Psychiatry

Question 1

Alcohol withdrawal

Answer 1

• 6 to 12 hours symptoms
• 36 hours seizures
• 72 hours delirium tremens

Question 2

Erotomania

Answer 2

The presence of delusions often that a famous person loves with the absence of psychotic symptoms

Question 3

ECT side effects

Answer 3

• nausea
• cardiac arrhythmias
• short term memory impairment
• headache

Question 4

Obsessive compulsive disorder

Answer 4

Maintain a degree of insight into the fact rituals will not really have consequences

Question 5

Antipsychotics in the elderly

Answer 5

Increase the risk of stroke and VTE

Question 6

Anorexia features

Answer 6

Low; potassium, LH, impaired glucose tolerance, FSH

High; growth hormone, glucose, salivary glands, cortisol, cholesterol, carotinaemia

Question 7

Illness anxiety disorder

Answer 7

Also known as hypochondriasis this is the persistent belief in the presence of an underlying serious disease

Question 8

Knight’s move

Answer 8

Illogical leaps between ideas with no discernible links

Question 9

Flight of ideas

Answer 9

Leaps between ideas but there are discernible links between the ideas

Question 10

Borderline personality disorder

Answer 10

Treatment includes dialectical behavioural therapy

Question 11

Lorazepam

Answer 11

A benzodiazepine that can cause anterograde amnesia

Question 12

GAD

Answer 12

Characterised by free-floating, persistent anxiety

Question 13

PTSD

Answer 13

Requires symptoms to be present for at least one month

Question 14

PTSD features

Answer 14

• re-experiencing
• avoidance
• hyperarousal

Question 15

Delirium tremens

Answer 15

Managed acutely with chlordiazepoxide or diazepam

Question 16

Thought withdrawal

Answer 16

The belief that they are having their thought removed by an external force

Question 17

PTSD treatment

Answer 17

First line with CBT and EMDR then consider venlafaxine or SSRI

Question 18

Atypical antipsychotics

Answer 18

Commonly cause weight gain

Question 19

Clang associations

Answer 19

Ideas related only by the rhyme or being similar in sound

Question 20

OCD management

Answer 20

Exposure and response prevention

Question 21

Tardive dyskinesia

Answer 21

Can present as chewing, jaw pouting or excessive blinking in patients on conventional antipsychotics

Question 22

SSRIs

Answer 22

Can cause hyponatraemia

Question 23

Acute dystonia

Answer 23

Side effect of antipsychotic medication

Question 24

Benzodiazepines

Answer 24

Enhance the effect of GABA

Question 25

Clozapine

Answer 25

Can cause agranulocytosis or neutropenia