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Questions Flashcards

1
Q

What’s not a common feature of rapid SSRI discontinuation

A

Hypersomnolence

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2
Q

In stage 1 of STAR D, what percentage of depressed patients achieved remission after 14 weeks of treatment with citalopram?

A

28%

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3
Q

A patient reports seeing his hand move in front of him without his control, what is this symptom?

A

Delusion of control

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4
Q

What is not been helpful for depression treatment?

A

Multi vitamins

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5
Q

Following traumatic birth, mother of 9 month old afraid she is not a good mother and that she is doing everything wrong. What therapy?

A

Circle of security

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6
Q

Assessment of alcohol dependence with focus on late stage symptoms

A

Michigan alcoholism screening

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7
Q

What was assessed by Camberwl family interview

A

Expressed emotion

By Vaughn and Leff

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8
Q

45yo woman spends her afternoons and evenings at home drinking. She sleeps late nursing hang over and after an eye opening in morning, she spends the morning begging for or scrounging for money to buy alcohol. What stage of addiction?

A

Salience

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9
Q

Bipolar depression, mono therapy antipsychotics?

A

Olanzapine, quetiapine

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10
Q

60yo Eastern European immigrant, with isolation, delusion of being poisoned, long latency in reply, cognitive deficits and puffy face. Which organic disorder?

A

Hypothyroidism

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11
Q

42yo builder complains of irritability and sleep difficulties in context of chronic pain post injury. Which individual associated with psychological treatment of choice?

A

Jon Kabat Zinn - chronic pain and mindfulness

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12
Q

BPD, no symptom improvement with fluoxetine, which pharmacological measure best evidence based?

A

Lamotrigine titration up to 200mg as tolerated

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13
Q

77M post ECT, can’t tell where he had actual treatments

A

Anterograde amnesia

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14
Q

48M 5 episodes of depression, wanting to prevent further relapse. 3 prev courses of CBT. What’s next for psychotherapies?

A

MBCT

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15
Q

Which of these reduces with chronic dosing?

A

Carbamazepine

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16
Q

Recurrence of BPAD in postpartum period on no medication is:

A

50%

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17
Q

Which mood stabiliser worsens psoriasis

A

Lithium

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18
Q

Role of methylphenidate in ADHD and binging

A

Reduce impulsivity and reduce binging

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19
Q

A child with this disorder may go on to develop MDD as an adult

A

Disruptive mood dysregulation disorder

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20
Q

This benzodiazepine can be used in treatment of alcohol withdrawal

A

Chlordiazepoxide

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21
Q

Most immediate to address at start of DBT

A

Self destructive and most serious behaviours including SI and DSH

Then address QoL issues
Then address self esteem
Then address goals and happiness

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22
Q

Psychological treatment with evidence base in survivors of torture?

A

Narrative exposure therapy has some limited evidence

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23
Q

What does tetrabenezine do?

A

Blocks dopamine uptake by rote synaptic vesicles and dopamine storage this causing depletion of presynaptic dopamine

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24
Q

What points more to benzo withdrawal vs anxiety state

A

Sensory hypersensitivity

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25
Q

The Hare Checklist Revised assesses twenty traits except:

A

Affect instability

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26
Q

Erythema multi forme most likely related to:

A

Lamotrigine

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27
Q

Logorrhea

A

Pressured speech, talking very fast

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28
Q

What’s a pentameter structure, composed of alpha, beta and usually gamma subunits arranged to form a central core

A

GABA-a

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29
Q

Features of this disorder include ataxia, dysarthria, seizure, impairment of consciousness and extensive demyelination of corpus collosun

A

Marchiafava-Bignami disease (found predominantly in alcohol dependent individuals)

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30
Q

Ropinorole can be associated with?

A

Impulse control issues and sexual disinhibition

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31
Q

Psychodynamically, BPD patients are considered to be arrested in?

A

Kornberg’s identity diffusion
Klein’s paranoid schizoid positioning

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32
Q

Hippocampus and pyramidal cells of cerebral cortex use which neurotransmitters principally?

