psych

Question 1

electrolyte disturbance in panic attacks

Answer 1

hypocalcaemia
hyperventilation -> increased blood pH + increased Ca binding to aluminium

Question 2

IQ of learning disabilities

Answer 2

50-69 - mild
35-49 - moderate
20-34 - severe
>20 - profound

Question 3

common chemical change in antipsychotics

Answer 3

hyperprolactinemia

Question 4

anterograde vs retrograde amnesia

Answer 4

antrograde - cant remember new things
retrograde - forget things before injury

Question 5

antidepressant contraindicated on warfarin

Answer 5

SSRIs

Question 6

pharmaceutical treatment of OCD

Answer 6

SSRIs - fluoxetine
clomipramine

Question 7

blood chemical imbalance seen on SSRIs

Answer 7

hyponatremia

Question 8

antidepressant class that can cause sedation

Answer 8

tricyclics

Question 9

SCOFF questionnaire

Answer 9

S- ick (self induced) when you are full
C- ontrol what you eat
O- ne stone down in 3 months
F- at when others say you are thin
F- ood dominates your life

Question 10

SSRIs used in breastfeeding

Answer 10

sertraline
paroxetine

Question 11

antipsychotic with least risk of hyperprolactinemia

Answer 11

aripiprazole

Question 12

SSRI used in social phobia

Answer 12

paroxetine

Question 13

brain structural abnormalities in schizophrenia

Answer 13

enlarged ventricles
smaller hippocampus + frontal lobe

Question 14

raised chemicals in anorexia blood results

Answer 14

cholesterol
cortisol
growth hormone

(Cs and Gs)

Question 15

antipsychotic used in breastfeeding

Answer 15

olanzapine

Question 16

side effects of done vs meme (alzhiemers)

Answer 16

done - diarrhoea
meme - constipation

Question 17

investigation to be done before starting citalopram

Answer 17

ECG - causes QT prolongation