Psychiatry

Question 1

What drug is prescribed for Extra pyramidal side effects in anti psychotic therapy?

Answer 1

Procyclidine

Question 2

SE of treatment with procyclidine?

Answer 2

Tardive dyskinesia

Question 3

Illusion

Answer 3

An instance of a wrong or misinterpreted perception of a sensory experience.

Question 4

Hallucination

Answer 4

A sensory experience that is experienced completely within a person’s mind. Appear to be real to them.

Question 5

Over-valued idea

Answer 5

A false or exaggerated and sustained belief that is maintained with much less than delusional intensity (i.e. the individual is able to acknowledge the possibility that the ideas may not be true).

Question 6

What drug can be used to alleviate alcohol withdrawal symptoms?

Answer 6

Chlordiazepoxide

Question 7

Aversive drug management of Alcohol detox maintenance?

Answer 7

Disulfiram

Question 8

What enzyme does Disulfiram target- what is the net effect?

Answer 8

Acetaldehyde dehydrogenase (ALDH)

Question 9

What condition is DBT particularly effective in treating?

Answer 9

EUPD (PD)

Question 10

For what condition would you use EDMR?

Answer 10

PTSD

Question 11

What percentage of 5-19 year olds experience MH issues?

Answer 11

12.8%

Question 12

What proportion of the UK population experience a MH issue each year?

Answer 12

1/4

Question 13

What is the % of lifetime prominent MH issues that will have arisen by the age of 14?

Answer 13

50%

Question 14

What is the % of lifetime prominent MH issues that will have arisen by the age of mid 20’s?

Answer 14

75%

Question 15

How much shorter is the life expectancy of a patient with a severe disorder?

Answer 15

10-25 years

Question 16

What is primary prevention? Give a psych example

Answer 16

Preventing an issue from occurring in the first place, 5 days to well being, time to talk day

Question 17

What is secondary prevention?

Answer 17

Intervene early/before the issue starts to resolve it

Question 18

What is tertiary prevention?

Answer 18

Ensure an ongoing issue is well managed to prevent any ongoing harm and to manage any crisis that occur

Question 19

What medication can be used to treat Serotonin syndrome?

Answer 19

Cyproheptadine

Question 20

What medications can be used to treat NMS?

Answer 20

• Lorazepam for muscle rigidity
• Dantrolene to regulate the temperature
• Bromocriptine removes the dopamine blockade

Question 21

Which SSRI can you use in treatment of bulimia nerves?

Answer 21

Fluoxetine (best at reducing carb seeking behaviour)

Question 22

Which TCA would you use when treating OCD?

Answer 22

Clomipramine

Question 23

SSRI SE:

Answer 23

Gastrointestinal disturbance (nausea, vomiting,
diarrhoea, pain) – early*
Anxiety and agitation – early*
Loss of appetite and weight loss (sometimes
weight gain)
Insomnia
Sweating
Sexual dysfunction (anorgasmia, delayed ejaculation)

Question 24

What are the CI for TCAs?

Answer 24

o	Recent MI
o	Arrythmia 
o	Severe liver disease
o	Mania 
o	PMHx of OD

Question 25

What 4 sets of SE can you get with TCAs?

Answer 25

Anticholinergic (dry eyes, constipation, urinary retention, blurred vision)
Adrenergic (post hypotension)
Histaminergic (weight gain and sleepy)
Cardiotoxic (QT prolonged, ST elevated, HB, arrythmia)

Question 26

Give an example of a RIMA

Answer 26

Moclobemide

Question 27

Contraception post birth?

Answer 27

• 21 days non needed
• Breast feeding can be effective contraception in itself- need to be properly breast feeding and have ammenorhoea
• Remember that the combined pill should not be started before six weeks after childbirth in women that are breastfeeding. The progesterone-only pill or implant can be started any time after birth
• Coil/mirena within 48 hrs of birth or over 4 weeks

Question 28

Signs and symptoms of endometritis?

Answer 28

o	Foul smelling discharge or lochia
o	Bleeding that gets heavier or does not improve with time 
o	Lower abdo or pelvic pain 
o	Fever 
o	Sepsis