Psychiatry

Question 1

depression assessment tool and score for less severe depression and severe depression

Answer 1

PHQ 9
under 16 for less severe
16 and over for severe

Question 1

treatment for less severe

Answer 1

guided self help
CBT
group exercises
SSRI

Question 2

more severe depression treatment

Answer 2

CBT and anti depressants

Question 3

how long does it take anti depressants to work and how long should px remain on them

Answer 3

4-6 weeks
6m

Question 4

when should patients be followed up if on anti depressants

Answer 4

1w if 18-25
2w otherwise

Question 5

how to switch between SSRI

Answer 5

withdraw one then start the other

Question 6

fluoxetine to another SSRI

Answer 6

withdraw - gap for 4-7 days before starting another

Question 7

SSRI to TCA

Answer 7

cross tapering

Question 8

SSRI to venlafaxine

Answer 8

cross taper

Question 9

flueoxtine to venlafaxine

Answer 9

withdraw then start ven

Question 10

type 1 bipolar
type 2 bipolar

Answer 10

mania
hypomania

Question 11

what should be done in bipolar with anti depressants

Answer 11

taper and stop

Question 12

risk factors for schizophrenia

Answer 12

black, FH, urban environment, weed

Question 13

treatment for anorexia

Answer 13

CBT - ED focused, MANTRA, SSCM

Question 14

treatment for anorexia in children

Answer 14

anorexia focused family therapy and CBT

Question 15

acute stress disorder when

Answer 15

1-4 weeks after trauma

Question 16

treatment for acute stress disorder

Answer 16

CBT benzo’s

Question 17

PTSD when

Answer 17

over 4 weeks from trauma

Question 18

treatment for PTSD

Answer 18

CBT
eye movement and desnsitization
venlafaxine or sertralinewh

Question 19

what to give for severe PTSD

Answer 19

risperidone

Question 20

GAD treatment

Answer 20

education
CBT

Question 21

drugs for GAD

Answer 21

sertraline
pregablin

Question 22

when to follow up in GAD

Answer 22

weekly in high risk patients

Question 23

panic disorder treatment
drugs in panic disorder

Answer 23

CBT
SSRI or imipramine, clonipramine

Question 24

OCD treatment for mild functional impairment

Answer 24

CBR/ERP
SSRI or intensive CBT and ERP

Question 25

OCD treatment for moderate function impairment

Answer 25

SSRI or intense CBT and ERP
clomipramine alt to SSRI

Question 26

severe OCD management

Answer 26

SSRI and CBT and ERP

Question 27

how long to stay on SSRI for initial reponse
how long before stopping or changing it

Answer 27

12 weeks
12 months

Question 28

cluster A personality disorders

Answer 28

paranoid, schizoid, schizotype

Question 29

cluster type b

Answer 29

anti social, EUPD, histrionic, narcisitic

Question 30

cluster type c anxious fearful

Answer 30

obsessive - compulsive, avoidant, dependent

Question 31

hallucinations on BG of cognitive impairment

Answer 31

charles bonnet syndrome

Question 32

parts of body or perion is dead or non existent

Answer 32

cotard syndrome

Question 33

believing a famous person is in love with them

Answer 33

de clerambaults

Question 34

thinks partner is cheating on them, pathalogical jealousy

Answer 34

orthello syndrome

Question 35

multiple physical symptoms for ove 2 years

Answer 35

somatisisation

Question 36

loss of motor or sensory symptoms

Answer 36

conversion disorder

Question 37

when do seizures happen in alcohol wqithdrawal

Answer 37

36 hours

Question 38

what gets monitorered in methylphenidate

Answer 38

height
weight
BP and HR

Question 39

hyperthermia, altered mental status, autonomic dysfunction and generalised muscle rigidity (often described as ‘lead pipe’ rigidity)

Answer 39

Neuroleptic malignant syndrome

Question 40

simple, unstructured sounds e.g. buzzing or whistling

Answer 40

Elementary hallucinations

Question 41

alcohol dependance and depression

Answer 41

mirtazapine

Question 42

When stopping a SSRI the dose should be gradually reduced over how long

Answer 42

4 week period