Psych

Question 1

What is a conversion disorder?

Answer 1

Where patient gets neurological symptoms without any underlying neurological pathology alongside stress and anxiety

Question 2

What is a presentation of wet, wobbly and weird indicating and what would be seen on CT?

Answer 2

Normal pressure hydrocephalus
Enlarged ventricles and absent sulci

Question 3

What is firstline for paranoid schizophrenia?

Answer 3

Risperidone

Question 4

What is a schizoid personality disorder?

Answer 4

People tend to lack interest in others and prefer solitary activities

Question 5

What type of dementia is contraindicated in haloperidol use?

Answer 5

Dementia with Lewy body

Question 6

What is the firstline medication for panic disorder?

Answer 6

SSRI

Question 7

What is the mechanism of action of an atypical antipsychotic?

Answer 7

Dopamine receptor antagonism

Question 8

What section of the Mental Health Act 1983 can be used by a hospital doctor to detain patients for up to 72 hours when they are attempting to self discharge?

Answer 8

Section 5(2)

Question 9

What is cotard delusion?

Answer 9

Belief that one is dead

Question 10

What is fregoli delusion?

Answer 10

Belief that different people are one person who has a disguise or changes appearance

Question 11

What is ekboms delusion?

Answer 11

Patient feels as though they are infested with parasites

Question 12

What is capgras delusion?

Answer 12

Belief that oneself or another person has been replaced with a clone

Question 13

what psychiatric medication can cause neutropenia?

Answer 13

Clozapine

Question 14

What do you need to monitor with SNRI’s?

Answer 14

Blood pressure

Question 15

What low electrolyte can cause tingling in hands, feet and around lips?

Answer 15

Calcium

Question 16

What is the treatment for delirium tremens?

Answer 16

Benzodiazapines and supportive care

Question 17

What are the symptoms of neuromalignant syndrome and what test is seen as abnormal?

Answer 17

Sweating, fever, rigidity, confusion, fluctuating consciousness, fluctuating blood pressure and tachycardia
Raised creatinine kinase

Question 18

What medication causes blurred vision as a side effect?

Answer 18

Imipramine - tricyclic antidepressants

Question 19

What medication is given to a person in a manic episode with the idea of a bipolar disorder being diagnostic?

Answer 19

Quetiapine

Question 20

What is Russell sign?

Answer 20

Scarring of the knuckles from vomiting

Question 21

What act means police can move someone who is mentally unwell to a place of safety?

Answer 21

Section 136

Question 22

What is histrionic personality disorder?

Answer 22

Attention seeking behaviour

Question 23

What is alogia as a negative symptom of schizophrenia?

Answer 23

Taking longer to speak and using little words

Question 24

What is the medication given in treatment resistant schizophrenia?

Answer 24

Clozapine

Question 25

What is akathisia?

Answer 25

The feeling of inner restlessness and tension, the urge to constantly move parts of the body and be unable to maintain posture.

Question 26

What is picks disease?

Answer 26

Frontotemporal dementia

Question 27

What is bipolar 2 disorder?

Answer 27

Hypomania and depression alternating

Question 28

What is the most common and most serious complication of clozapine?

Answer 28

Constipation and agranulocytosis

Question 29

What is a common side effect of amitriptyline?

Answer 29

Urinary retention

Question 30

What medication can cause hypothyroidism?

Answer 30

Lithium

Question 31

What is the gold standard treatment for bipolar disorder?

Answer 31

Lithium

Question 32

How does haloperidol affect ECG?

Answer 32

Prolongation of QT

Question 33

What is the section that can last for 6 months and what are the criteria for the doctors applying?

Answer 33

Two doctors, one of which needs to be approved for section 12 (psychiatrist of GP with mental health special interest) Must have a diagnosis and clear treatment plan for the patients

Question 34

Low levels of which neurotransmitter are associated with anxiety development?

Answer 34

GABA