Psychiatry

Question 1

what is cotards

Answer 1

nihilistic delusiosn

Question 2

treat depression

Answer 2

ssri/snri plus mirtazapine or augment with an antipsychotic

Question 3

triad in adhd

Answer 3

inattentive hyperactive and impulsive

Question 4

what neurotransmitters decrease in depression

Answer 4

monoamines (serotonin norad and dopaime )

Question 5

excitatory neurotransmitters

Answer 5

ach glutamate

Question 6

which neruotransmitters are affected in adhd

Answer 6

dopamine and serotonin and norepinephrine

Question 7

…. dopamine decreases

Answer 7

mesocortical negative and cognitive symptoms

Question 8

type c personality disrders

Answer 8

obsessive avoidant dependent

Question 9

visual hallucinations in

Answer 9

lewy body dementia

Question 10

affect of fear

Answer 10

anterior cingulate cortex orbitorfrontal cortex

Question 11

neurotransmitters involved in memory

Answer 11

ach and glutamate

Question 12

criteria for ptsd

Answer 12

1> intrusive symptoms (nightmares) 2> increased arousal ( eg sleep disturbance) 3> avoidant ( amnesia)

Question 13

t3 bipolar

Answer 13

hypomanic following antidepressant use

Question 14

eg of mood stabilisers

Answer 14

sodium valproate lamotrigine carbamazepine

Question 15

appetitive - what is it and what neurotransmitter

Answer 15

dopamine seeks please

Question 16

receptor for serotonin

Answer 16

5ht

Question 17

anorexia is a bmi

Answer 17

17.5

Question 18

treat specific phobia

Answer 18

exposure therapy and ssri

Question 19

treat bulimia

Answer 19

high dose ssri

Question 20

how long must the person have symptoms before a diagnosis of depression can be made

Answer 20

2 weeks

Question 21

what is psychomotor retardation?

Answer 21

slowing of thoughts and or movement

Question 22

what does alcohol inhibit and potentiate respectively@

Answer 22

inhibits nmda glutamate and potentiates inhibitory gaba a

Question 23

agitated and insomnia in bipolar

Answer 23

benzos

Question 24

what is derealisation

Answer 24

spaced out

Question 25

t2 bipolar

Answer 25

hypomania

Question 26

inhibitory neurotransmitters

Answer 26

gaba glycine

Question 27

….. dopamine increases

Answer 27

subcortical psychosis

Question 28

d2

Answer 28

decreases adenyl cyclase decreases ca channels opens k channels

Question 29

what is stupor?

Answer 29

absence of normal function (ie speech )

Question 30

long treatment of bipolar

Answer 30

LITHIUM anticonvulsant/ antipsychotic antidepressant +/- mood stabiliser

Question 31

motivation to act

Answer 31

orbitofrontal cortex

Question 32

d1

Answer 32

stimulates camp

Question 33

promote sleep and wg

Answer 33

mirtazapine

Question 34

what are the negative schizo symptoms?

Answer 34

decreased speech/ motivation/ interest blunting affect

Question 35

acute management of mania

Answer 35

atypical antipsychotic

Question 36

drug in delirium

Answer 36

haloperidol

Question 37

what is dissociation?

Answer 37

detachment from reality

Question 38

what are the positive schizo symptoms?

Answer 38

hallucinations delusions passivity thought disorder

Question 39

treat ptsd

Answer 39

emdr

Question 40

increased prox to predator shifts from the ….. to the ….

Answer 40

prefrontal cortex to the midbrain superior colliculus and periaqueductal grey

Question 41

what is not good in patients at risk of overdose and why?

Answer 41

tricyclics as its cardiotoxic

Question 42

type b personality disorders

Answer 42

antisocial histrionic borderline narcissistic

Question 43

aversive - what is it and what neurotransmitter

Answer 43

serotonin avoid threat

Question 44

high risk anorexic

Answer 44

bmi\<13 wl\>1kg per week prolongued qt hr \<40 sbp \<80 t\<34 fail squat test

Question 45

reexperiencing

Answer 45

hippocampis

Question 46

t21/2 bipolar

Answer 46

cyclothymic

Question 47

describe the 4at

Answer 47

alert amt4 (age dob place year) attention acute or fluctuating

Question 48

what helps with nightmares in ptsd?

Answer 48

prazosin (alpha blocker)

Question 49

t4 bipolar

Answer 49

hypothymic

Question 50

treat dementia

Answer 50

anticholinesterase post diagnostic support

Question 51

tyoe a personality disorders

Answer 51

schizoid schizotypical paranoid

Question 52

t1 bipolar

Answer 52

mania

Question 53

what is depersonalisation

Answer 53

body doesn't belong to you

Question 54

avoidance

Answer 54

periaqueductal grey (fight or flight)

Question 55

what integrates sensory and congnitive info

Answer 55

amygdala

Question 56

treat adhd

Answer 56

1. stimulants 2. snri - atomoxetine 3. alpha agonist - clonidine 4. anitdepressants/ psychotics

Question 57

ocd

Answer 57

obsessional and compulsive acts for 2 weeks or more