MISC

Question 1

Night terrors facts

Answer 1

First stage of sleep cycle. NREM sleep. Increased sympathetic outflow. No recall.

Question 2

UDS False Positive Cannabis

Answer 2

NSAIDS or PPI

Question 3

UDS False Positive Cocaine

Answer 3

Local anaesthetics

Question 4

UDS False Positive Benzos

Answer 4

Sertraline

Question 5

UK Suicide rates

Answer 5

1.2% all deaths. Annual rate 1/10000 in general population. 1/1000 in psychiatric population. If you have self-harmed, your suicide rate is 1 in 200.

Question 6

Schnieder’s first rank symptoms

Answer 6

Rule of 3s. 3 types of auditory hallucinations - commentary, thought echo, 3rd person arguing/discussing
3 types of thought disorder - insertion, withdrawal, broadcasting.
Delusional perception
Passivity phenomenon.

Question 7

DVLA Rules

Answer 7

Group 1:
Mild/moderate depression - nothing.
Dementia/LD/PD - decided on case by case basis. But must inform DVLA.
Severe depression/anxiety - inform DVLA and stop driving whilst waiting.
Acute psychosis/mania etc - inform DVLA, stop driving and may be able to drive after 3 months.
Group 2:
6 months for anxiety/depression
12 months for acute mania etc

Question 8

Zuclopenthixol decanoate is a

Answer 8

Depot

Question 9

Zuclopenthixol acetate is a

Answer 9

High dose of Zuclopenthixol (accuphase), to avoid multiple rapid tranqs.