Psychiatry

Question 1

What is conduct disorder?

Answer 1

1. Cruelty to people and animals
2. Destruction of property
3. Deceitfulness or theft
4. Serious violations of rules
   * Diagnostic criteria present for 12
   months
   * Causes clinically significant impairment
   * Childhood or adolescent onset
   * Repetitive & persistent pattern

Question 2

What is the management of OCD?

Answer 2

1. CBT
   - Exposure and response prevention
2. SSRIs

Question 3

What is the treatment of Tourettes?

Answer 3

Psychoeducation
CBT
- Habit reversal therapy
Medication
- Haloperidol or risperidone
- Clonidine less effective

Question 3

What is the criteria for diagnosing major depressive disorder?

Answer 3

• Persistent sad or irritable mood (2 weeks+)
• Loss of interest or enjoyment in activities
• and 4 of the following
  – Difficulty sleeping or oversleeping
  – Substantial change in appetite or body wt.
  – Difficulty concentrating
  – Loss of energy
  – Psychomotor agitation or retardation
  – Feeling worthless or inappropriate guilt
  – Recurrent thoughts of suicide or death

Question 4

What is the treatment for mild depression?

Answer 4

CBT

Question 5

What is the treatment for moderate to severe depression?

Answer 5

SSRIs

Question 6

What is the management of serotonin syndrome?

Answer 6

Benzodiazepine for agitation
Cyproheptadine
IV fluids

Question 7

What is the criteria for mania?

Answer 7

Manic Episode
– Abnormally and persistently elevated, expansive or irritable mood > 1 week
– Inflated self esteem or grandiosity
– Increased Activity & Decreased need for sleep
– More talkative, or pressure to keep talking
– Flight of ideas/racing thoughts & Distractibility
– High risk behaviour/disinhibition
– Psychotic symptoms – grandiose/paranoid delusions

Question 8

How many people with a depressive episode will be diagnosed with bipolar?

Answer 8

1/10

Question 9

Definition of bipolar disorder?

Answer 9

• Definition:
  ‐ 1 or more Manic Episode
  ‐ +/‐ Depressive Episode(s)
  ‐ +/‐ Psychosis at extremes of mania and depression

Question 10

What is the treatment for bulimia nervosa?

Answer 10

CBT