OCD

Question 1

Obsessions

Answer 1

recurrent and persistent thoughts, urges or images experienced as intrusive and unwanted cause anxiety

Question 2

compulsions

Answer 2

repetitive behaviors or mental acts in response to an obsession or according to rules that must be applied rigidly
they temporarily relieve the stress

Question 3

pathogenesis of OCD

Answer 3

CSTC loops impaired control of inhibition

overactivity of PFC and direct pathway

Question 4

screening questions for OCD

Answer 4

do you wash or clean a lot

do you check things a lot

is there any thought that keeps bothering you that you would like to get rid of but can’t

do your daily activities take long to finish

are you concerned about the orderliness or symmetry

Question 5

co-morbidities where its important to screen for OCD

Answer 5

mood disorders
anxiety disorders
substance use disorders
ADHD

Question 6

gold standard measure response to therapy

Answer 6

Yale brown obsessive compulsive scale- measures severity of the OCD

Question 7

management of OCD

Answer 7

SSRI- fluoxetine/ citalopram

Question 8

Non therapeutic management

Answer 8

Cognitive behavioral therapy

exposure and response prevention

Question 9

Deep brain stimulation

Answer 9

using a brain pacemaker which sends electrical impulses through implanted electrodes to specific targets in brain called brain nuclei

Question 10

OCD related disorders

Answer 10

Body dysmorphic disorder
Hoarding disorder
Trichotillomania (hair-pulling)
Excoriation (skin-picking