Psychiatry

Question 1

What scoring system can be used to evaluate anxiety level of a patient?

Answer 1

HAD

Question 2

What first-line treatment should be offered for PTSD?

Answer 2

Referral for CBT

Question 3

Most appropriate treatment for panic disorder?

Answer 3

SSRI

Question 4

What anti-depressant would you prescribe a 74-year-old woman who has problems with low weight and maintaining weight?

Answer 4

Mirtazepine

SE: sedation and increased appetite

Question 5

What is a potential risk of fluoxetine when used in the third trimester of pregnancy?

Answer 5

Persistent pulmonary hypertension of the newborn

Question 6

Lower back pain, constipation, headaches, low mood, difficulty concentrating are all side effects of which medication?

Answer 6

Lithium

Can also cause hyperparathyroidism and resultant hypercalcemia

Question 7

Most common side effects of clomipramine?

Answer 7

Dry mouth and weight gain

Question 8

28-year old man described as ‘preferring to be alone, has never been in a relationship and identifies as asexual’, which of the following personality disorders is this man most likely to have?

Answer 8

Schizoid

Question 9

First-line management of OCD?

Answer 9

Exposure-prevention therapy

Question 10

Management of severe OCD?

Answer 10

Prescribe fluoxetine

Question 11

Treatment of acute alcohol withdrawal?

Answer 11

Oral chlordiazepoxide

Benzodiazepines

Question 12

What is the second-line treatment of GAD?

Answer 12

SNRI e.g. duloxetine

Question 13

Most appropriate drug treatment in the management of OCD?

Answer 13

SSRI or venlafaxine

Question 14

Difference between acute stress reaction and PTSD?

Answer 14

Acute stress reaction = <4 weeks

PTSD = >4 weeks

Question 15

Most likely side effect of olanzapine?

Answer 15

Weight gain

Question 16

First line treatment for GAD?

Answer 16

SSRI e.g. sertraline

Question 17

What side effect can present after taking anti-psychotics for a prolonged period of time?

Answer 17

Tardive dyskinesia

- Lip smacking, difficulty swallowing, excessive blinking

Question 18

Most important test to perform for someone on clozapine?

Answer 18

Full blood count

- Agranulocytosis

Question 19

Common endocrine disorder developing as a result of chronic lithium toxicity?

Answer 19

Hypothyroidism

Question 20

What is the thought disorder ‘word salad’?

Answer 20

Disorganised speech, sentences that do not make sense

- Associated with psychosis and mania