passmed Psych

Question 1

What are Schneider’s first rank symptoms?

Answer 1

1. Auditory hallucinations (2+ voices discussing them, thought echo, running commentary)
2. thought disorder (insertion, withdrawl, broadcasting)
3. delusional perceptions (normal stimulus leads to delusional insight e.g. delusions of reference)
4. passivity phenomena - bodily sensations being controlled/actions/impulses/feelngs are being imposed

Question 2

what are the negative symptoms of schizophrenia?

Answer 2

• blunted affect
• incongruity
• anhedoia
• alogia
• poor motivation

Question 3

What 3 features must be present for a diagnosis of autism to be made?

Answer 3

1. global impairment of language and communication
2. impairment of social relationships
3. ritualistic and compulsive behaviour

Question 4

what screening tool is most appropriate for detecting post-natal depression?

Answer 4

the Edinburgh postnatal depression scale

Question 5

how common is postnatal depression?

Answer 5

10% of women

Question 6

what medication can be prescribed for postnatal depression?

Answer 6

Certain SSRIs e.g. sertraline or paroxetine - they are secreted in breast milk but not thought to be harmful to the infant

Question 7

What are the most common side effect of SSRIs?

Answer 7

Gastrointestinal symptom

Question 8

What are SSRI discontinuation symptoms?

Answer 8

• mood swings
• restlessness
• sleeping difficulty
• unsteadiness
• sweating
• GI pain cramping diarrhoea vomiting paraesthesia

Question 9

Give the 4 main features of PTSD

Answer 9

1. re-experiencing (of the event, intrusive, repetitive)
2. avoidance (people, situations, places associated with event)
3. hyperarousal (hypervigilance, startle response, difficulty concentrating)
4. emotional numbing (feeling detached, lack of ability to experience feelings)

Question 10

What psychological treatment is available for PTSD?

Answer 10

trauma focused CBT

eye movement desensitisation and reporocessing (EMDR)