Psychiatry Flashcards
What is the most likely medical management that will be prescribed for panic disorder?
SSRIs e.g. Paroxetine
What is the SSRI of choice in children and adolescents?
Fluoxetine
A patient on Olanzapine had her neck fixed backwards and laterally, and her eyes are deviated upwards. Other symptoms of this are tongue protruding forwards and jaw spasm. What is the cause of these symptoms?
Acute dystonia reaction
A patient on Chlorpromazine for Schizophrenia develops involuntary pouting of the mouth. What side effect is this?
Tardive dyskinesia
20F with persistent beliefs their partner is being unfaithful and stealing from her. Multiple arguments after which she cuts herself and blames their partner. She feels like she cannot live without them, and that they are the worst person in the world. History of ODs and difficulty trusting friends. Diagnosis?
Borderline personality disorder
18yo sprinter preparing for a national athletics meeting has an unusual sensation in his legs. He has sensory loss below the knee in a non-dermatomal distribution. The team doctor suspects a non-organic cause of his symptoms. This is an example of a:
Conversion disorder - loss of motor or sensory function. May be caused by stress
What class of antidepressants are now less commonly used due to their toxicity in overdose?
Tricyclic antidepressants
First line treatment for bipolar?
Lithium
What side effect of antipsychotics is torticollis and oculogyric crisis?
Acute dystonia
Patient with schizophrenia displays automatic repetitive movements despite you asking him to stop. What is this behaviour?
Echopraxia
What is the treatment of choice for patients with chronic conditions and depression?
TCAs
Amitriptyline
What is the treatment of choice for patient’s with a recent MI and depression?
SSRIs
Sertraline
What is the treatment of choice of patients with bipolar with moderate-severe depressive symptoms?
SSRIs
Citalopram first as low SE profile and cost effective
