Management

Question 1

Highest incidence of anorexia?

Answer 1

15-19

Question 2

What mental disorder has the highest mortality rate?

Answer 2

Anorexia

Question 3

Risk assessment for anorexia?

Answer 3

MARSIPAN

Question 4

Anorexia in adults tend to look at their ______ for health

Answer 4

BMI

Question 5

What is Waterloo scale?

Answer 5

Pressure ulcer prevention for bed ridden patients

Question 6

Refeeding syndrome in anorexia

Answer 6

Potentially fatal metabolic response to too rapid re-feeding after a period of starvation
7-14 days after

Question 7

When does referring syndrome happen?

Answer 7

Body switches from carbohydrates to fats and protein as its energy source

Question 8

What happens cellularly to cause reseeding syndrome?

Answer 8

Intracellular minerals become depleted but serum levels may remain normal - referring stimulates insulin production which causes potassium/magnesium and phosphate to be taken into the cells whilst serum levels fall - rapid change in BMR contributes as well

Question 9

Supplement to avoid refeeding

Answer 9

Multivitamine - forceval

Thiamine

Question 10

CBT

Answer 10

Cognitive behavioural therapy

Question 11

Bulimia treat

Answer 11

CBT

Fluoxetine

Question 12

ICD definition of adult personality disorders

Answer 12

Individuals characteristic and enduring patterns of inner experience and behaviour deviate markedly as a whole from the culturally expected and accepted range

Question 13

Personality disorders need to be ________

Answer 13

Pervasive - present across time, maladaptive or dysfunctional

Question 14

Anankastic definition

Answer 14

Arising from compulsion especially in an obsessive or compulsive neurosis

Question 15

Traits vs an actual disorder

Answer 15

It is only a disorder if it is:
Pervasive
Causes distress
Causes impairment of functioning in most areas

Question 16

How do you diagnose a personality disorder?

Answer 16

Clinical

Question 17

Rating scale for borderline personality disorder

Answer 17

ZANBPD

Question 18

What % of personality disorders have genetic heritability?

Answer 18

60%

Question 19

Anxious personality genetic

Answer 19

69%

Question 20

What proportion of people in general population have a personality ‘disorder’?

Answer 20

10.6%

Question 21

1/_ psychiatric outpatients have a personality disorder

Answer 21

3

Question 22

Cluster A personality disorders AKA

Answer 22

Odd and eccentric

Question 23

What makes up cluster A personality disorders

Answer 23

Paranoid, Schizoid

Question 24

Paranoid PD features

Answer 24

Excessive sensitivity to setbacks
Tendency to bear grudges
Suspiciousness and tendency to misconstrue the neutral/friendly actions of others as hostile
Suspiciousness regarding sexual infidelity of partner
Persistent self-referential attitude, excessive self-important

Question 25

Schizoid disorder features

Answer 25

Few activities provide pleasure Emotional coldness, detachment, or flattened affectivity Limited capacity to express warm feelings for others Solitary activities Fantasy No close friends Insesntivity to social normas/conventions

Question 26

Schizoid PD has overlap with

Answer 26

Autism

Question 27

Schizotypal PD

Answer 27

``` Delusions Odd beliefs or magical thinking Unusual perceptual experiences Odd thinking and speech Suspiciousness or paranoid Odd behaviour Lack of close friends Social anxiety ```

Question 28

Example of someone with Schizotypal PD

Answer 28

Willy Wonka

Question 29

Cluster B PD

Answer 29

Dramatic and emotional

Question 30

Types of cluster B

Answer 30

Dissocial Anti-social Narcissism

Question 31

Dissocial PD needs

Answer 31

``` Callous unconcern for feelings of others Irresponsible and disregard for social norms/rules/obligations No guilt No relationships Low tolerance for frustration ```

