Psychiatry

Question 1

“Seasonal” Affective disorder?

Answer 1

Recurrent episodes of depression that usually occur during the same season each year, in this case, winter. Related to light exposure and can be effectively managed with light therapy or SSRI.
“No sleeping pills”

Question 2

Cyclothymic disorder?

Answer 2

A mood disorder, that are having ups and downs and are less extreme than the bipolar disorder.
Typically presents a chronic course with no symptom-free intervals longer than two months

Question 3

Atypical depression criteria?

Answer 3

Mood reactivity (i.e., mood improves in response to positive events) and at least two of the following:
significant weight gain or increase in appetite, hypersomnia, heavy feeling in arms or legs (leaden paralysis), and long-standing pattern of interpersonal rejection sensitivity.

Question 4

Othello’s syndrome?

Answer 4

Othello’s syndrome is pathological jealousy where a person is convinced their partner is cheating on them without any real proof. This is accompanied by socially unacceptable behaviour linked to these claims.

Question 5

De Clerambault VS Charles Bonnet syndrome?

Answer 5

De Clerambault’s syndrome (erotomania): A delusional belief that someone else is in love with the patient.
Charles Bonnet syndrome: the experience of complex visual hallucinations in patients with partial or severe blindness.

Question 6

MOA of Fluoxetine and Duloxetine?

Answer 6

Fluoxetine is an SSRI and Duloxetine is a serotonin noradrenaline reuptake inhibitor

Question 7

PTSD?

Answer 7

Emotional Detachment
(Re-experiencing e.g. flashbacks, nightmares
Avoidance e.g. Avoiding people or situations
hyperarousal e.g.hypervigilance, sleep problems)

Question 8

Delusion of granduer/auditory hallucinations over other ppl comes in??

Answer 8

MANIA

Question 9

Mania vs Hypomania??

Answer 9

Mania:
Lasts for at least 7 days - Causes severe functional impairment in social and work setting
May require hospitalization due to risk of harm to self or others
May present with psychotic symptoms

Hypomania:
A lesser version of mania
Lasts for < 7 days, typically 3-4 days. Can be high functioning and does not impair functional capacity in social or work setting
Unlikely to require hospitalization
Does not exhibit any psychotic symptoms

Question 10

Common between mania and hypomania??

Answer 10

-Mood:
predominately elevated
irritable
-Speech and thought:
pressured
flight of ideas: characterised by rapid speech with frequent changes in topic based on associations, distractions or word play
poor attention
-Behaviour:
insomnia
loss of inhibitions: sexual promiscuity, overspending, risk-taking
increased appetite