Psychiatry

Question 1

What are the extra-pyrimidial side effects?

Answer 1

parkinsonism
akathisia
tardive dyskinesia
acute dystonia

Question 2

what is the treatment for extra pyrimidial side effects?

Answer 2

procyclidine

Question 3

what is used to treat benzodiazepine overdose?

Answer 3

flumenazil

Question 4

what is CAPGRAS syndrome?

Answer 4

believing a loved one has been replaced by an identical doppleganger

Question 5

what is COTARD syndrome?

Answer 5

believing part of the body is dead or dying (in depression)

Question 6

de clerembault syndrome is

Answer 6

believing a famous person is in love with you

Question 7

Long term side effects of lithium

Answer 7

hypothyroidism

kidney damage

Question 8

signs of lithium toxicity

Answer 8

muscle wearness
oligouria
coma
hyperreflexia
ataxia

Question 9

treatment of serotonin syndrome

Answer 9

cyproheptadine

Question 10

major complication of clozapine

Answer 10

agranulocytosis

Question 11

prominent delusions, spared affect =

Answer 11

paranoid schizophrenia

Question 12

prominant affective symptoms, childish behavious and prominent thought disorder

Answer 12

hebephrenic schizophrenia

Question 13

which drug relieves alcohol withdrawal and reduces the risk of delirium tremens

Answer 13

benzodiazepines

Question 14

name an opioid blocker

Answer 14

naltrexone

Question 15

name 4 first rank symptoms of schizophrenia

Answer 15

1. hearing your thoughts spoken aloud
2. 3rd person auditory hallucinations
3. thought broadcast
4. thought withdrawal
5. delusional perception

Question 16

what is schizoaffective disorder

Answer 16

schizophrenia + mood disorder

Question 17

treatment of delirium tremens

Answer 17

chlordiazepoxide

Question 18

preferred antidepressant following MI

Answer 18

sertraline

Question 19

GP assessment of depression

Answer 19

PHQ- 9

Question 20

describe conversion disorder

Answer 20

loss of motor/sensory function, precipitated by stress

Question 21

how should lithium levels be checked after a change in dose?

Answer 21

12 hours after, then 7 days later, then 3 monthly once stable

Question 22

common side effect of clozapine

Answer 22

constipation/intestinal obstruction

Question 23

how long do symptoms have to last in PTSD?

Answer 23

1 month

Question 24

name an antipsychotic that reduces the seizure threshhold?

Answer 24

clozapine

Question 25

hyponatraemia can be caused by…

Answer 25

SSRIs

Question 26

hyperchloraemia and metabolic alkalosis suggests

Answer 26

bulimia