Psychiatry

Question 1

Histrionic personality disorder

Answer 1

excessive emotionality
attention seeking behaviour
sexually promiscuous

Question 2

Narcissistic personality disorder

Answer 2

need for admiration
lack of empathy
grandiosity

Question 3

Borderline personality disorder

Answer 3

fluctuating mood
struggles with interpersonal interactions

Question 4

Antisocial personality disorder

Answer 4

lack of empathy
disregard for social norms
unable to maintain relationships
blamews others

Question 5

Schizoid personality disorder

Answer 5

emotionally cold
poor social circle
preoccupation with fantasy

Question 6

avoidant personality disorder

Answer 6

feeling inferior to others
restrictions in lifestyle
hypersensitivity to rejection/ criticism

Question 7

paranoid personality disorder

Answer 7

bears grudges
suspicious of others
excessive self importance

Question 8

obsessive compulsive personality disorder

Answer 8

excessive doubt and caution
preoccupation with details, rules, lists
perfectionism

Question 9

Munchausen syndrome

Answer 9

feign disease to draw attention/ sympathy from others
lack of secondary gain (eg money, off work)

Question 10

Malingering

Answer 10

intentional production of false/ exaggerated symptoms motivated by external incentives

Question 11

Lithium toxicity

Answer 11

ECG flattened T waves
Ataxia
Tinnitus
hyperreflexia

Question 12

Clozapine toxicity

Answer 12

sedation
delirium
hypotension
respiratory failure

Question 13

Valproate toxicity

Answer 13

(increased GABA) - CNS depression (drowsiness, confusion)
lactic acidosis
hypoCAL + hypoGLU

Question 14

Depression assessment tools

Answer 14

PHQ-9
HAD

Question 15

schizophrenia positive symptoms (3)

Answer 15

auditory hallucinations
delusions
thought disorder

Question 16

syringomyelia Fx

Answer 16

fluid cavitation within spinal cord
spinothalamic damage - loss of pain and temperature
sensation loss in a shawl/ cape like distribution
muscle wasting/ weakness of hands

Question 17

subdural haematoma Fx

Answer 17

often trauma
Infants (abuse), elderly (falls), alcoholics (thrombocytopenia, falls), anticoagulants
fluctuating consciousness, focal neurology

Question 18

Neuroleptic malignant syndrome Fx

Answer 18

typical antipsychotics - Haloperidol
hyperthermia, fluctuating consciousness, rigidity, tachycardia, sweating

Question 19

Agranulocytosis (low neuts, prone to infection) cause

Answer 19

atypical antipsychotics - Clozapine