4th Year Depression

Question 1

most common psychotic symptoms

Answer 1

auditory
olfactory
tactile

Question 2

define poverty of speech

Answer 2

reduced speech content

Question 3

what does NA control in psychiatry/ brain?

Answer 3

firing rate of impulses (SNRIs)

Question 4

examples of foods containing high levels of tyramines?

Answer 4

cheese
tofu
red wine
chocolate

Question 5

which antidepressant class is St John’s wort like?

Answer 5

MAOIs

Question 6

what does St John’s wort interact with?

Answer 6

warfarin

OCP

Question 7

can MAOIs be used in combination?

Answer 7

no

Question 8

risk in St John’s wort?

Answer 8

serotonin syndrome in combination

hypertension

Question 9

what to warn about in the first 72 hours of SSRIs?

Answer 9

increased suicidal ideation and agitation/ anxiety

serotonin syndrome risk

Question 10

self-help options

Answer 10

moodjuice
livinglifetothefull
samaritans
NHS24
crisis team

Question 11

when is ECT first line for depression?

Answer 11

major depression

Question 12

symptoms in depression to give ECT

Answer 12

catatonic stupor (weight loss, dehydration)
high risk of suicide
psychotic features
refractory to antidepressants
previous response to ECT

Question 13

drug-induced ECT

Answer 13

methohexital

Question 14

muscle relaxant in ECT

Answer 14

suxamethonium

Question 15

pharmacology of ketamine

Answer 15

NMDA receptor antagonist