Psychiatry

Question 1

How do you treat moderate-severe dementia?

Answer 1

Memantine

Question 2

How should mild-moderate dementia be treated?

Answer 2

Acetylcholinesterase inhibitors, e.g. Donepezil, galantamine, rivastigmine

Question 3

How do you treat moderate-severe dementia?

Answer 3

Memantine

Question 4

What is the risk of treating the elderly with atypical antipsychotics?

Answer 4

Increases stroke and VTE risk

Question 5

What is the most important complication of clozapine?

Answer 5

Agranulocytosis

Question 6

What is the first line drug therapy for schizophrenia?

Answer 6

Atypical antipsychotics

Question 7

Name some atypical antipsychotics

Answer 7

Clozapine
Olanzapine
Risperidone
Quetiapine

Question 8

What is the risk of treating the elderly with atypical antipsychotics?

Answer 8

Increases stroke and VTE risk

Question 9

How do you define a somatisation disorder?

Answer 9

Multiple symptoms present for at least 2 years, patient refuses to accept reassurance or a negative test results

Question 10

The persistent belief in the presence of an underlying disease and refusal to accept negative test results is an example of what kind of disorder?

Answer 10

Hypochondrial disorder

Question 11

What disorder typically involves the loss of motor/sensory function, whilst the patient does not consciously feign symptoms?

Answer 11

Conversion disorder

Question 12

What is the preferred antidepressant to use following an MI?

Answer 12

Sertraline

Question 13

Which TCA is the most dangerous in overdose? Which is the safest?

Answer 13

Dosulepin most dangerous

Lofepramine safest

Question 14

What would you expect growth hormone, glucose, cortisol and cholesterol levels to be in an anorexic patient?

Answer 14

High

Question 15

Which section of the mental health act allows admission for 28 days? Who must agree to this?

Answer 15

Section 2

2 doctors and an AMP

Question 16

What does section 3 of the mental health act allow?

Answer 16

Admission for treatment for 6 months. Anyone who has a diagnosis can be admitted.

Question 17

Which section of the mental health act allows a 72 hour assessment for a patient not already in hospital?

Answer 17

Section 4

Question 18

Section 5(2) of the mental health act allows what?

Answer 18

A doctor to detain a patient already in hospital for 72 hours

Question 19

Section 136 of the mental health act allows what?

Answer 19

The police to take someone who is mentally ill from a public place to a place of safety. For the purpose of assessment

Question 20

What are some features of neuroleptic malignant syndrome and when is it commonly seen?

Answer 20

Pyrexia, ridigity, tachycardia and increased creatinine kinase. Onset is usually within first 10 days of treatment or after a dose increase

Question 21

Tardive dyskinesia can occur with what drugs?

Answer 21

Antipsychotics that act at D2 receptor antagonists

Question 22

If you are switching from fluoxetine to another SSRI, e.g. citalopram, how long is the washout period before commencing the new drug?

Answer 22

1 week

Question 23

What class of drug is used to treat alcohol withdrawal?

Answer 23

Benzodiazepines

Question 24

How long into alcohol withdrawal does it take before a patient is symptomatic?

Answer 24

6-12 hours

Question 25

How long into alcohol withdrawal does it take before a patient has seizures?

Answer 25

36 hours

Question 26

How long into alcohol withdrawal does it take before a patient is delirium tremens?

Answer 26

72 hours