APEX

Question 1

What are the 5 levels of psychiatry

Answer 1

organic
psychotic
mood
anxiety
personality

Question 2

Confused older patient

Answer 2

delirium
dementia
UTI
ABI
Stroke
substance intoxication/withdrawal

Question 3

Sad patient

Answer 3

Major Depression
BPAD
Schizoaffective disorder
BPD
thyroid
hormones
medications
substances

Question 4

Psychotic patient

Answer 4

Schizophrenia
Schizoaffective disorder
Delusional disorder
Mania w psychotic features
Depression w psychotic features
ABI - seizures, dementia, Parkinsons
endocrine - thyroid, Cushings, Addisons, hyperparathyroidism
infections - neurosyphilis, HIV, meningitis/encephalitis
substances

Question 5

Direct Self harm

Answer 5

BPD
Major depression
BPAD
schizophrenia
ASD
OCD
neuro - epilespy, dementia
medical - chronic pain syndrome
social - acute stress reaction, bullying

Question 6

Anxious patient

Answer 6

GAD
Social phobia
Panic disorder
Adjustment/acute stress disorder/PTSD
schizophrenia
PDs
organic - hyperthyroidism, pheochromocytoma, CVS, resp, seizures, hypoglycaemia
substance withdrawal

Question 7

eating disorder

Answer 7

anorexia nervosa
bulimia nervosa
binge-eating disorder
ARFID
thyroid
depression
OCD
body dysmorphic disorder

Question 8

Intellectual disability in a young person

Answer 8

ASD
ADHD
intellectual disability
global developmental delay
specific learning disorder
Down’s syndrome, fragile X
perinatal complications

Question 9

Agitated patient

Answer 9

schizophrenia/affective
BPAD1
delirium
dementia
depression/anxiety
antisocial PD
acute stress disorder/adjustment disorder/PTSD

Question 10

Behavioural disturbance in medical patient

Answer 10

delirium
psychotic disorder
mdd, anxiety
dementia
substance withdrawals
PTSD

Question 11

Psychotic disorders

Answer 11

schizophrenia
schizoaffective
substance-induced psychosis
first-episode psychosis
brief psychotic disorder
delusional disorder

Question 12

Mood disorders

Answer 12

BPAD
MDD

Question 13

Anxiety disorders

Answer 13

GAD
panic disorder
Anorexia nervosa
Bulimia nervosa
ARFID

Question 14

personality disorders

Answer 14

BPD
antisocial PD
OC PD

Question 15

organic disorders

Answer 15

delirium
dementia

Question 16

Schizophrenia

Answer 16

6 months

Question 17

Schizoaffective disorder

Answer 17

2+ weeks of psychotic sx
2+ weeks of mood sx (depression/mania/mixed)

Question 18

Delusional disorder

Answer 18

1+ month
nonbizarre delusions

Question 19

Brief psychotic disorder

Answer 19

1 day - 1 month

Question 20

BPAD

Answer 20

1 week of mania

Question 21

Major depression

Answer 21

2+ weeks

Question 22

Generalised anxiety disorder

Answer 22

6 months

Question 23

Panic disorder

Answer 23

recurrent panic attacks
+ associated fear of another

Question 24

Delirium

Answer 24

fluctuating conscious state

Question 25

Autism spectrum

Answer 25

1. social communication
2. social emotional reciprocity
3. restricted/repetitive behaviour
4. sensory issues
5. motor deficits

Question 26

Alzheimer’s Dementia

Answer 26

1. gradual onset
2. cortical dementia
3. memory impairment (early)
4. executive function (early)

Question 27

ADHD

Answer 27

presents before 12yo
1. inattention
2. hyperactivity

Question 28

Anorexia nervosa

Answer 28

BMI <17
- food intake
- exercise
- psychological
- sociological impacts
- physical sx

Question 29

Bulimia nervosa

Answer 29

1x/wk for 6 months
1. binge episode
2. compensation methods

Question 30

ARFID

Answer 30

concern with properties/sensory/safety of food
1. significant weight loss
2. significant nutritional deficiency
3. dependence on supplemented nutrition

Question 31

OCD

Answer 31

presence of obsessions/compulsions

Question 32

Acute stress disorder

Answer 32

1 day –> 1 month

Question 33

Adjustment disorder

Answer 33

<6 months

Question 34

PTSD

Answer 34

> 1 month
1. intrusion
2. negative mood
3. dissociation
4. avoidance
5. arousal

Question 35

Vascular dementia

Answer 35

cerebrovascular event
sudden onset (may be gradual)
stepwise cognitive decline