24 November

Question 1

What does FTD stand for?

Answer 1

Frontotemporal disorders

Question 2

What are frontotemporal disorders (FTD)?

Answer 2

Frontotemporal disorders (FTD), sometimes called frontotemporal dementia, are the result of damage to neurons in the frontal and temporal lobes of the brain.

Question 3

What are the symptoms of frontotemporal disorders (FTD)?

Answer 3

Many possible symptoms can result, including unusual behaviors, emotional problems, trouble communicating, difficulty with work, or difficulty with walking.

Question 4

What are neurovegetative symptoms?

Answer 4

Certain symptoms seen in depression such as increased appetite and weight, and hypersomnia

Question 5

What is dysthymia?

Answer 5

A mild but long-term form of depression.

Question 6

What is an adjustment disorder?

Answer 6

An adjustment disorder is an emotional or behavioral reaction to a stressful event or change in a person’s life

Question 7

What is polydipsia?

Answer 7

Intense thirst despite drinking plenty of fluids.

Question 8

What baseline monitoring is required before starting prazosin?

Answer 8

Measure baseline orthostatic blood pressure

Question 9

What is the standard dosage of prazosin in PTSD?

Answer 9

Prazosin 1 mg orally, at night for 2 days, then increase to 2 mg at night. Assess the patient’s response to therapy after 1 week to determine whether dose adjustment is needed. If it is, increase by 1 to 2 mg every week as tolerated. A dose between 3 and 15 mg at night is usually required.

Question 10

What does CSA stand for?

Answer 10

Childhood sexual assault

Question 11

What 3 classes should you divide adverse effects into?

Answer 11

1. Adverse effects a patient can m.;//anage with lifestyle interventions
2. Adverse effects a patient should consult their doctor about
3. Adverse effects a patient should present to hospital for

Question 12

Do any particular SSRIs have better outcomes in autism?

Answer 12

No

Question 13

Describe the appropriateness of amitriptyline in aiding sleep

Answer 13

Amitriptyline disrupts REM sleep, so should be avoided in use for sleep

Question 14

Describe the role of SSRIs in GAD.

Answer 14

SSRIs have very little evidence past 6 months unless combined with regular counselling (every one to two months).

Question 15

What is a benefit of fluoxetine?

Answer 15

Fluoxetine has a favourable benefit profile in patients with concurrent anxiety and depression

Question 16

Describe the tolerability of fluoxetine.

Answer 16

Fluoxetine has been shown to have favourable tolerability compared to other SSRIs

Question 17

What is a good option for PRN use for sleep which does not interfere with the sleep cycle?

Answer 17

QUETIAPine

Question 18

What is the risk in starting clozapine too quickly?

Answer 18

Lowering of seizure threshold.

Question 19

Why may you see a CT brain ordered for a patient in mental health?

Answer 19

CT brains are ordered prior to ECT to ensure there are no organic causes of the condition which may be worsened by ECT or may be otherwise managed.