psychiatry

Question 1

what is word salad

Answer 1

sentences that don’t make sense

Question 2

what is neologism

Answer 2

making up new words

Question 3

peak incidence of delirium tremens

Answer 3

72 hours

Question 4

treatment of tar dive dyskinesia

Answer 4

tetrbenazine

Question 5

what is tar dive dyskinesia

Answer 5

involuntary mouth movements - lip smacking and sticking tongue out

Question 6

treatment of akethesia

Answer 6

propranolol

Question 7

treatment of acute dystonic reaction and oliguric crisis

Answer 7

procycladine

Question 8

how long dp PTSD symptoms need to be present for

Answer 8

1 month

Question 9

antidepressant for pregnancy

Answer 9

paroxetine - but ensure risks outweigh the benefits as can lead to increased risk of congenital malformations

Question 10

interactions of SSRI

Answer 10

triptans, saids, warfarin, heparin, maois

Question 11

risk factors of schizophrenia

Answer 11

FHx!!!!
black caribbean
migration
cannbis
urban environment

Question 12

what is the definition of bulimia

Answer 12

episodes of uncontrolled overconsumption followed by purging behaviour

Question 13

purging behaviours

Answer 13

exercise, diuretics, laxatives

Question 14

how do benzodiazepines work

Answer 14

increase frequency of chloride channels

Question 15

risk factors

Answer 15

35-54years
being divorced or separated
living alone
being a lone parent

Question 16

side effects of olanzipine

Answer 16

weight gain, diabetes, hypercholesterolaemia, dyslipidaemia

Question 17

what is erotomania

Answer 17

a delusional disorder where you think famous people are in love with you without other psychotic symptoms

Question 18

side effects of clozapine

Answer 18

reduces seizure threshold and agranulocytosis

Question 19

what should be avoided with monoamine oxidase inhibitors

Answer 19

tyramine containing foods e.g. cheese, bovril, oxo, marmite

Question 20

what antidepressant causes hyponatraemia

Answer 20

ssri

Question 21

symptoms of anorexia

Answer 21

raised gs and cs
increased gh
increased glucose
increased salivary gland
increased cortisol
increased cholesterol
increased catoinaema 
reduce BMI
bradycardia
hypotension
lanugo body hair 
amenorrhoea 
hypothyroidism

Question 22

treatment of ithdrawal

Answer 22

chlordiazepoxide

Question 23

how does mitazapine work

Answer 23

noradrenergic and specific serotonergic antidepressants

Question 24

score to look for alcohol withdrawal severity

Answer 24

CIWA - clinical institute withdrawal assessment for alcohol

Question 25

screening tools for alcohol

Answer 25

CAGE | AUDIT

Question 26

what does B12 deficiency cause

Answer 26

dementia

Question 27

treatment for opiate withdraw

Answer 27

methane maintenance treatment

Question 28

medications to help stop drinking

Answer 28

disulfram - increases SE of alcohol by blocking metabolism of alcohol acamprosate - reduces cravings naltrexone - reduces the pleasure

Question 29

side effects of disulfram

Answer 29

acetaldehyde poisoning

Question 30

treatment of alcohol withdrawal

Answer 30

chlordiazepoxide

Question 31

not pharmacological methods to give up drinking

Answer 31

``` self help groups simple advice motivational interviewing cbt alcoholics anonymous ```

Question 32

examples of SNRIs

Answer 32

venlafaxine | duloxetne

Question 33

what is apathy

Answer 33

the sense of indifference and lack of interest

Question 34

what is alogia

Answer 34

lack of spontaneous speech

Question 35

what is anhedonia

Answer 35

lack of ability to gain pleasure

Question 36

what is catatonia

Answer 36

disturbance of motor function with decreased reactivity to changes in patient's environment

Question 37

side effects of haloperiodl

Answer 37

NMS EPSE raised prolactin

Question 38

physical symptoms of anxiety

Answer 38

dry mouth, difficulty swallowing, chest pain, shakiness, diarrhoea, urinary frequency, hot flushes, tense, sweating,, shaking, palo, restless, sighing

Question 39

psychological symptoms

Answer 39

irritability, intolerance, poor concentration and memory, fearful, apprehensive, continuous worrying thoughts

Question 40

what is depersonalisation

Answer 40

feeling that they are not being with ones own body or they are disconnecting or losing their mind

Question 41

what is korsakoffs syndrome

Answer 41

confabulation personality change peripheral neuropathy due to chronic alcoholism

Question 42

treatment of korsakoffs

Answer 42

pabrinex | fluids

Question 43

what is wernickes

Answer 43

opthalmoplegia - nystagmus ataxia confusion

Question 44

what is capgras syndrome

Answer 44

delusion that schizophrenic has, that people being replaced by exact double

Question 45

what is derealisation

Answer 45

feeling that the world is not real