Psychiatry

Question 1

World salad is…

Answer 1

Disorganised speech

Question 2

When might word salad be seen?

Answer 2

Schizophrenia

Question 3

Expressive dysphasia is

Answer 3

Broca’s aphasia

Unable to speak but know what they want to say

Question 4

Psychotic features

Answer 4

Hallucinations
Delusions
Thought disorganisation

Question 5

Causes of psychotic symptoms

Answer 5

Schizophrenia
Depression
Bipolar
Corticosteroids

Question 6

Treatment of OCD

Answer 6

CBT (including ERP)

SSRI if severe (fluoxetine)

Question 7

Associations with OCD

Answer 7

Depression (30%)
Schizophrenia (3%)
Sydenham’s chorea!

Question 8

What is ERP?

Answer 8

Psychological method where you expose the patient to an anxiety provoking situation

Question 9

Treatment of generalised anxiety disorder

Answer 9

Sertraline

Question 10

If first SSRI doesn’t work what do you try?

Answer 10

Another SSRI

Question 11

What type of drug is venlafaxine?

Answer 11

SSRI

Question 12

When can propanolol be used in anxiety?

Answer 12

To reduce autonomic syptoms (palpitations, tremor, sweating)

Question 13

Setraline + NSAID, what should you also prescribe?

Answer 13

Omeprazole to protect the stomach

Question 14

First choice SSRI in IHD

Answer 14

Sertraline

Question 15

Schizophrenia having lots of seizures after a new drug, whats the drug?

Answer 15

Clozapine

Question 16

Major RF of clozapine

Answer 16

Agranulocytosis

Question 17

Anti-psychotic with best side effect profile

Answer 17

Aripiprazole

Question 18

What should you measure during clozapine treatment?

Answer 18

Full blood count

Question 19

Recurrent self harm and history of intense interpersonal relationships

Answer 19

Borderline personality disorder

Question 20

What type of drug is phenelzine?

Answer 20

MAOi

Question 21

SSRI of choice in children and adolescents?

Answer 21

Fluoxetine

Question 22

Signs of SSRI discontintuation

Answer 22

Restlessness
Sweating
Difficulty sleeping
GI symptoms

Question 23

Treatment of acute dystonia (e.g. eyes locked looking upwards)

Answer 23

Procyclidine

Question 24

What do atypical antipsychotics (olanzapine, clozapine, risperidone) increase the risk of in the elderly?

Answer 24

Stroke and VTE

Question 25

Treatment for tardive dyskinesia

Answer 25

Tetrabenzanine

Question 26

What is tardive dyskinesia?

Answer 26

After a long period of antipsychotics can get repetitive movements e.g. jaw pouting, blinking, chewing

Question 27

What is the pathophysiology of refeeding syndrome?

Answer 27

Low glucose in starvation phase Eating releases insulin Drives down phosphate Can lead to confusion

Question 28

What is schizoid personality disorder?

Answer 28

Loner | Maybe obsessed with one thing e.g. maths equations

Question 29

What is schizotypal personality disorder

Answer 29

Socially opposed | Magical thinking