Psych- Alcoholism, eating disorders and other conditions

Question 1

What is the key difference between pseudohallucinations and true hallucinations?

Answer 1

Patients with pseudohallucinations understand that that they are seeing isn’t real.

Question 2

Abnormal grief reactions are usually present for how long after bereavement?

Answer 2

> 6 months

Question 3

Can pseudohallucinations form part of the normal grieving process?

Answer 3

Yes

Question 4

What psychological features can be seen in post-concussion syndrome?

Answer 4

Anxiety

Depression

Question 5

What are the indications for ECT?

Answer 5

Treatment resistant severe depression

Manic episodes

An episode of moderate depression know to respond to ECT in the past

Life threatening catatonia

Question 6

Which antipsychotic is best to avoid galactorrhoea?

Answer 6

Arirpiprazole

Question 7

What are the key PHYSIOLOGICAL abnormalities in anorexia?

most things are LOW, Gs and Cs raised

Answer 7

1. LOW FSH and LH
2. Hypokalaemia
3. Low T3
4. Impaired glucose tolerance
5. Raised growth hormone
6. Raised cortisol
7. Hypercholesterolaemia
8. Hypercarotinaemia

Question 8

________ _________ can present as:
Chewing
Jaw pouting
Excessive blinking

Answer 8

Tardive dyskinesia

Question 9

How might smoking cessation affect clozapine blood levels?

Answer 9

Smoking cessation causes an increase in clozapine blood levels.

Question 10

1 unit of alcohol is equivalent to how many ml or g of alcohol?

Answer 10

10ml
8g
of pure alcohol

Question 11

Give examples of simple alcohol withdrawal symptoms.

Answer 11

Shaking
Nausea
Malaise
Autonomic hyperactivity
Visual hallucinations

Question 12

What are the 2 main features of delirium tremens?

Answer 12

1. Global confusion
2. Autonomic hyperactivity

These can progress to cardiovascular collapse

Question 13

How long after stopping drinking can delirium tremens occur?

Answer 13

Usually around 3 days into withdrawal

Question 14

What % of alcohol withdrawal patients develop delirium tremens?

Answer 14

5%

Question 15

Which Benzodiazepines can be used for sedation in alcohol detox?

Answer 15

Diazepam
Chlordiazepoxide

Lorazepam for delirium tremens

Question 16

Which acts can be used to restrain in patients with alcohol misuse?

Answer 16

1. Mental health act- only if hallucinating/ 1st episode psychosis
2. Mental capacity act- if lacking capacity

Question 17

__________ __________ involves neurological symptoms caused by biochemical lesions of the CNS due to thiamine deficiency

Answer 17

Wernicke’s encephalopathy

Question 18

_________ _________ is an amnesic disorder caused by thiamine deficiency, associated with prolonged ingestion of alcohol.

Answer 18

Korsakoff’s psychosis

Question 19

What are the features of Korsakoff’s psychosis?

Answer 19

Retrograde and anterograde amnesia
Confabulation
Apathy
Lack of insight
Minimal content in conversation

Question 20

________ is used for alcohol abstinence and works as an aldehyde dehydrogenase inhibitor.

Answer 20

Disulfiram

Question 21

________ is used for alcohol abstinence and works as a GABA analog to reduce cravings.

Answer 21

Acamprosate