Psych

Question 1

What to ask about in a suicide attempt?

Answer 1

Before - during - after 
Suicide note?
Efforts not to be found?
Did they seek help?
Did they make plans before like a will?
What did they think was going to happen?

Question 2

What tests need to be done during lithium taking?

Answer 2

FBC, U+E, TFT, ECG, PT
Check lithium after 5 days then every week til stable for 4 weeks, then every 3 months
Check TFT, U+E, Ca every 6 months

Question 3

What is in an AMTS?

Answer 3

1) Age
2) Time
3) 42 West St
4) Year
5) Place
6) 2 people
7) WW1
8) Monarch
9) 20-1
10) Address recall

Question 4

What do you ask in a dementia history?

Answer 4

ABCDDD FPP + DR SONEC 
As - amnesia, aphasia, aproxia, agnosia 
Behaviour 
Cooking, cleaning, washing, dressing 
Delirium 
Disorientation 
Depression 

Falls
Parkinson symptoms
Psych symptoms

Question 5

Clozapine blood tests

Answer 5

FBC, kidney + liver screen
FBC on day 1, 3 + then weekly for 18 weeks
2 weekly for 1 year
Then monthly

Question 6

SE of clozapine

Answer 6

GI - constipation
Heart - cardiomyopathy, prolonged QT 
Drooling 
EPSEs - shaking, rigidity 
Weight gain, sedation
Agranulocytosis

Question 7

How common is agranulocytosis?

Answer 7

1%

Question 8

What advice to give with clozapine?

Answer 8

Take at bedtime
Avoid alcohol
Keep caffeine + smoking the same

Question 9

How common is dementia + each type?

Answer 9

1 in 5 people >80
Alzheimers = 6 in 10
Vascular = 1 in 20
DLB = 2 in 10

Question 10

How common is delirium in hospital?

Answer 10

Affects 25% of elderly people in hospital