Psych

Question 1

CAGE

Answer 1

Cut Down
Annoyed
Guilty
Eye-opener

Question 2

When should you alcohol detox as an inpatient?

Answer 2

Risk of suicide
No social support
Hx of severe withdrawal reactions

Question 3

DSM IV Criteria for alcohol dependence

Answer 3

Tolerance
Withdrawal
More intake than intended
Loads of time used on alcohol/recovering
Missing activities
Continuing drinking despite knowing its causing psychological/physical problems

Question 4

How to work out alcohol units

Answer 4

% = number of units in one litre

e.g 750ml bottle of wine is 13% = roughly 10 units

Question 5

Aspects of MMSE

Answer 5

Orientation (place, time)
Registration ( 3 things)
Attention and Calculation (WORLD)
Recall (3 earlier)
Language (2 things, no ifs, paper, close eyes, write sentence, copy shape)

Question 6

Conventional vs atypical antipsychotics

Answer 6

Atypicals have less risk of extrapyramidal side effects i.e less unwanted

Question 7

Pros and cons of atypical antipsychotics

Answer 7

Less pyramidal SE (e.g unwanted movement)
but
weight gain (olanzapine esp, agraunocytosis clozapine)
Risk of VTE/stroke in elderly clozapine

Question 8

Section 2

Answer 8

Assess up to 28d
Not renewable
AMHP/NR+2 docs

Question 9

Section 3

Answer 9

Tx up to 6m
Can renew
AMHP+2 docs who both saw pt

Question 10

Section 4

Answer 10

72h assessment
in emergency
GP + AMHP/NR
often changed to 2 when reach hospital

Question 11

Section 5(2)

Answer 11

Voluntary pt detained by doc for 72h

Question 12

Section 17a

Answer 12

supervised community tx

Question 13

Section 135

Answer 13

Police can break in and remove you

Question 14

Section 136

Answer 14

Police can take you from public place

Question 15

MMSE cut-offs

Answer 15

24-30 fine
18-23 mild
10-17 moderate

Question 16

First Rank Symptoms of Schizophrenia

Answer 16

Delusions
Auditory hallucinations 
Thought withdrawal/insertion/interruption 
Broadcasting
Somatic hallucinations