Exam (elaborations)
SPMM Liaison Psychiatry Part 1: Questions/Answers
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SPMM Liaison Psychiatry Part 1: Questions/Answers
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SPMM Liaison Psychiatry Part 1: Questions/AnswersOf all reported parasomnias, which is more common in females? Right Ans
- Nightmares (2-4:1)
Kayser-Fleischer rings Right Ans - Wilson's disease
Which is preserved in apperceptive visual agnosia Right Ans - Drawing
objects
Which tremor increases during intentional movement? Right Ans -
Cerebellar tremor
76yo Male with episode of complete but reversible anterograde and
retrograde memory loss lasting 24 hours? Right Ans - Transient Global
Amnesia (TGA)
Psychotropic contraindicated in angle closure glaucoma Right Ans -
Topiramate
Best available evidence for treatment of depression post MI? Right Ans -
Sertraline (SADHART )
Risk of depression in cardiac patient with congestive heart failure compared
to gen pop? Right Ans - 3:1 (prevalence 21.5)
Mean age of onset of CFS? Right Ans - 29-35y
Ratio of prevalence of CFS in males compared to female? Right Ans - 1:3
Duration for diagnosis of neurasthenia Right Ans - >6months
Which symptom is not typical of CFS? Right Ans - Significant weight loss
Muscle tone in sleep terror disorder? Right Ans - Increased (along with
heart rate)
Subcortical Dementias (5) Right Ans - Parkinson's Disease Dementia,
Huntington's Disease, HIV-assoc Dementia, Binswanger's and Wilson's disease
, 33yo female referred by dentist with long hx of facial tingling, numbness,
nausea and TMJ pain. Pain fluctuates and is anatomically inconsistent.
Investigations negative. Diagnosis? Right Ans - Somatoform disorder
Cognitive faculty most often affected in patients with post concussion
syndrome Right Ans - Speed of processing
Dizziness, headaches, irritability, slowed mental processes following head
injury? Right Ans - Post concussion syndrome
Px had a stroke 8mo ago and now presents with apathy, amotivation and
anhedonia. MMSE 22/30 and has dysexecutive function. Diagnosis? Right
Ans - Vasicular depression
What is seen newborn if Paroxetine continued in pregnant lady? Right Ans
- Irritability (of the newborn)
TCA with best evidence for use in post stroke depression? Right Ans -
Nortriptyline
21yo female diagnosed with postnatal depression and currently receiving
antidepressants. Which observer rated test most appropriate to use to assess
her response to treatment? Right Ans - MADRS
Mechanism Modafinil Right Ans - Activated neurons containing orexins
Modafinil causes which neurochemical change? Right Ans - Release of
dopamine (stimulant)
Most common side effect of Modafinil Right Ans - Headaches
Which antidepressant has an effect in common with anti nausea medications
such as ondansetron Right Ans - Mirtazapine (blocks 5Ht3 receptors also)
30yo female with hx of BPAD has a manic relapse whilst breastfeeding her
child but it is not severe enough to warrant hospitalisation. Best medication to
treat relapse? Right Ans - Valproate
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