Psychiatry / CAMHS

Question 1

4 types of attachment

Answer 1

Secure, insecure avoidant, insecure ambivalent, disorganised

Question 2

When will autism likely present

Answer 2

From 3 years onwards

Question 3

How many key parts to autism spectrum disorder

Answer 3

3

Social interaction
Communication
Rigidity of thinking

Question 4

Is autism more common in boys or girls

Answer 4

Boys 8:1

Question 5

What is important when taking an autism history

Answer 5

Must have symptoms in a variety of environments

Question 6

2 medical condition associated with autism

Answer 6

Fragile X and PKU

?tuberous sclerosis and neurofibromatosis

Question 7

3 components of ADHD

Answer 7

Hyperactivity
Impulsivity
Attention deficit

Question 8

Treatment for ADHD (Pharma)

Answer 8

Methylphenidate (sleep issues and red growth) - 1st

Atomoxatine (takes 4/52 to work monitor LFTs)

Question 9

What type of conditioning are star charts

Answer 9

Positive reinforcement

Question 10

Anhedonia meaning

Answer 10

Loss of pleasure

Question 11

3 core symptoms of depression

Answer 11

Lack of energy
Not enjoying things that previously did
Low mood

Question 12

What age is Autism normally diagnosed by

Answer 12

3

Question 13

3 key symptoms of depression

Answer 13

Low mood
Low energy
Anhedonia

Question 14

First line anti depressant in children

Answer 14

Fluoxetine

Question 15

How long should SSRIs be continued in children once remission is achieved

Answer 15

6 months

Question 16

How to access anxiety and depression in children

Answer 16

GAD-7

MFQ (mood and feelings)

Question 17

Pharmacological management in OCD in children

Answer 17

SSRI

After CBT, referral, family education

Question 18

Key age that the features of autism become observable before

Answer 18

3 years

Question 19

3 key parts of ASD

Answer 19

Social - lack of interaction, unable to read non-verbal queues
Communication - repetitive use of words
Behaviour - greater interest in objects, repetitive movements, anxiety outside of normal routine

Question 20

Key question to ask in ADHD hx

Answer 20

Do symptoms present in different environments

Question 21

Class and name of 1st line medication in ADHD

Answer 21

Methylphenidate

CNS stimulant

Question 22

What is lanugo hair

Answer 22

Fine and soft hair across the whole body

Question 23

What is Russells sign

Answer 23

Calluses on knuckles where they have scraped across the teeth in bulimia

Question 24

Signs on examination of bulimia

Answer 24

Erosion of teeth
Swollen salivary glands
Mouth ulcers
GORD
Russells sign (calluses on knuckles)

Question 25

Metabolic picture in bulimia

Answer 25

Hypochloremia hypokalaemia alkalosis

Question 26

2 main risk factors for refeeding syndrome

Answer 26

Low BMI

Minimal intake over previous 5 days (and now eating)

Question 27

3 key electrolyte deficiencies in referring syndrome

Answer 27

Mg, k, Po4

Hypomagnesaemia
Hypokalaemia
Hypophosphataemia

Question 28

3 main types of PD

Answer 28

Anxious, odd and emotional

Question 29

Dx?

Patient has heavy reliance on others to make decisions

Answer 29

Dependant PD

Question 30

Schizoid vs schizotypical PD

Answer 30

Schizoid - lack of interest in forming relationships with others

Schizotypical - usual beliefs and thoughts as well as social difficulty

Question 31

What pharmacological treatment is recommended for PDs

Answer 31

None unless other issues co-exist such as MDD

Question 32

Medications used to treat severe tics

Answer 32

Anti-psychotics

Question 33

What is copropraxia

Answer 33

Tic that causes obscene gestures

Question 34

What is coprolalia

Answer 34

Involves saying obscene words