Mental Health

Question 1

What is a side fx of Zopiclone (given to help sleepzzz)?

Answer 1

Increase risk of falls

Question 2

What should you do if pt missed 2 doses (48 hours) of Clozapine?

Answer 2

Start again and titrate dose up slowly

Question 3

What is a side fx of Clozapine?

Answer 3

Constipation (C & C)

Question 4

What is a side fx of Clozapine?

Answer 4

Constipation (C & C)

Question 5

What is a side fx of Mirtazapine?

Answer 5

Increase appetite
(mmm food, Ms Mirza makes nice food)

Question 6

How can you differentiate between Mani and Hypomania? (2 things)

Answer 6

1. Mania has acc psychotic CF (like grandiose n stuff)
2. Hypomania only lasts 7-10 days

Question 7

What can be a Psychosis CF for Mania that’s related to speech?

Answer 7

Word salad

Question 8

What antipsychotic type is commonly assoc w Extrapyramidal side fx?

Answer 8

Typical antipsychotics

Question 9

What are examples of Typical antipsychotics? (2 things)

Answer 9

1. Haloperidol
2. Chlorpromazine

Question 10

What are the Extrapyramidal side fx that are assoc w Typical antipsychotics? (4 things)

Answer 10

1. Parkinsonism (aka restless tremor)
2. Acute dystonia (contractions / oculogyric crisis)
3. Akathisia (restlessness)
4. Tardive dyskinesia (chewing + pouting of jaw

Question 11

How can you manage Acute dystonia (e.g oculogyric crisis) caused by Typical antipsychotics?

Answer 11

Procyclidine

Question 12

How can you manage Tardive dyskinesia (e.g jaw pouting / sticking tongue out) caused by Typical antipsychotics?

Answer 12

Tetrabenzine

(T for T)

Question 13

How can you manage Tardive dyskinesia (e.g jaw pouting / sticking tongue out) caused by Typical antipsychotics?

Answer 13

Tetrabenzine

(T for T)

Question 14

How can you manage Akathisa (aka restlessness) caused by Typical antipsychotics?

Answer 14

Propranolol

Question 15

What side fx are more common with Atypical antipsychotics?

Answer 15

Metabolic side fx

Question 16

What are examples of Atypical antipsychotics? (3 things)

Answer 16

1. Clozapine
2. Olanzapine
3. Risperidone

Question 17

What Thought disorder is it when pts speech all rhymes like (Sir Bur whirrs)?

Answer 17

Clang associations
(he wants to rap to be part of the clang)

Question 18

What is the Dx when a pt has unexplained loss of motor / sensory function and they are stressed?

Answer 18

Conversion disorder

Question 19

What meds should be avoided in pt taking SSRIs? Why?

Answer 19

Triptans (e.g sumatriptan)
Risk of serotonin syndrome

Question 20

What are indicators for poor prognosis in Schizophrenia? (2 things)

Answer 20

1. Prodromal phase of social withdrawal
2. Low IQ

Question 21

What are the criteria for reviewing a pt starting a SSRI?

Answer 21

If under 25 yrs / risk of suicide = review after 1 wk

Question 22

How can you differentiate between Depression and Dementia (when both can present with memory loss)?

Answer 22

Depression is faster onset

Question 23

How can you differentiate between Depression and Dementia from the way pt answeres qs?

Answer 23

• Depression: will say idk
• Alzheimers: will try best to answer q

Question 24

What level of impairment does each MMSE score give you?

Answer 24

24-30 = No cogn imp
18-23 = mild cogn imp
0-17 = severe cogn imp
(so in uni aka 18-23 you had mild cogn impairment lol)

Question 25

What CF can you get if you stop SSRIs (aka SSRI Discontinuation syndrome)? (3 things)

Answer 25

1. Dizziness
2. Anxiety
3. Electric shock sensation

Question 26

What is Wernickes Encephalopathy?

Answer 26

Brain disorder from lack of vit B1

Question 27

What is Wernickes Encephalopathy caused by?

Answer 27

Caused by alcohol abuse

Question 28

What are the CF of Wernickes Encephalopathy? (3 things)

Answer 28

1. Nystagmus
2. Ophthalmoplegia
3. Confabulation

Question 29

What is the complication if Wernickes Encephalopathy is left untreated?

Answer 29

Korsakoff syndrome

Question 30

What are the CF of Korsakoff syndrome? (3 things)

Answer 30

1. Amnesia (anterograde + retrograde)
2. Confabulation (making up false memorise, like Widad lol)