Psych difficult topics

Question 1

symptom of hypomania in primary care ?

Answer 1

routine referral to CMHT

Question 2

anorexia what is raised?

Answer 2

growth hormone
glucose
salivary glands

cortisol
cholesterol
carotinaemia

Question 3

SSRI in third trimester

Answer 3

persistent pulmonary htn

Question 4

treating OCD - medication

Answer 4

SNRI /SSRI

but higher dose and 12 weeks to respond

Question 5

serotonin syndrome
features?

Answer 5

mydriasis - pupillary dilation
muscle rigidity
fever
seziure
diarrhoea
neuro sign like clonus / hyperreflexia

Question 6

SSRI discontinuation?

Answer 6

increased appetite
restlessness
difficulty sleeping
sweating
GI
paraesthesia

Question 7

suicide risk factors

Answer 7

male gender
35-49
mental illness
chronic pain
alcohol misuse
loss of a job
debt
bereavement
divorce
imprisonment

Question 8

metabolic side effects of antipsychotics

Answer 8

dysglycaemia
diabets
dyslipidaemia

Question 9

alcohol withdrawal assessed by?

Answer 9

clinical institute withdrawal for alcohol

Question 10

what can be screening tools to identify problems with drinking?

Answer 10

AUDIT
CAGE

Question 11

The Positive and Negative Syndrome Scale (PANSS) is used for assessing

Answer 11

severity of schizophrenia

Question 12

what is the most appropriate for dealing with negative symptoms of schizophrenia?

Answer 12

clozapine

Question 13

negative symptoms of schizophrenia?

Answer 13

incongruity/blunting of affect
anhedonia (inability to derive pleasure)
alogia (poverty of speech)
avolition (poor motivation)
social withdrawal

Question 14

what are schneider’s first rank symptoms?

Answer 14

auditory hallucinations

thought disorder

passivity phenomena
delusional perceptions

Question 15

auditory hallucinations

Answer 15

echo
third person commentary voices commenting

Question 16

thought disorder

Answer 16

> insertion
withdrawal
broadcasting

Question 17

first line medication for GAD?

Answer 17

sertraline

Question 18

substance misuse:

medication for alcohol abstinence

deterrant- vomit if consume alcohol

Answer 18

disulfiram - anatbuse

Question 19

how does disulfiram work?

why does it work in alcohol abstinence?

Answer 19

inhibitor of acetylaldehyde dehydrogenase

buildup of acetylaldehyde if you drink alcohol. = facial flush, nausea and vomiting

once daily effects last 7 days

Question 20

what is an anticraving drug?
in alcohol misuse management

Answer 20

acamprosate taken 3 times daily

detox

Question 21

how does ondansetron work?

Answer 21

5-HT3 receptor antagonist
anti emetic

Question 22

Opioid dependence syndrome

Answer 22

methadone : most common drug, taken in liquid form

buprenorphine can also be used

Question 23

MOA of methadone

Answer 23

opioid mu receptor agonist
liquid

Question 24

buprenorphine

Answer 24

sublingual
mixed opioid agonist/ antagonist

Question 25

what is delirium tremens and when does it start?

Answer 25

48-72 hours
> hallucinations
fever
tachycardia
confusion
delusions

Question 26

how is wernickes differentiated from korsakoff’s?

Answer 26

wernicke is what happens first
1) Wernickes encephalopathy
2)(b1 thiamine deficiency

I)confusion, broad based gait, oculomotor dysnfunction

korsakoff is when the encephalopathy has progressed
ii)anterograde and retrograde amnesia. Confabulation