Psychiatry

Question 1

Cause of drug-induced psychosis

Answer 1

= steroids

Question 2

Depersonalisation VS Derealisation

Answer 2

Depersonalisation = you aren't real 
Derealisation = the world isn't real

Question 3

Side Effects of Typical Anti-Psychotics (4)

Answer 3

Hyperprolactinaemia
EPSE
QT prolongation
Neuroleptic malignant syndrome

Question 4

Section of Mental Health Act for Emergency Detention

Answer 4

Section 5

= emergency 72 hour detention

Question 5

Feigning insanity =

Answer 5

= Ganser’s syndrome

Question 6

Ganser’s Syndrome =

Answer 6

= feigning insanity

Question 7

Circumstantiality =

Answer 7

Give a really long winded answer, but eventually get back to the right answer

Question 8

Delirium Tremens

• Features
• Association

Answer 8

= flailing arms around - usually have visual hallucinations so fighting them off
Association = alcohol

Question 9

Schizoid VS Schizotypal

Answer 9

Schizoid = like to be alone, don't care about relationships
Typal = more like schizophrenia, odd beliefs, inappropriate affect etc

Question 10

Schizoaffective Disorder

Answer 10

= where there are separate affective and psychotic symptoms in the same episode

Question 11

Akathasia

Answer 11

= severe restlessness

Question 12

Discontinuation Symptoms (6)

Answer 12

Mood change 
Restlessness 
Difficulty sleeping 
Unsteadiness 
Sweating 
GI symptoms

Question 13

Medication useful in Panic Disorder

Answer 13

SSRI

Question 14

CV Side Effect of Clozapine

Answer 14

Myocarditis

Question 15

Anti-Depressant Medication before ECT

Answer 15

Need to reduce

Question 16

Acute Stress Disorder VS PTSD

Answer 16

Acute Stress = symptoms <4 weeks

PTSD = symptoms >4 weeks

Question 17

Psychotherapy used in OCD

Answer 17

Exposure and Response Prevention

Question 18

Monitoring in Olanzapine

Answer 18

Blood Lipid Levels

Question 19

Sign of Tardive Dyskinesia

Answer 19

Pouting of lips

Question 20

Risk of atypical antipsychotics (older people)

Answer 20

Increased risk of VTE and stroke

Question 21

Which anti-psychotic reduces the seizure threshold?

Answer 21

Clozapine

Question 22

Which anti-psychotic is least likely to result in hyperprolactinaemia?

Answer 22

Aripiprazole

Question 23

Management of OCD

• Mild
• Moderate
• Severe

Answer 23

Mild = CBT 
Moderate = SSRI or CBT 
Severe = SSRI + CBT

Question 24

Rasagiline is a…

Answer 24

MAO-inhibitor