Psych

Question 1

1st order symptoms of Schizophrenia

Answer 1

Thought disorder
Auditory hallucinations
Passivity
Delusions

Question 2

Legislation that allows physical care

Answer 2

Adults with Incapacity, Section 47

Question 3

Patient unable to manage welfare/finances, what legislation?

Answer 3

Guardianship under Adults with Incapacity

Question 4

How long does the Short Term cert last, who has to be present?

Answer 4

28 days
Psychiatrist
Mental Health Officer

Question 5

How long does the Emergency detention cert last, who has to be there?

Answer 5

3 days
Registered doctor; GP, FY2
Mental Health Officer

Question 6

What is the Mental Health Act criteria?

Answer 6

mental disorder, treatment available, reduced decision making ability, risk to themselves/others, no alternative

Question 7

Medication for Alcohol detox

Answer 7

Chlordiazepoxide

Question 8

Medication for alcohol relapses

Answer 8

naltrexone

Question 9

medication that doesn’t allow alcohol consumption

Answer 9

Disulfiram (antabuse)

Question 10

medication to reduce alcohol cravings

Answer 10

acamprosate

Question 11

medication to detox from opiates

Answer 11

lofexidine

Question 12

medication to replace opiates

Answer 12

methadone/buprenorphine

Question 13

when do symptoms from alcohol withdrawal begin?

Answer 13

6-12h

Question 14

best treatment for catatonia

Answer 14

Lorazepam

Question 15

postive schizophrenic symptoms

Answer 15

same as 1st rank TAPD

Question 16

negative schizophrenic symptoms

Answer 16

apathy, lack of volition, decreased cognition

Question 17

Treatment of schizophrenia; typical and atypical

Answer 17

typical: haloperidol, chlorpromazine
atypical: the pines

Question 18

1st line, 2nd line and continuous treatment of GAD

Answer 18

1st- SSRI, 2nd- SNRIs. continuous CBT

Question 19

IQs for learning disabilities

Answer 19

Mild 50-69
Moderate 35-49
Severe 20-34
Profound >20

Question 20

Describe paranoid PD

Answer 20

suspicious of others/objects

Question 21

What are Cluster A PDs

Answer 21

eccentric: paranoid, schizotypal, schizoeffective

Question 22

Cluster B PDs

Answer 22

Narcissistic, BDL, histrionic

Question 23

Cluster C PDs

Answer 23

OCD, Avoidant, Dependant

Question 24

Method of action: Typical Anti-Psychotics

Give an example

Answer 24

Block D2

Haloperidol and Chlorpromazine

Question 25

Method of action: Atypical Anti-Psychotics

Give an example

Answer 25

Block D2 and 5-HT2A

The ‘pines’

Question 26

Adverse effects: Typical Anti-Psychotics

Answer 26

EPSE, neuroleptic malignant syndrome and drowsiness

Question 27

Adverse effects: Atypical Anti-Psychotic

Answer 27

hyperprolactiaemia, agranulocytosis

Question 28

best anti-depressant in pregnancy

Answer 28

sertraline

Question 29

best mood stabliser/anti-epileptic in pregnancy

Answer 29

lamotrigine

Question 30

why can you not give lithium in pregnancy

Answer 30

its toxic and can cause Ebstein phenomenon