Important

Question 1

Psychiatric symptoms associated with steroid use

Answer 1

Depressive illness

less commonly can also develop mania

Question 2

Psychiatric symptoms associated with Cushing’s syndrome

Answer 2

Depressive illness

MAY ALSO DEVELOP MANIA, UP TO A QUARTER OF PEOPLE DEVELOP THIS

Question 3

Psychiatric symptoms associated with Phaeochromocytoma

Answer 3

Anxiety disorder

Question 4

Frontal lobe syndrome may cause which psychiatric symptoms?

Answer 4

Irritability

Question 5

Endocrine disorder which might cause memory problems?

Answer 5

Hypothyroidism

Question 6

Which psychiatric illness is a risk factor for cardiac disease?

Answer 6

Depression

Question 7

Why might anorexia affect your heart?

Answer 7

Hypokalaemia can cause arrhythmias

Question 8

Type of drug which may very rarely cause mania

Answer 8

TCA

Question 9

Anti-muscarinic effects of TCA’s

Answer 9

Blurred vision
Urinary retention
Dry mouth
Constipation
Tremor

Question 10

Cardiovascular effects of TCA’s

Answer 10

Prolonged QT
Arrhythmias
Postural hypotension

Question 11

Other side effects of TCA’s

Answer 11

Weight gain
Sedation
Mania (rarely)

Question 12

Convulsant activity of TCA’s?

Answer 12

Lowers the threshold for seziures

Question 13

Symtpoms of serotonin syndrome

Answer 13

Hyperthermia is characteristic

Hypertension, tremor, agitation, diarrhoea, CONFUSION, TACHYCARDIA

Question 14

Adolescents may develop suicidal thoughts if prescribed this type of drug?

Answer 14

SSRI (only fluoxetine licensed for use in adolescents)

Question 15

Risk of bleeding with which type of drug?

Answer 15

SSRI (although they usually have other very obvious co-morbid features which make the bleeding likely, i.e taking loads of NSAIDs)