psychiatry

Question 1

peak incidence of seizures following alcohol withdrawal

Answer 1

36 hours

Question 2

what suggests mania over hypomania

Answer 2

auditory hallucinations

Question 3

what is malingering

Answer 3

lying or exaggerating for gain
- e.g. someone who fakes whiplash after a road traffic accident for financial gain

Question 4

knights move of speech

Answer 4

illogical leaps from one idea to another

Question 5

flight of ideas

Answer 5

discernible links between ideas

Question 6

1st line management for anxiety

Answer 6

sertraline

Question 7

SSRI discontinuation syndrome most common symptom

Answer 7

diarrhoea
GI side effects

Question 8

what medication should be avoided in patients taking SSRI

Answer 8

triptans

Question 9

what in anorexia is raised

Answer 9

G’s and C’s
growth hormone
glucose
salivary glands,
cortisol
cholesterol
carotinaemia

Question 10

2nd line management for anxiety disorder

Answer 10

another SSRI or SNRI

Question 11

what is circumstantiality

Answer 11

inability to answer a question without giving excessive, unnecessary detail

Question 12

important side effect of clozapine

Answer 12

agranulocytosis
- do FBC

Question 13

SSRI use during third trimester risk

Answer 13

of persistent pulmonary hypertension of newborn

Question 14

how long should antidepressants be continued for after remission of symptoms to decrease risk of relapse

Answer 14

6 months

Question 15

example of SNRI

Answer 15

duloxetine

Question 16

how long for delirium tremens to occur after stopping alcohol consumption

Answer 16

72 hours

Question 17

management of mania/hypomania in patients taking antidepressant

Answer 17

stop antidepressant
start antipsychotic therapy

Question 18

SSRI of choice in children and adolescents

Answer 18

fluoxetine

Question 19

what is avoidant personality

Answer 19

• social isolation
• avoidance of activities due to fear or embarrassment

Question 20

what is antisocial personality

Answer 20

• impulsivity
• aggression
• irritability
• fight and lack of remorse

Question 21

what can cause a rise in clozapine blood levels

Answer 21

smoking cessation

Question 22

what is akathisia

Answer 22

severe restlessness

Question 23

what is hypochondriac disorder

Answer 23

unexplained symptoms and they think its cancer

Question 24

what is clang associated

Answer 24

ideas related only by rhyme or being similar sounding

Question 25

what is echolalia

Answer 25

repetition of someone else's speech

Question 26

what is strongest risk factor for psychic disorders

Answer 26

family history

Question 27

most common site effect seen from lithium at a therapeutic dose

Answer 27

fine tremor - coarse tremor = lithium toxicity

Question 28

management of paracetamol poisoning

Answer 28

n-acetyecysteine

Question 29

if a patient is under 25 and started on sertraline when should they be reviewed

Answer 29

after 1 week

Question 30

management of borderline personality disorder

Answer 30

dialectical behavioural therapy

Question 31

what affect do SSRIs have on sodium

Answer 31

hyponatraemia

Question 32

what is the management of acute dystonia

Answer 32

procyclidine

Question 33

best test to do to diagnose bulimia nervosa

Answer 33

urea and electrolytes - decreased potassium

Question 34

what is cotard delusion

Answer 34

believes they are dead

Question 35

can you give sertraline while breastfeeding

Answer 35

yes

Question 36

what is venlafaxine

Answer 36

SNRI

Question 37

what is Othello syndrome

Answer 37

delusional jealously - usually believing their partner is unfaithful

Question 38

what neuropathic pain medication can cause urinary retention

Answer 38

amitriptyline - tricyclic antidepressants

Question 39

side effects of carbamezipine

Answer 39

CARBA MEAN - confusion - ataxia - rashes - blurred vision - aplastic anaemia - marrow suppression - eosinophilia - ADH release - neutropenia

Question 40

patient believes someone familiar to them has been replaced by en exact clone =

Answer 40

capgras

Question 41

1st line management of mania

Answer 41

olanzapine

Question 42

management of auditory hallucinations caused by paranoid schizophrenia

Answer 42

risperidone

Question 43

complication of St John Warts and COCP

Answer 43

reduces effectiveness of COCP as its P450 enzyme

Question 44

what needs monitored in patient taking venlaflaxine

Answer 44

blood pressure - causes an incrsae

Question 45

side effects of imipramine

Answer 45

blurred vision and dry mouth