Psychiatry

Question 1

List one test for depression

Answer 1

PHQ-9

Question 2

List three features of the DSM-5 diagnostic criteria for depression

Answer 2

depressed mood
anhedonia
weight change
sleep difficulties
fatigue
feelings of worthlessness
reduced concentration
suicidial thoughts

Question 3

What constitutes a ‘less severe’ score in PHQ-9?

Answer 3

<16

Question 4

What constitutes a ‘more severe’ score in PHQ-9?

Answer 4

> 16

Question 5

What are the four components to explore in CBT

Answer 5

thoughts
behaviours
physical symptoms
feelings

Question 6

What is the first line treatment for ‘more severe’ depression?

Answer 6

CBT with antidepressants

Question 7

What is the first line treatment for ‘less severe’ depression?

Answer 7

CBT and guided self help, SSRIs not routinely used initially

Question 8

Which is the first line antidepressant?

Answer 8

SSRIs

Question 9

List three examples of SSRIs

Answer 9

sertraline, citalopram, paroxetine, venlafaxine, fluoxetine

Question 10

Which SSRI can affect QT interval?

Answer 10

citalopram

Question 11

How many weeks of antidepressant treatment with no improvements is considered treatment failure?

Answer 11

4 weeks

Question 12

List three diagnostic features for generalised anxiety disorder

Answer 12

Excessive worry
Muscle tension
GI upset, sweating, palpitations, trembling, shaking
Difficulty concentrating
Disturbed sleep
Easily fatigued

Question 13

Which screening tool can be used to assess for GAD?

Answer 13

GAD-2

Question 14

Which questions are involved in GAD-2?

Answer 14

over the past two weeks, have you been bothered by:
1. feeling nervous, anxious, on edge
2. not being able to stop or control worrying

+ do you avoid places or activities?

Question 15

List one diagnostic test for GAD

Answer 15

GAD-7 and HADS

Question 16

List two biological causes of GAD

Answer 16

Thyroid disease
Drugs
Alcohol withdrawal

Question 17

List two drugs associated with GAD

Answer 17

salbutamol
corticosteroids
antidepressants

Question 18

Which recreational drug must you ask about when treating GAD with drugs?

Answer 18

cocaine- citalopram and cocaine interaction

Question 19

Are benzodiazepines safe to used in GAD?

Answer 19

no!!! do not use in crisis

Question 20

What is the calculation for number of units in an alcoholic drink?

Answer 20

volume (ml) x alcohol (%) / 1000

Question 21

List two groups of people who are at risk of alcohol use disorders

Answer 21

physical symptoms- GI or liver disorders
mental health problems
history of being assaulted
regular accidental injuries or minor trauma
repeat requests for emergency contraception

Question 22

Name a screening questionnaire for alcohol use

Answer 22

AUDIT
FAST

Question 23

What are the components of FRAMES structure for advice

Answer 23

Feedback- information
Responsibility
Advice
Menu
Empathy
Self-efficacy

Question 24

Which supplement is vital to give to chronic alcohol users

Answer 24

thiamine

Question 25

List four signs of delirium tremens

Answer 25

confusion, hallucinations, tremor, sweating, tachycardia, fever, emotional liability

Question 26

What is the treatment for delirium tremens?

Answer 26

benzos

Question 27

List three emergency complications associated with excessive alcohol use

Answer 27

delirium tremens
seizures
wernicke-korsakoff syndrome

Question 28

List two features of wenick-korsakoff syndrome

Answer 28

ocular mitlity disorders
ataxia
mental state changes

Question 29

What is the treatment for wernicke-korsakoff syndrome?

Answer 29

paraenteral thiamine

Question 30

What is the risk of giving thiamine to patient’s with wenicke’s encephalopathy?

Answer 30

korsakoff’s pscyhosis

Question 31

List two characteristics of korsakoff’s psychosis

Answer 31

disorientation
anterograd and retrograde amnesia
confabulation?? = honest lying?

Question 32

List one drug to prevent alcohol relapse

Answer 32

acamprosate
disulfiram
naltrexone