Psych

Question 1

Confabulation

Answer 1

Making stuff up without conscious intention to deceive

Question 2

Tramadol + SSRI

Answer 2

Serotonin syndrome -
Cognitive - headache, confusion, hallucinations
Autonomic - shivering, sweating, vasoconstriction
Somatic - myoclonus, hyperreflexia, tremor

Question 3

Dementia of Alzheimers Type

Slow the decline

Answer 3

Cholinesterase inhibitors (e.g. Donezepil)

Question 4

Alzheimers

Mild MMSE

Answer 4

20-24

Question 5

Alzheimers

Moderate MMSE

Answer 5

13-20

Question 6

Alzheimers

Severe MMSE

Answer 6

<12

Question 7

Dementia with Lewy Bodies

Management

Answer 7

Benzodiazepines (behavioural disturbances)
Anticholinergics (Parkinsonisms)
Risperidone or Olanzapine for psychosis - DO NOT GIVE TYPICAL ANTIPSYCHOTICS

Question 8

Typical antipsychotics

Answer 8

Chlorpromazine, Haloperidol, Zuclopenthixol

Question 9

Typical antipsychotic

Side effects

Answer 9

EPSEs, elevated prolactin, neuroleptic malignant syndrome, prolonged QT, arrhythmias

Question 10

Chlorpromazine

S/E

Answer 10

Increases sun sensitivity

Question 11

Zuclopenthixol

Answer 11

Depot

Question 12

Atypical antipsychotics

Answer 12

Olanzapine, seroquel (quetiapine), risperidone, clozpine

Question 13

Atypical antipsychotics

Side effects

Answer 13

Fewer EPSEs, increased risk of CVA, metabolic side effects

Question 14

Olanzapine S/E

Answer 14

Weight gain

Diabetes

Question 15

Quetiapine (Seroquel) S/E

Answer 15

Sedative

EPSE

Question 16

Risperidone

S/E

Answer 16

Pain at injection site

Lactation

Question 17

Clozapine

S/E

Answer 17

Neutropaenia, agranulocytosis, myocarditis, diabetes, weight gain, HTN, hepatitis, piaprism
ONLY IN TREATMENT RESISTANT SCHIZOPHRENIA OR RECURRENT SUICIDAL IDEATION

Question 18

SSRI

Answer 18

Citalopram
Escitalopram
Fluoxetine
Sertraline

Question 19

SSRI

S/E

Answer 19

Headache, nausea, vomiting, sexual dysfunction

Question 20

Citalopram S/E

Answer 20

Prolonged QT

Question 21

Escitalopram

Answer 21

Used in PND

Question 22

SSNR

Answer 22

Venlafaxine

Question 23

TCA

Answer 23

Amitriptyline, clompiramine, mirtazapine

Question 24

TCA S/E

Answer 24

anti-SLUD, sedation, weight gain, orthostatic hypotention, sinus tachycardia, death in OD, prolonged QT, T wave inversion

Question 25

Mirtazapine

S/E

Answer 25

Increased appetite
Weight gain
Agranulocytosis

Question 26

Irreversible MAO inhibitors

S/E

Answer 26

Hard cheese effect - hypertensive crisis due to reaction with tyramine in cheese

Question 27

Lithium

S/E

Answer 27

Hypothyroidism, epigastric discomfort, weight gain, vertigo, tremor, acne, psoriasis, leukocytosis, polyuria, benign T wave changes, nephrotoxicity

Question 28

Parkinson’s Treatment

Answer 28

L-dopa and carbidopa
Dopamine agonists
Anti-cholinergics (Benztropine)