Psych

Question 1

Delirium tremens presentation

Answer 1

Coarse tremor
Confusion
Delusions
Auditory and visual hallucinations
Fever
Tachycardia

Question 2

Short term side effects of ECT

Answer 2

Headache
Nausea
Short term memory impairment
Memory loss of events prior to ECT
Cardiac arrhythmias

Question 3

De Clerambault’s syndrome

Answer 3

Paranoid delusion where a patient believes that a famous person is in love with them

Question 4

Acute dystonia

Answer 4

Sustained muscle contraction e.g. torticollis, oculogyric crisis

Question 5

Acute dystonia management

Answer 5

Procyclidine 5-10 mg

Question 6

Othello syndrome

Answer 6

Delusional jealousy, usually believing their partner is unfaithful

Question 7

Schizoid personality disorder characteristics

Answer 7

Indifference to praise or criticism
Preference for solitary activities
Lack of interest in sexual interactions
Lack of desire for companionship
Emotional coldness
Few interests
Few friends other than family

Question 8

Schizotypal personality disorder traits

Answer 8

ideas of reference
Odd beliefs and magical thinking
Usual perceptual disturbances
Paranoid ideation and suspiciousness
Odd, eccentric behaviour
Lack of close friends
Inappropriate affect
Odd speech without being incoherent

Question 9

Alcohol withdrawal timeline

Answer 9

symptoms 6-12 hours
Seizures 36 hours
Delirium tremens 72 hours

Question 10

Clang associations

Answer 10

Ideas are related to each other only by the fact they sounds similar or rhyme

Question 11

When should lithium levels be checked

Answer 11

12 hours after last dose

Question 12

Knights move

Answer 12

illogical leaps from one idea to another

Question 13

SSRI Discontinuation symptoms

Answer 13

increased mood changes
Restlessness
Difficulty sleeping
Unsteadiness
Sweating
GI - pain, cramping, diarrhoea, vomiting
Paraesthesia

Question 14

Medication used in moderate/severe tardive dyskinesia

Answer 14

Tetrabenazine