Other

Question 1

What is somatisation disorder?

Answer 1

Physical symptoms for at least 2 years

Patients refuse to accept negative tests

Question 2

What tests should you do if you expect neuroleptic malignant syndrome?

Answer 2

CRP (has marked increase)

White blood cells

Question 3

What is the most serious manifestation of extrapyramidal symptoms on antipsychotics?

Answer 3

Tardive dyskinesia
It can be irreversible on withdrawing therapy.
Common movements include chewing and pouting of jaw.

Question 4

What’s the treatment for neuroleptic malignant?

Answer 4

Stop antipsychotic
Iv fluids to prevent renal failure
Dantrolene (muscle relaxant inhibits calcium release from sacroplastic reticulum)
Brimocriptine

Question 5

What’s a community treatment order?

Answer 5

Treatment in the community rather than hospital. Must be on a section 3 or 37. Certain conditions must be met eg where you take your meds. If these aren’t met they can be forced back to hospital.
It needs 6 monthly renewal.
Helps ‘revolving door patients’ stay out of hospital.

Question 6

What is fixation?

Answer 6

Child like fixation on something and inappropriate progression.

Question 7

What is dissociation?

Answer 7

Immature ego defence - modifies personality. Eg multiple personality syndrome

Question 8

What is sublimation?

Answer 8

Mature ego defence,

Question 9

What is reaction formation?

Answer 9

Unacceptable emotions are repressed and replaced by there exact opposite. Eg homosexual desires - publicly anti-homosexual.

Question 10

What is splitting?

Answer 10

Immature defence mechanism where cannot be good and bad, someone has to be all bad or all good.