Psychiatry

Question 1

what is used by the police to bring people who could be displaying signs of mental illness presenting a risk to themselves or others to place of safety and how long does it last?

Answer 1

Section 136, 24 h

Question 2

SSRI of choice in children and adolescents

Answer 2

Fluoxetine

Question 3

Patients ≤ 25 years who have been started on an SSRI should be reviewed after:

Answer 3

1 week, increased risk of suicidal ideation, more in younger patients

Question 4

Most often used first line for rapid tranquillization in acutely disturbed behaviour, uknown cardiac status or antipsychotic history

Answer 4

Oral lorazepam

Question 5

SSRIs interactions

Answer 5

NSAIDs, aspirin, heparin, warfarin, tryptans, MAOIs

Question 6

Side effects of mirtazapine

Answer 6

Sedation (paradoxically more at lower doses 15 mg), increased appetite

Question 7

First-line therapy for PTSD

Answer 7

Cognitive behavioural therapy or eye movement desensitisation and reprocessing therapy

Question 8

Paroxetine in pregnancy

Answer 8

Increased risk of congenital malformations

Question 9

First line for panic disorder

Answer 9

SSRIs

Question 10

First drug choice for generalised anxiety disorder:

Answer 10

Sertraline

Question 11

Most likely SSRI to lead to QT prolongation and Torsades de pointes

Answer 11

Citalopram

Question 12

SSRI of choice post myocardial infarction

Answer 12

Sertraline

Question 13

Most tolerable anti psychotic for side effects

Answer 13

Aripiprazole, especially for prolactinemia

Question 14

SSRI discontinuation syndrome symptoms:

Answer 14

GI, diarrhoea

Question 15

Acute dystonia secondary to antipsychotics management:

Answer 15

Procyclidine

Question 16

What is used to sedate a violent patient?

Answer 16

Chlorpromazine