Psych

Question 1

methadone

Answer 1

opioid dependence substitute therapy

Question 2

lefoxidine

Answer 2

alpha adrergic agonist used for symptomatic relief of opioid withdrawal

Question 3

diazepam

Answer 3

1. symptom relief of opioid withdrawal

Question 4

naltrexone

Answer 4

abstinence maintenue for opioid dependence

Question 5

benzo overdoes

Answer 5

flumenazil

Question 6

Zopiclone

Answer 6

hypnotic agent used to treat insomnia.

Question 7

Bicarbonates

Answer 7

prevent cardiovascular complications as a result of tricyclic antidepressants overdose.

Question 8

what part of the brain is affected in Korsakoff’s amnesia

Answer 8

mamillary bodies

Question 9

Section 2

Answer 9

compulsory detention for assessment, when the exact diagnosis and response to treatment are unknown.

Its duration is 28 days. Must be agreed by 2 doctors (one section 12 approved).

Question 10

Section 3

Answer 10

compulsory detention for treatment when the diagnosis is already known.

Its duration is 6 months.
Must be agreed by 2 doctors (one section 12 approved).

Question 11

Section 4

Answer 11

emergency admission to hospital when there is not enough time to organize a section 2.

Its duration is 72 hours and there is no right of appeal against it. It can be arranged by one doctor.

Question 12

Section 5(2)

where can the patient be?

Answer 12

doctor’s holding power for detention of a hospital inpatient (under any specialty) by the doctor responsible for their care.

Its duration is 72 hours (long enough to arrange a section 2

Question 13

Section 5(4)

Answer 13

nurse’s holding power, allows detention of informal psychiatry inpatients by nurses if there is no doctor available.

It lasts 6 hours, allowing time for a more permanent section to be administered.

Question 14

Section 35

Answer 14

produce medical report on the psychiatric illness of the offender – duration is 28 days

Question 15

Section 36

Answer 15

allows treatment of the patient – duration is also 28 days, but requires 2 doctors to agree on it.

Question 16

Section 37

Answer 16

detention and treatment of a patient already convicted of an imprisonable offence – also requires 2 doctors’ agreement and lasts 6 months.

Question 17

section 35-37

Answer 17

requested by a court on advice of a section 12-approved doctor when a patient has been charged with an offence that may lead to imprisonment.

Question 18

Section 17

Answer 18

allows for set periods of leave (with a responsible adult) to be granted by the responsible medical officer.

Question 19

treatment of acute dystonia

Answer 19

procyclidine (anti-cholinergic)

Question 20

treatment of akathisia

Answer 20

decrease/change antipsychotic dose
benzo or propanolol

Question 21

treatment of tardive dsykinesia

Answer 21

stop antipsychotic or reduce dose (although symptoms may worsen initially)

avoid anticholinergics as often worsen the problem

switch to an atypical or clozapine

often irreversible

Question 22

which side effect of antipsychotics is irreversible

Answer 22

tardive dyskinesia