Treatment

Question 1

Name 2 psychiatric conditions where Electro Convulsive Therapy is an appropriate treatment

(1 point for each correct answer)

Answer 1

treatment resistant depression

treatment resistant mania

Catatonia

Question 2

Opiates

Name 3 different opiates

Answer 2

Morphine
Buprenorphine
Heroin
Oxycodone

Question 3

• Anticonvulsants
• Anxiolytics
• Hypnotics

The above drugs all target which neurotransmitter?

Answer 3

GABA

Question 4

Name a drug that can be given to treat schizophrenia

Answer 4

Clozapine (Atypical Antipsychotics)

Question 5

Name a drug that can be given to treat psychoses

Answer 5

Haloperidol (typical antipsychotic)

Question 6

Name a drug that can be given to treat ADHD

Answer 6

Methylphenidate

Question 7

Name a drug that can be given to treat severe depression

Answer 7

Venlafaxine

Question 8

Name a drug that can be given to treat OCD

Answer 8

Risperidone

Question 9

Drugs that can be given to treat Alzheimers

Answer 9

ACh inhibitors

Donepezil aricept
Galantamine
Rivastigmine
Memantine

Question 10

Antipsychotics work by blocking which receptor

Answer 10

D2 Dopamine receptors

Question 11

First line treatment for generalised anxiety disorder, panic disorder, social anxiety disorder and obsessive compulsive disorder

Answer 11

SSRI

Question 12

First line treatment of
Generalised Anxiety Disorder
Hint S

Answer 12

SSRI
Sertraline 50 - 200 mg
+ CBT

or accept

Venlafaxine 75 - 150 mg

Question 13

First line treatment of
OCD
(Obsessive Compulsive Disorder)

Answer 13

SSRI
Fluoxetine 20 - 60 mg
+ CBT

or accept

Paroxetine 40 - 60 mg
Sertraline 50 - 200 mg

Question 14

First line treatment of
Panic Disorder
Hint C

Answer 14

SSRI +/- BDZ
Citalopram 20 - 60 mg
+ CBT

or accept

Escitalopram 5 - 20 mg
Paroxetine 20 mg

Question 15

First line treatment of
PTSD
Hint P

Answer 15

SSRI
Paroxetine 20 - 50 mg
+ CBT

or accept

Sertraline 50 - 200 mg

Question 16

First line treatment of
Social Anxiety Disorder
Hint People

Answer 16

SSRI
Paroxetine 20 - 50 mg
+ CBT

Question 17

Name atypical antipsychotics

Answer 17

aripiprazole
risperidone
chlorpromazine
Amisulpride
clozapine
olanzapine
quetiapine

Question 18

Borderline personality disorder

Answer 18

Efforts to avoid real or imagined abandonment
Unstable interpersonal relationships which alternate between idealization and devaluation
Unstable self image
Impulsivity in potentially self damaging area (e.g. Spending, sex, substance abuse)
Recurrent suicidal behaviour
Affective instability
Chronic feelings of emptiness
Difficulty controlling temper
Quasi psychotic thoughts

Question 19

He was started on fluoxetine eight weeks ago for depression and is now requesting to stop his medication as he feels so well. How much longer will he need to stay on this SSRI to safely withdraw?

Answer 19

6 months

Question 20

You prescribe Mr Smith Lithium to take to help stabilise his type 1 bipolar disorder symptoms. He presents with polyuria and polydipsia when he come back for review. Random glucose and fasting glucose are both normal. What is the diagnosis of this lithium complication?

Answer 20

Nephrogenic diabetes insipidus