Psych extra

Question 1

What to do if missed 2 days of clozapine doses

Answer 1

If clozapine doses are missed for more than 48 hours the dose will need to be restarted again slowly

Question 2

Benzodiazepine effects

Answer 2

sedation
hypnotic
anxiolytic
anticonvulsant
muscle relaxant
Anterograde amnesia - memory recall and creation of new memories is significantly impaired

Question 3

Dementia vs depression

Answer 3

Factors suggesting diagnosis of depression over dementia
- short history, rapid onset
- biological symptoms e.g. weight loss, sleep disturbance
- patient worried about poor memory
- reluctant to take tests, disappointed with results
- mini-mental test score: variable
- global memory loss (dementia characteristically causes recent memory loss)

Question 4

Side effects of ECT

Answer 4

Short-term side-effects
headache
nausea
short term memory impairment
memory loss of events prior to ECT
cardiac arrhythmia

Long-term side-effects
some patients report impaired memory

Question 5

Mx of acute stress disorders

Answer 5

Trauma-focused cognitive-behavioural therapy (CBT) should be used first-line for acute stress disorders
(EMDR is used for severe cases of PTSD)

Question 6

Types of typical antipsychotics

Answer 6

Chlorpromazine
Haloperidol