psych

Question 1

SE of clomipramine

Answer 1

TCA: dry mouth and weight gain

Question 2

What can long term atypical antipsychotics cause

Answer 2

polyuria + polydipsia due to glucose dysregulation and diabetes

Question 3

A 45-year-old female complains of lower back pain, constipation, headaches, low mood, and difficulty concentrating.

Her presentation is likely due to which of the following medications?

Answer 3

lithium: can result in hyperparathyroidism

Question 4

somatic symptoms of depression

Answer 4

Loss of emotional reactivity
Diurnal mood variation
Anhedonia
Early morning waking
Psychomotor agitation or retardation
Loss of appetite and weight
Loss of libido

Question 5

PTSD: unsuccessful CBT/EMDR

Answer 5

venlafaxine or SSRI

Question 6

NEM syndrome treatment

Answer 6

dantrolene and IV fluids

Question 7

NEM bloods

Answer 7

Raised CK, WCC, Potassium
Low calcium

Question 8

what precipitates lithium toxicity

Answer 8

dehydration
renal failure
drugs: diuretics (especially thiazides), ACE inhibitors/angiotensin II receptor blockers, NSAIDs and metronidazole.