Psych

Question 1

Algophobia

Answer 1

Fear or pain

Question 2

Acrophobia

Answer 2

Fear if heights

Question 3

Agoraphobia

Answer 3

Fear of being out in public

Question 4

Neuroleptic malignant syndrome

Answer 4

After using antipsychotics
Hyperthermia, hypertension, muscle rigidity, delirium

Question 5

Serotonin syndrome

Answer 5

After using excuses SSRI
Muscular twitching, agitation, headache, confusion, autonomic dysfunction

Question 6

Bulimia nervosa

Answer 6

Binge eating, loss of control, intense guilt
Drug or laxative abuse, regulate vomiting leads to pitted enamel

Question 7

Borderline personality disorder

Answer 7

Wild and dramatic behaviour, unpredictability, impulsivity,

Question 8

Schizotypal vs schizoid

Answer 8

Schizotypal: odd thoughts and awkwardness
Schizoid: cold, social exclusion

Question 9

Mx o f bipolar

Answer 9

Lithium

Question 10

The 3 clusters of personality disorders

Answer 10

A weird
B wild
C worried

Question 11

Malingering

Answer 11

Fabrication of physical symptoms

Question 12

conversion disorder

Answer 12

neurological deficits without a somatic cause
resolves by itself

Question 13

defence mechanism: identification

Answer 13

someone models behaviour of a more powerful version of themselves

Question 14

defence mechanism: splitting

Answer 14

unable to rationalise the good and bad parts of something. a thing must be all good or. all bad
found in BPD

Question 15

defence mechanism: dissociation

Answer 15

temporarily blocking out

Question 16

defence mechanism: reaction formation

Answer 16

unacceptable emotions are suppressed and then replaced by the opposite

Question 17

defence mechanism: sublimation

Answer 17

taking unwanted urges into a positive output

Question 18

med for PTSD

Answer 18

venlafaxine

Question 19

management of depression with a clear trigger

Answer 19

interpersonal therapy

Question 20

schizophrenia on PET scan

Answer 20

hypoactivity of prefrontal cortex
enlargement of volume of ventricles

Question 21

Regression is

Answer 21

an ego defence when we revert to immature behaviour in the setting of some stress.

Question 22

medication to help opioid dependance

Answer 22

methadone

Question 23

cotard delusion

Answer 23

they think they’re dead

Question 24

capgras

Answer 24

friend has been replaced by a clone

Question 25

SSRI of choice post MI

Answer 25

sertraline

Question 26

acute dystonia can be caused by...

Answer 26

typical antipychotics e.g. haloperidol

Question 27

Mx of acute dystonia

Answer 27

procyclidine

Question 28

difference between the tremors in chronic vs acute lithium overdose

Answer 28

fine tremor in chronic coarse tremor in acute

Question 29

which antipsychotic has the most tolerable side effect profile

Answer 29

aripiprazole

Question 30

differentiating between acute stress disorder and PTSD

Answer 30

acute stress disorder occurs in 4 weeks of the event PTSD is 4 weeks after

Question 31

clomipramine is ...

Answer 31

TCA

Question 32

what type of incontinence does TCA cause

Answer 32

overflow incontinence

Question 33

3 features of PTSD

Answer 33

re-experiencing avoidance hypervigilance

Question 34

PHQ 9 cut offs for more severe or less severe depression

Answer 34

16

Question 35

Tardive dyskinesia px

Answer 35

late onset choreoathetoid movements e.g. lip smacking, chewing, pouting of jaw chronic anti-psychotic use

Question 36

acute dystonia Px

Answer 36

muscle rigidity, oculogyric crisis (spasmodic movement of the eye up, lasts a few mins), torticollis (head rotated)

Question 37

akathisia Px

Answer 37

severe restlessness

Question 38

after starting an SSRI when should the pt be reviewed

Answer 38

after 1 week