenance

Question 15

when would motivational interviewing be used

Answer 15

where behaviour change is being considered but patient still unmotivated or ambivalent to change

Question 16

limitations to interpersonal therapy

Answer 16

• requires degree of ability to reflect

- where poor social networking, limited interpersonal support

Question 17

strengths of interpersonal therapy

Answer 17

• no formal homework
• enables reflection
• good for treating depression

Question 18

describe interpersonal therapy

Answer 18

focus on the present by constructing an interpersonal map

links symptoms to interpersonal events

Question 19

what happens in CBT

Answer 19

identification of thoughts, feeling and behaviour
assess unrealistic/ unhelpful thoughts
automatic negative thoughts
unrealistic behaviours 
identify what can change

Question 20

what is CBT particularly good for

Answer 20

• depression
• anxiety
• phobias
• OCD
• PTSD

Question 21

severe learning disability IQ

Answer 21

20-34

Question 22

define learning disability

Answer 22

condition of arrested or incomplete development of the mind, characterised by impairment of skills manifested during the developmental period, contributing to overall level of intelligence