PSR-02

Question 1

Depression
✔️ Mania
Schizophrenia
Dependence
Anxiety
Delirium
Dementia
Child psychiatry
Stress, Postpartum, Eating, Sexual
✔️ Psychopathology

What is the ICD-10 criteria to diagnose a manic episode

Answer 1

Symptoms for 1 week

Question 2

What are the 3 classes of drugs used in an “ACUTE MANIC EPISODE” ?

Answer 2

1. Antipsychotics
2. Mood Stabilizers
3. Benzodiazepenes

Question 3

Name two typical and two atypical antipsychotics

Answer 3

Typical
Haloperidol
Clopromazine

Atypical
Risperidone
Olanzapine

Question 4

Name 2 mood stabilizers used

Answer 4

Li

NA Valproate

Question 5

What is the therapeutic range of Li?

Answer 5

0.8 - 1.2 mmol/L

Question 6

Name 2 Benzodiazepens that can be used

Answer 6

Midazolam IV

Lorazepam oral

Question 7

Did you know!

Answer 7

ECT can be used in severe mania resistant to medication

Question 8

“Maintenance” Treatment. When Pt has 2 or more episodes (or 1 severe manic episode)

Name some mood stabilizers

Answer 8

Li, Na Valproate

Carbamazepine, Lamotrigine

Atypical antipsychotics

Question 9

What is the minimum duration of “MAINTENANCE THERAPY” ?

Answer 9

2 yrs

Question 10

Advice on discharge to prevent a “RELAPSE”

Answer 10

1. Educate Pt and Family about disease
2. Daily meds, come and visit if any side effects
3. Identify relapses early
4. Sleep, minimize alcohol and avoid stressors

Question 11

Discharge plan

Answer 11

1. Stop BDZ
2. Tail off Antipsychotics
3. Monitor Li levels weekly until maintenance level is achieved
4. Followup once a week at clinic until stabilized

Question 12

Psychopathology

25 yr old patients believes if he sees someone wearing a yellow colour dress, something bad is going to happen to him.

What is this delusion?

Answer 12

Delusion of Reference

Question 13

When asked a question from Pt “B”, he talks many things around the topic but eventually gives the answer to the question.

What is this psychopathology?

Answer 13

Circumstantial speech