Psychia

Question 1

Started cleaning her house
Flirtatious
Showing impulsive behaviour for one week

Answer 1

OCD
- not histrionic because cleaning first

Question 2

Moon is blue
Blue is cheese
I am elephant
Treat me like a queen

Answer 2

Tangentiality

Question 3

When ask what’s wrong with her during psychiatric assessment
She answered
Oh that’s a long strong
Train always runs on rails

Answer 3

Derailment

Question 4

Hypomania
On lithium previously well
Now poor compliance
What to give her

Answer 4

Olanzapine

Question 5

Becomes chaotic and irritable
Multiple prison

Answer 5

Antisocial disorder

Question 6

Perfectionist
Can’t concentrate her work
Mgt

Answer 6

CBT

Question 7

Doesn’t work
No hobby or social.life
Social withdrawal
Dx?

Answer 7

Agoraphobia

Question 8

Overnight and lost 30kg
Feels guilty after eating
Laxatives

Answer 8

Bulimia

Question 9

BMI
Body distorted image
Amenorrhoea
Sexual abuse

Answer 9

Anorexia

Question 10

A boy with Adhd treated with Metylphenidate

Answer 10

Assess the level of hyperactivity
Tx for adhd is Metylphenidate and Amphetamines

Question 11

For lithium use what to monitor

Answer 11

CBC

Question 12

Has tremors when writing or feeding
But memory is clear

Answer 12

Frontal Lobe dementia

Question 13

He things he has been replaced by double
Man was diagnosed with schizo and was given dexamethasone
Threatening to kill himself and kill his parents
From prison

Answer 13

Send to local psych unit.
—- send to prison hospital

Question 14

Bizarre manner
Severe mood swings and agitation
She thinks there are bugs running around on the floor
Dx

Answer 14

Acute intoxication
- IF THERE IS HALLUCINATION

Question 15

Violated shocholl rules
Destroy furniture
Rude to teachers

Answer 15

Conduct disorder

Question 16

An alcoholic,
Claiming he is not attended to immediately he will jump in front of the car
What will you check first

Answer 16

Alcohol or electrolytes
Or Mg orThiamin3

Ans: if Thiamine is there choose thiamine
If not Magnesium

Question 17

She said she doesn’t get cheese from the moon qns I came by bus

Answer 17

Disorganised behaviour

Question 18

Vomiting at school
Feature that help distinguish

Answer 18

Normal body weight or BMi

Not amenorrhoea cz it’s not a distinguishing feature

Question 19

Underweight

Answer 19

Anorexia

Question 20

Can have normal weight

Answer 20

Bulimia

Question 21

Aspergers boy had multiple phobia
Given serialise improves and doing well
Lately became aggressive and irritated
Cause?

Answer 21

Sertraline induced
Serialise can cause abdominal pain
If develops switch to SSRI
Don’t stick to Tca or other
Drug
Don’t stop sertraline immediately
Don’t add mood stabilizer

Question 22

Suddenly wants to donate kidney after watching tv commerci

Answer 22

Altruistic behaviour

Question 23

Side effects of Chlorpromazine

Answer 23

Corneal deposits
C for C

Other drug that cause optha
Thioradizine # retinal Detachment

Question 24

40 yo has dizygotic true diagnosed with schizophrenia
Chances of getting it

Answer 24

10%

Question 25

Having threatened suicide on Facebook Unstable relationships

Answer 25

They have previously have sexual huse during childhood Borderline personality disorder - have attempted suicide

Question 26

Alcoholic withdrawal Tx

Answer 26

Benstropine

Question 27

Lack of interest in norm life Insomnia Visual hallucination Mother died a year ago Dx

Answer 27

Depression with unresolved grief MDD is only for SIGECAPS- so 5 features should be present

Question 28

Taken tablets of Venlafexine She doesn't feel fresh in the mkrnjnf What should be added

Answer 28

Mirtazapine - sleep problem

Question 29

Whom to inform initially Cut her wrist Doesn't want to let anyone know Parents are separated

Answer 29

Both parents

Question 30

Has hx of schizophrenia Has inappropriate behaviour recently Which of the Ff is impt to choose appropriate tx

Answer 30

Poverty of thought Anything related to thought is Schizophrenia

Question 31

His gf went back to Dads funeral Restless irritable and can't sleep Complains that his gf is Talking behind his back Dx

Answer 31

Reactive psychosis Is also same as Brief psychotic disorder Episodic

Question 32

Sore throat Nurse informed she hasn't paid for the last three consultatuons - patient is know by the Gp

Answer 32

Leave a prescription for amoxicillin

Question 33

Imaging showed enlarged dilated brain ventricles Memory loss with repeated falls

Answer 33

Alzheimers disease Long history + fall+ lab + MC

Question 34

Financial debts due to severe drought Planning to kj himself so that his family can benefit from his insurance He is anxious but not depressed He blame rhe irresponsible govt because of his condition Which if the defence mechanism He is using?

Answer 34

Rationalizarion - he gives justification which is unacceptable

Question 35

Lady overdose of Venalafaxine What u add

Answer 35

Risperidone

Question 36

Contr a indicated in eating disorders

Answer 36

BUPOPRION

Question 37

Depressed past 6 months and 3 wks ago had suicidal thoughts Anhedonix and left most kd his usual activities Treat him with SSRI but had partial remission What else to add

Answer 37

Dialectical BT - key suicidal thoughts

Question 38

Antidepressant therapy is correct

Answer 38

Patient unresponsive after 6 wks should be altered at 6 wks

Question 39

You cannot discharge me I will just myself and if you will discharge me you will be responsible for ut Dr y knows me very well.

Answer 39

Borderline