Psych

Question 1

Compulsory detention and treatment threaten which rights?

Answer 1

Liberty, dignity, physical integrity, respect for autonomy the justification of such erosion of freedom is prevention of harm to self or others

Question 2

A mental health disorder is:

Answer 2

Disease of the mind that affects mood thinking or behaviour

Question 3

Mental health act criteria

Answer 3

Disorder of mind
Puts self or others at risk
Can’t be managed at home

Question 4

Section 2?
How long?
Can you treat?
Who has to assess?

Answer 4

28 day assessment and treatment order
Can force treat except ect
2 docs one must know patient one must be section 12 approved
One AMHP who leads

Question 5

Proportion of population with schizophrenia

Answer 5

1%

Question 6

adverse effects most common in atypicals

Answer 6

weight gain

Question 7

clozipine the only anti-psychotic where…

Answer 7

you get no parkinsonian symptoms

Question 8

imiprimine

Answer 8

tricyclic antidepressent, side effects anticholinergic suc as dry mouth blurred vision

Question 9

first line treat for post traumatic stress disorder

Answer 9

eye movement desensitisation and reprocessing or CBT

Question 10

bulimia or anorexia more common?

Answer 10

bulimia is around twice as common as anorexia

Question 11

what has the highest morbidity and mortality of any psychiatric disorder?

Answer 11

Anorexia

Question 12

in Binge eating disorder do patients eat alone or with people?

Answer 12

Alone due to embarrassment and thoughts of being judged

Question 13

what proportion of children with adhd have outgrown it by adulthood

Answer 13

about a 3rd have outgrown the symptoms when they reach adulthood

Question 14

Incidence of ADHD

Answer 14

3-4%

Question 15

mild moderate severe and profound learning difficulties iq scores

Answer 15

70 50 35 20

Question 16

what is acamprosate?

Answer 16

first line drug used to help patients who have maintained abstinence from alcohol to keep going. can also use naltroxone first line but disulfram is only second line

Question 17

is disulfiram recommended by NICE

Answer 17

yes, it is second line for prevention

Question 18

delirium tremens is fatal in what proportion of people

Answer 18

5%

Question 19

wernickes triad in what proportion of WKS

Answer 19

10%

Question 20

alcohol considered safe per week

Answer 20

14 units a week with breaks

Question 21

what proportion of people with wernicke’s encephalopathy have the triad?

Answer 21

10%

Question 22

what is wernickes triad

Answer 22

confusion, opthalmoplegia and ataxia

Question 23

how do you treat wernickes?

Answer 23

IV thiamine and B vitamins

Question 24

tricyclic antidepressants can cause what eye condition?

Answer 24

anti-cholinergic affect of TCA can dilate the pupil causing closed angle glaucoma

Question 25

what is dissosiative amnesia defined as?

Answer 25

Dissociative amnesia is defined as retrograde amnesia in the absence of antegrade amnesia with a psychological cause. usually in response to a major event such as the loss of a partner, and ends suddenly within a few days.

Question 26

what is conversion disorder?

Answer 26

Conversion disorder is the presence of neurological symptoms without an organic cause. Symptoms can include paralysis, blindness, aphonia, deafness, gait problems, neck cramps and many others.

Question 27

do you usually have to seperate mum and baby in peurperal psychosis?

Answer 27

nope

Question 28

recovery after peurperal psychosis?

Answer 28

usually takes 1-3 months but 35% recurrence rate

Question 29

antiemetic in parkinsons?

Answer 29

Domperidone does not cross the blood brain barrier and so is the drug of choice (no extrapyramidal effect)