Psychiatry

Question 1

What are the signs of an opioid withdrawal?

Answer 1

Dilated pupils, yawning, watery eyes, rhinorrhoea

Question 2

In schizophrenia what will a PET scan show?

Answer 2

Hypo-activity of prefrontal lobes and enlarged cerebral ventricles

Question 3

What is a mini mental state exam mainly used to diagnose

Answer 3

dementia

Question 4

What is a fatal side effect of clozapine?

Answer 4

agranulocytosis (do FBC)

Question 5

When on lithium what needs to be checked regularly?

Answer 5

creatinine levels - for toxicity

Question 6

What is the difference between GAD and panic disorder?

Answer 6

GAD - nervous at daily things
PD - irrational fears

Question 7

How long do symptoms need to present for it to class at PTSD?

Answer 7

> 1 month

Question 8

What are side effects of tricyclic antidepressants (e.g. amitriptyline)

Answer 8

Dry mouth and urinary retention

Question 9

What are 3 common features of Korsakoff’s syndrome?

Answer 9

anterograde amnesia, retrograde amnesia and confabulations (false memories)

Question 10

What is a side effect of risperadone?

Answer 10

hyperprolactinaemia

Question 11

What is zopiclone?

Answer 11

A nonbenzodiazepine drug to treat insomnia (people who can’t get to sleep).

Question 12

What is melatonin used for?

Answer 12

Helps to regulate the normal sleep-wake cycle and is effective in patients with learning difficulties.

Question 13

What kind of drug is metaclopramide?

Answer 13

antiemetic

Question 14

What kind of drug is fluoxetine?

Answer 14

SSRI

Question 15

How long must symptoms last for mania?

Answer 15

at least 7 days

Question 16

What is tardive dyskinesia?

Answer 16

Irregular movements you cannot control.

Question 17

What are class A personality disorders?

Answer 17

odd and eccentric

Question 18

What are class B personality disorders?

Answer 18

dramatic and emotional

Question 19

What are class C personality types?

Answer 19

anxious and avoidant

Question 20

What is repression?

Answer 20

An unconscious mechanism to keep disturbing or threatening thoughts from becoming conscious.

Question 21

What is displacement?

Answer 21

Satisfying an impulse with a substitute option.

Question 22

What is regression?

Answer 22

Back in psychological time when one is faced with stress? (e.g. child starts sucking their thumb / wets the bed)

Question 23

What is sublimation?

Answer 23

Satisfying an impulse with a substitute in a socially acceptable way.

Question 24

What can be used to treat heroin withdrawl?

Answer 24

loperamide, lofexidine (relieves physical symptoms)

Question 25

What is the triad for lewy-body dementia?

Answer 25

visual hallucinations, fluctuating cognition and parkinsonism

Question 26

What organ does lithium mainly affect?

Answer 26

kidneys

Question 27

What group of people is bipolar got a high heritability?

Answer 27

twins

Question 28

What is the chemical name for serotonin?

Answer 28

5-hydroxytryptamine

Question 29

What is CJD?

Answer 29

A rapidly progressive neurological condition caused by a misfolded protein, known as a prion.

Question 30

When does postpartum psychosis usually occur?

Answer 30

2 weeks after giving birth

Question 31

When should clozapine be used?

Answer 31

For resistant schizophrenia

Question 32

What condition presents with tactile hallucinations?

Answer 32

delirium tremens

Question 33

Which neurotransmitter is low is patients with depression?

Answer 33

5-hydroxytryptamine (serotonin)

Question 34

What are the 8 components of the MSE?

Answer 34

1. appearance 2. behaviour 3. speech - rate, tone, volume, rhythm, fluency 4. mood and affect 5. thought - speed, flow, and coherence of the patient's thoughts 6. perception - see, hear, taste things that aren't there 7. cognition 8. insight

Question 35

Who are tardive dyskinesia common in?

Answer 35

People on long term antidopaminergic drugs.

Question 36

What are the first choice non-pharmalogical treatments for OCD?

Answer 36

ERP and CBT

Question 37

What conditions indicate ECT?

Answer 37

prolonged mania, catatonia, severe depression

Question 38

Which medications cause tardive kynesia?

Answer 38

haloperidol

Question 39

What neurotransmitter is responsible for lack of pleasure?

Answer 39

dopamine

Question 40

What is a common side effect to notify patients about when starting an SSRI?

Answer 40

sexual dysfunction

Question 41

What investigation should be done in a patient with anorexia?

Answer 41

ECG - to exclude long QT syndrome

Question 42

What is a nihilistic delusion?

Answer 42

Being dead / some part of their body is dying.

Question 43

What organ secretes lithium and therefore toxicity can be shown in ____ levels?

Answer 43

kidneys - creatinine

Question 44

What drug increases the reabsorption of lithium?

Answer 44

ACEIs