Question 32

Dissocial person example

Answer 32

Grinch

Question 33

2 factors of psychopathy

Answer 33

Interpersonal/affective | Social deviation

Question 34

2 parts of interpersonal psychopathy

Answer 34

1. interpersonal (superficial charm, pathological lying, manipulative) 2. affective (lack of remorse or guilt, lack of empathy, failure to accept responsibility)

Question 35

2 parts of social deviance of psychopathy

Answer 35

1. lifestyle (need for stimulation, prone to boredom, parasitic lifestyle, lack of realistic long term goals, irresponsible/impulsive) 2. antisocial (poor behavioural controls, juvenile delinquency, criminal versatility)

Question 36

Emotionally unstable PD - impulsive features

Answer 36

Tendency to act unexpectedly, without consideration of consequences Liability to outbursts of anger or violence Unstable mood Difficulty in maintaining any course of action that offers no immediate reward

Question 37

Borderline PD features

Answer 37

``` 2+ of: Disturbances in and uncertainty about self-image aims and internal preferences (including sexual) Intense and unstable relationships Emotional crises Efforts to avoid abandonment Threats or acts of self-harm Emptiness ```

Question 38

Borderline personality disorder are like people with third degree burns over 90% of their bodies. What does this mean?

Answer 38

Lack emotional skin, they feel agony at the slightest touch or movement

Question 39

Histrionic PD features

Answer 39

Excessive attention-seeking behaviours Shallow Continually seeks excitement and activities in which the subject is the centre of attention Inappropriately seductive Overly concerned with physical attractiveness

Question 40

Example of someone with histrionic PD

Answer 40

Regina George

Question 41

Nacissistic personality disorder personality traits

Answer 41

``` Fixation with fantasies of infinite success, control, brilliance, beauty, or idyllic love Desire for unwarranted admiration Sense of entitlement No form of empathy Resentment of others Egotistical ```

Question 42

Example of someone with narcissistic PD

Answer 42

Walter white

Question 43

Cluster C personality disorders

Answer 43

Anxious and avoidant

Question 44

Anankastic PD features

Answer 44

OCD like Perfectionism Excessive doubt and caution Preoccupation with details, rules, lists, order, organization or schedule Stubbornnes Unreasonable insistence that others submit to exactly his or her way of doing things

Question 45

Anankastic PD person example

Answer 45

Monica Gellar

Question 46

Anxious PD features

Answer 46

Persistent pervasive feelings of tension/apprehension Belief that oneself is socially inept/inferior to others Unwillingness to get involved with people unless certain of being liked Restrictions in lifestyle because of need of security

Question 47

Dependent PD

Answer 47

Encouraging or allowing others to make most of one's important life decisions Unwillingness to make even reasonable demands on the people one depends on

Question 48

2 cluster A, B, and C PDs

Answer 48

A: schizoid, paranoid B: histrionic, dissocia C: anankastic, avoidant

Question 49

Do you treat a PD pharmacologically?

Answer 49

NO - will not cure and could be harmful

Question 50

Use of antipsychotic drugs in PD?

Answer 50

Can reduce suspiciousness of the three cluster A

Question 51

Examples of antipsychotic drugs

Answer 51

Olanzapine, haloperidol

Question 52

Antidepressants in PD?

Answer 52

Cluster B - mood and emotional difficulties | Cluster C - anxiety disorders

Question 53

Examples of mood stabilizers

Answer 53

Lamotrigine

Question 54

Treat difficulties with impulse control

Answer 54

SSRI

Question 55

Affective dysregulation treat

Answer 55

SSRI

Question 56

Cognitive perceptual symptoms

Answer 56

Low dose antipsychotic

Question 57

What is SSRI?

Answer 57

Serotonin reuptake inhibitor | Antidepressant

Question 58

Goal of dialectical behavioural therapy ?

Answer 58

Learning to accept and regulate emotions

Question 59

What is STEPPS?

Answer 59

Systems training for emotional predictability of problem solving CBT based skills training programme focussed on stabilization