A

Serotonin

33
Q

According to Vaillant, what’s a good promostic factor for schizophrenia

A

Family hx of depression

34
Q

General psychopathology was published in 1913 by?

A

Karl Jaspers

35
Q

Which serotonin receptors is a ligand gated cation channel?

A

5HT3

36
Q

Methadone use is associated with which physical complication?

A

Gum hypoplasia

37
Q

Why is confidentially important in treating patients?

A

Autonomy

38
Q

What aspect of qualitative research was demonstrated by Glaser and Strauss’ work in 1960s on dying patients and health professionals?

A

Grounded theory

39
Q

Which brain area associated with poor scores on the PASAT test?

A

Frontal lobe

40
Q

Where are cannabinols CB2 receptors principally found?

A

Immune system

41
Q

Legal term for intent to do harm

A

Mens rea

42
Q

Trait most related to poor MH outcomes and mortality (big 5)

A

Low conscientiousness

43
Q

Mood stabiliser with associated tremor

A

Lithium

44
Q

Mood stabiliser with associated hair loss

A

Valproate

45
Q

10-20mg of olanzapine, what’s plasma equivalence

A

10-50 microg/L

46
Q

Immediate withdrawal symptom of meth

A

Fatigue and exhaustion

47
Q

Catatonic excitement most commonly associated with?

A

Mania

48
Q

Best evidence for assaultive and aggressive behaviour in patients with PD

A

Lithium

49
Q

If transferred directly from one opioid substitution straight to suboxone, what would happen?

A

Displace the other opioid

50
Q

Who came up with utilitarianism

A

Arrow

51
Q

Disulfram can commonly cause:

A

Halitosis

52
Q

Anxiety d/o diagnosis in any given year

A

15%

53
Q

Benzo most likely to cause severe seizures if flumezinil given

A

Alprazolam

54
Q

Patchy cell loss in globus pallidis, hippocampus and cerebral cortex on MRI scan

A

Poisoning with CO

55
Q

Patient on maintanence methadone + meth

A

Prolonged QT

56
Q

Who came up with delusional disorder, paranoid type

A

Starlin

57
Q

What genetic disorder is associated with epilepsy

A

Kleinfelters

58
Q

Antidepressant class causing most prominent gastrointestinal distress

A

Serotonin modulator

59
Q

Mirror transference

A

Part of self psychology, by Kohut

60
Q

Most associated with SCZ relapse post hospital

A

High EE

61
Q

20yo F seizures, headache and depression

A

SLE

62
Q

Mortality rate in DT

A

35%

63
Q

What’s accurate regarding panic disorder?

A

Guided eCBT is effective

64
Q

College position regarding neurosurgery

A

40-50% with OCD have a satisfactory response

65
Q

Anglepoise lamp sign, and what is this?

A

Metgehen

66
Q

What condition most associated with panic disorder

A

Mitral valve prolapse

67
Q

Father with cognitive impairment, psychosis and hyper reflexia, what is this?

A

Neuro syphillus

68
Q

Term for intent to do harm

A

Mens rea

69
Q

Cloninger model of personality, four dimensions are novelty seeking, persistence, harm avoidance and?

A

Reward dependence

70
Q

Kant’s categorical imperative - what’s the associated concept?

A

Deontology

71
Q

Most common PD in western countries

A

OCPD

72
Q

Zuclo should not be used with which antidepressant due to shared hepatic metabolism?

A

Paroxetine

73
Q

12yo boy referred with IQ 68, behavioural problems and poor learning. Next psychometric?

A

Adaptive behavioural assessment scale

74
Q

IPSRT established by?

A

Ellen Frank

75
Q

Feature that does not support good prognosis in schizophreniform disorder

A

Blunted affect

76
Q

First comprehensive multi informant epidemiological study of childhood psychopathology

A

The isle of Wight study

77
Q

Atypical depression most closely linked with what?

A

BPAD

78
Q

Negative cognitions about self, world and future

A

Cognitive triad

79
Q

Which neurotransmitter stimulates prolactin release?

A

Serotonin

Exam Questions (2 decks)

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