quiz

Question 1

6 criteria for alcohol dependance?

Answer 1

Cravings/compulsions to take
Difficulty controlling use
Primacy
Increased tolerance
Physiological withdrawal on reduction/cessation
Persistence despite harmful consequences

Question 2

What is the recommended maximum units of alcohol men and women can drink in one week?

Answer 2

14

Question 3

Which alcohol screening tests is the most accurate when screening pregnant woman?

Answer 3

TWEAK

Question 4

Which is a classic physical sign of alcohol misuse you may find on examination?

Answer 4

Asterixis

Question 5

What is Benzodiazapine used for in alchol management?

Answer 5

treatment for acute withdrawl

Question 6

what is carbamazapine for in alcohol problems?

Answer 6

anticonvulsant

also effective in treatment of alcohol withdrawal

Question 7

What is disulfarim for?

Answer 7

aversion/deterrent affect

Question 8

what is naltrexone for?

Answer 8

anti-craving

Question 9

first line for service users who typically drink over 15 units of alcohol per day, and/or who score 20 or more on the AUDIT

Answer 9

benzodiazepinese.g.chlordiazepoxide

Question 10

Which tests are annually monitered after the patient is on an established dose of clozapine

Answer 10

Weight
Blood lipids
Fasting blood glucose
Prolactin

don’t do FBC

Question 11

typical anti-psychotics- chlorpromazine, side affects?

Answer 11

Extrapyramidal side effects (EPSEs)
Weight gain
Neuroleptic malignant syndrome
Hyperprolactinaemia
Prolonged QT interval

Question 12

anti-psychotic treatment for patients who have overdosed on benzodiazepines

Answer 12

Flumazenil

Question 13

example of NMDA receptor antagonists

and its side affects which is used for dementia

Answer 13

Memantine

Dizziness, constipation, headache, hypertension

Question 14

example of Acetylcholinesterase inhibitors

and its side affects which is used for dementia

Answer 14

Rivastigmine
Donepazil

Parkinsonism, agranulocytosis
Agitation, decreased appetite , urinary incontinence

Question 15

Risperidone mode of action?

Answer 15

D2 receptor antagonist

Question 16

What is the most appropriate first line medication for the treatment of GAD?

Answer 16

Sertraline

Question 17

A patient is brought to A&E with a suspected overdose from a popular nightclub in the early hours of the morning. On examination, the patient is hyperthermic, hyperreflexic, have muscle rigidity and dilated pupils. What is the most likely substance that the patient has overdosed on?

Answer 17

ecstacy

Question 18

A patient in ED is suspected to have overdosed on TCAs. Which ECG changes would be seen?

Answer 18

long QT
Wide QRS
Tachycardia

Question 19

1st line treatment for OCD?

Answer 19

Exposure response prevention therapy

Question 20

A man presents to his GP, and during the appointment acts quite inappropriately towards the GP by trying to make sexual advancements. When you try and shut down this behavior and end the consultation, he becomes annoyed at the lack of attention. You hear from the other GPs that have known him for most of his life that this is a common occurrence, even with individuals within the community. What could be the diagnosis for this patient?

Answer 20

Histrionic personality disorder

Question 21

Which act would be used to determine if an individual had diminished responsibility due to their mental health?- in a crime

Answer 21

Criminal Justice and Licensing (Scotland) Act 2010

Question 22

Which legal document is used in Scotland when assessing if an individual has capacity?

Answer 22

Adults with Incapacity (Scotland) Act 2000

Question 23

A patient attends complaining of feeling very anxious all the time, and describes other symptoms such as tremor, palpitations and sweating profusely. What blood test should also be carried out before diagnosing GAD to exclude another important differential diagnosis

Answer 23

TFTs