Psychiatry

Question 1

Serotonin syndrome symptoms

Answer 1

• hyperreflexia
• myoclonus
• rigidity
• hyperthermia
• sweating
• confusion

Question 2

Serotonin syndrome management

Answer 2

1. IV fluids
2. Benzodiazepines
3. Cryoheptadine

Question 3

Neuroleptic malignant syndrome symptoms

Answer 3

• pyrexia
• muscle rigidity
• hypertension
• tachycardia
• raised CK

Question 4

Time frame for NMS

Answer 4

Hours to days of starting a new antipsychotic

Question 5

Management of NMS

Answer 5

• stop antipsychotic
• IV fluids
• dantrolene
• sometimes bromocriptine is used

Question 6

Mental disability based on IQ

Answer 6

Normal: 70-100
Mild: 50-69
Moderate: 20-34
Severe: >20

Question 7

Cause of Korsakoffs

Answer 7

thiamine deficiency

Question 7

Most common deficiency seen in anorexia

Answer 7

Zinc

Question 8

Medication used to stop cravings in alcoholics

Answer 8

Naltrexone

Question 8

Medication that makes alcohol taste gross

Answer 8

Disulfiram

Question 9

Short term alcohol withdrawal management

Answer 9

Chlordiazepoxide

Question 10

Lithium monitoring

Answer 10

weekly until stable
3 monthly for the first year once stable and then 6 monthly

Question 11

Chance of experiencing mania again

Answer 11

> 90%

Question 12

Akathisia

Answer 12

Unable to sit still

Question 13

Acute dystonic reaction

Answer 13

Movement disorder characterised by involuntary muscle spasms causing abnormal posture

Question 14

Tardive dyskinesia

Answer 14

Rapid movements e.g. lip smacking