quesmed psych

Question 1

what medications reduce lithium clearance

Answer 1

thiazides
acei
arb

Question 2

difference between derailment and tangentiality

Answer 2

in tangentiality there is some association between the sentences

in derailment sentences are unrelated to each other

Question 3

what is knights move thinking

Answer 3

sentences are unrelated to each other

also referred to as derialment

Question 4

how is somatisation disorder diagnosed

Answer 4

multiple sx for 2 yrs or more

have been investigated and nothing is wrong but the patient is not reassured

Question 5

what antipsychotics are safe when breastfeeding

Answer 5

olanzipine
quitiapine

Question 6

naloxone moa

Answer 6

opioid antagonist

Question 7

what score on MMSE is severe

Answer 7

<9

Question 8

in what ecg change are anti cholinesterase inhibitors not appropriate

Answer 8

long qt

Question 9

how long should SSRI be continued after sx resolve

Answer 9

at least 6 months

Question 10

what type of antipsychotic and which one specifically most commonly causes high prolactin

Answer 10

risperidone

2nd gen atypical antipsychotics

Question 11

serotonin syndrome triad

Answer 11

autonomic hyperactivity (dilated pupils and diarrhoea)
mental state changes
tremor

Question 12

how are UTIs confirmed in the elderly

Answer 12

culture
dipstick is not sufficient

Question 13

what level of lithium should you immediately do dialysis

Answer 13

> 3mmol

Question 14

how long does a manic episode have to last for a diagnosis of a manic episode

Answer 14

1 week

Question 15

how long does a hypomanic episode have to last for a diagnosis of hypomaina

Answer 15

4 days

Question 16

bipolar 1 vs 2

Answer 16

1= depression and mania
2= depression and hypomania