Mental Health

Question 1

Depression Risk Factors

Answer 1

Personality (pessimistic), Traumatic events, Family Hx, Alcohol/Drug abuse, Chronic illness

Question 2

Depression Presentation

Answer 2

Sad/Empty, Anxious, Guilt, Irritable, Anger, Insomnia/Excess sleeping, Fatigue, Digestive problems

Question 3

Depression Investigations

Answer 3

Clinical, Metabolic panel, FBC, TFT, 24 hour cortisol, B12/Folate

Question 4

Medical Treatment for Depression

Answer 4

SSRIs, TCAs

Question 5

Anxiety Presentation

Answer 5

Restlessness, Poor concentration, Insomnia, Dry mouth, Sweating, Nausea, Headache, SOB

Question 6

Anxiety Investigations

Answer 6

Clinical, TFT, 24 hour urine, Pulmonary function testing

Question 7

What percentage of alcohol dependence is genetically determined?

Answer 7

50-60% (40-50% = environmental)

Question 8

Alcohol Dependence Risk Factors

Answer 8

Binge drinking, Mental health issues, Low self-esteem, Stress

Question 9

Alcohol Dependence Presentation

Answer 9

Increased tolerance, Dependence, Blackouts, Loss of appetite, Flushed, Lethargy, Blurred vision (many)

Question 10

Alcohol Dependence Investigations

Answer 10

FBC, Clotting, Renal tests, LFTs, Fasting glucose

Question 11

Why do you check for fasting glucose in Alcohol Dependence?

Answer 11

Chronic pancreatitis can lead to diabetes

Question 12

What is the best diagnostic indicator for Alcohol Dependence?

Answer 12

Gamma-GT

Question 13

Medical Treatment for Alcohol Dependence?

Answer 13

Acamprosate, Disulfiram, Naltrexona, Benzodiazepines

Question 14

Self-Harm Risk Factors

Answer 14

Psychiatric disorder, Domestic violence, Eating disorder

Question 15

What is Somatisation?

Answer 15

Manifestation of psychological distress by presentation of bodily symptoms

Question 16

Somatisation is a diagnosis of…?

Answer 16

Exclusion