Psychiatry

Question 1

ICD Diagnosis of Dependency syndrome

Answer 1

Need 3 simultaneously in past year from the list below:

1. Craving
2. Control (loss of)
3. Continued use despite harm
4. Primacy
5. Physiological withdrawal
6. tolerance

3 Cs, 2 Ps, one T

Question 2

what is serotonin syndrome?

Answer 2

Typically caused by use of 2 or more antipsychotic medications and in about 15% SSRI overdoses 
Symptoms include:
-seizures
-hyperthermia
-dilated pupils
-agitation
-increased reflexes
-brisk reflexes
-tremor
-sweating diarrhoea

Question 3

what is discontinuation syndrome?

Answer 3

when you abruptly stop an SSRI, sleep disturbances, anxiety, movement disturbances including tremor and tardive dyskinesia

Question 4

ICD 10 for depression

Answer 4

At least 1 of ..... for >2 weeks 
-Low mood
-Anhedonia
-Anergia
and then any of
-decreased conc/indecisiveness
-low self esteem
-feelings of guilt, hopelessness, worthlessness
-increased or decreased appetite
-agitation or slowness of movements
-sleep disturbance
suicidal thoughts or acts

Question 5

mild depression

Answer 5

4 of the 10 symptoms (one needs to be low mood, anergia, or anhedonia)

Question 6

moderate depression`

Answer 6

5-6 OF THE 10 SYMPTOMS

Question 7

severe depression

Answer 7

7 or more of the 10 symptoms

Question 8

what are the cluster A personaity types?

Answer 8

-WEIRD-
paranoid
-schizoid
-scizotypal

Question 9

what are the cluster B personality types?

Answer 9

-WILD DRAMATIC EMOTIONAL
borderline
-histrionic
-antisocial
-narcissistic

Question 10

what are the cluster C personality types?

Answer 10

-WORRIED
avoidant
-dependent
-obsessive compulsive

Question 11

features of paranoid personality type

Answer 11

• irrational suspiscion and mistrust of others
• questions motives of friends and family
• blame problems on others
• do not trust others
• preoccupation with hidden meaning

Question 12

features of schizoid personality type

Answer 12

SCHIZOID=AVOID

• avoid solial interaction
• prefer to be alone
• indifference to praise/criticism

Question 13

features of schizotypal personality type

Answer 13

-odd and eccentric behaviour
-odd and eccentric beliefs
-ideas of reference
-paranoid suspicions and belief
(a weird person)

Question 14

features of borderline personality type

Answer 14

• efforts to avoid abandonment
• unstable relationships which vary between idealization and devaluation
• identity problems
• mood swings
• splitting
• hx abuse :(

Question 15

FEATURES OF ANTISOCIAL PERSONALITY

Answer 15

• often break rules/laws
• psychopath/sociopath
• disregard for feelings or rights of others
• lack empathy
• understand social cues so are manipulative

Question 16

how can you manage BPD?

Answer 16

dialectical behavioural therapy which is based on recognising triggers for mood swings/impulsivity and finding ways to deal with them

Question 17

histrionic personality type features

Answer 17

excessive emotion
attention seeking
difficulty forming long lasting relationships
sexually provocative / inappropriate

Question 18

narcissistic personality type

Answer 18

-grandiosity
need for admiration
lack of empathy
often criticize others / exploit others
full of themselves
need constant admiration

Question 19

avoidant

Answer 19

• scared of rejectoin and thus withdraw from social situations
• intense fear
• extreme sensitivity to criticism
• desire companionship

Question 20

dependent

Answer 20

• psychological need to be cared for by others
• poor self confidence
• indecisive
• fear of being alone

Question 21

obsessive compulsive personality disorder

Answer 21

rigid conformity to rules
perfectionsism
orderliness to the point of satisfaction (egosyntonic)
-exclusion of leisurely activities and friendships

Question 22

primitive defences

Answer 22

-acting out
-denial
-splitting
-

Question 23

less primitve defences

Answer 23

• RATIONALISATION
• intellextualisation
• undoing

Question 24

mature defences

Answer 24

• assertiveness
• compensation
• sublimation

Question 25

what defence mechanism is commonly used in people with BPD

Answer 25

splitting