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