5

Question 1

describe frontal dysexecutive syndrome

Answer 1

memory, praxis, visuospatial function not impaired

Question 2

echolalia

Answer 2

meaningless repetition of another persons words

Question 3

stereotypy

Answer 3

repetition of an act

Question 4

presentation frontotemporal dementia

Answer 4

• personality change
• early onset
• early emotional blunting
• speech disorder
• stereotypy
• echolalia
• frontaldysexecutive syndrome

Question 5

investigation and result levy body dementia

Answer 5

DAT Scan

full stop instead of comma

Question 6

describe avoidant PD

Answer 6

TYPE C

• poor self esteem
• intense fear of rejection and being judged negatively by others
• social inhibition
• hypersensitive to negative feedback
• restraint with intimate relationships
• views self as inferior
• reluctant to engage in new activities

Question 7

medical management delirium

Answer 7

AVOID SEDATION UNLESS ESSENTIAL FOR MAINTAINING SAFTEY

• anitpsychotics
• benzodiazepines

Question 8

factors contributing to delirium

Answer 8

• constipation
• dehydration
• drugs
• change in environment
• surgery
• hypoxia
• infection
• pain
• sensory impairment
• sleep disturbance
• poor nutrition

Question 9

presentation of depression in early

Answer 9

• insomnia
• hypochondria
• agitation
• suicide
• abrupt onset
• Hx of depression
• ‘don’t know’ answers
• diurnal mood variation
• fluctuating cognitive decline
• associated anxiety
• depressed mood coincides with any memory loss

Question 10

non-pharmacological management dementia

Answer 10

• communication
• any forms of distraction
  A- activating event
  B- behaviour
  C- consequence

Question 11

management hard to manage children

Answer 11

• parent training

- multi-system therapy attempt to correct causes

Question 12

what features will be increased in autism spectrum disorder

Answer 12

rigidity
sameness
fixed learning patterns
technical understanding

Question 13

features decreased in autism spectrum disorder

Answer 13

• self/ other perspective talking
• sharing/ dividing attention
• flexible learning
• social understanding

Question 14

types of affective/ anxiety disorder

Answer 14

• major depressive disorder
• generalised anxiety disorder
• panic disorder
• phobic anxiety disorder
• OCD

Question 15

management of unwillingness to go to school

Answer 15

• learn alternative behaviour patters
• desensitisation
• overcoming fears
• managing feelings
• SNRI e.g. fluoxetine
• CBT

Question 16

effects of mental health on school attendance and learning

Answer 16

• learning difficulties
• difficulty controlling emotion
• anxiety
• lack of energy, motivation
• difficulty joining in
• sensory problems
• preoccupation

Question 17

presentation oppositional defiant disorder

Answer 17

• refusal to obey order
• often argues with adults
• often loses temper
• deliberately annoys people
• touchy/ easily annoyed by others
• spiteful or vindictive

Question 18

examples of phobic anxiety

Answer 18

• agoraphobia
• social phobia
• specific isolated phobias

Question 19

management GAD

Answer 19

• SSRI
• CBT
• counselling
• relaxation training
• avoid caffeine, alcohol

Question 20

define GAD cause

Answer 20

stressor acting on a personality predisposed to the disorder by a combination of genetic and environmental factors

Question 21

side effect profile clozapine

Answer 21

• agranulocytosis (weekly blood monitoring required)
• increased seizure risk
• increased sedation, weight and LFB

Question 22

describe use of clozapine

Answer 22

atypical antipsychotic reserved for treatment resistant patients due to side effect profile but very effective