passmed 26/02

Question 1

SSRI and pregnancy

Answer 1

use during first trimester gives a small increased risk of congenital heart defects

third trimester - results in persistent pulmonary htn

paroxetine has an increased risk of congenital malformations

Question 2

schizoid personality

Answer 2

indifference to parise / criticism

Question 3

schizotypal

Answer 3

odd eccentric behaviour
magical thinking

Question 4

GAD diagnosis is made after?

Answer 4

6 months

Question 5

circumstantiality

Answer 5

inability to answer question without excessive, unnecessary detail

Question 6

word salad

Answer 6

incoherence real words strung together into nonsense sentences

Question 7

knight’s move
what condition do you see this in?

Answer 7

thinking is a severe type of loosening of associations, where there are unexpected and illogical leaps from one idea to another.

It is a feature of schizophrenia.

Question 8

lithium - when altering dose how should it be checked?

Answer 8

one week after dose change
then weekly until leve;s are stable

Question 9

lithium when should sample be taken for checking dose?

Answer 9

12 hours after taking

Question 10

thryoid and renal function checked how frequently in lithium patients?

Answer 10

6 months