Exam (elaborations)
SPMM High Yield Paper B Adult Psychiatry Part 2: Q&A
- Course
- Institution
SPMM High Yield Paper B Adult Psychiatry Part 2: Q&A
[Show more]
Content preview
SPMM High Yield Paper B Adult Psychiatry Part 2: Q&AWhat is true concerning use of antidepressants in Anorexia? Right Ans -
Must not be used as sole treatment
Minimum washout period for switch from phenelzine to Fluoxetine? Right
Ans - 2 week's (5 weeks if fluoxetine to phenelzine)
45yo Male major depression, being treated with standard dose of Fluoxetine
for 3 months with only partial response. Severe insomnia most distressing
symptom. Which drug to add? Right Ans - Trazodone
34yo male taking SSRIs develops erectile dysfunction. What must you NOT
advise? Right Ans - Reassurance that tolerance will develop in due course
According to ICD 10, quasi psychotic episodes with prominent anxiety are
features of? Right Ans - Schizotypal disorder
Poor prognostic factor for anorexia Right Ans - Male gender
Patient grieving death of family member who died 8 months ago. Assessment
indicates moderate depressive symptoms. Next step? Right Ans - Prescribe
antidepressant and follow up
Px with BPAD on 500mg Valproate, 20mg Citalopram and 20mg Olanzapine.
Presents irritable, tearful and disinhibited. First step? Right Ans - Stop
Citalopram
Lifetime prevalence for schizophrenia? Right Ans - 1% (incidence 17-40
per 100,000)
35yo female went to GP after 1 month death of husband. Insomnia and tearful,
poor appetite and pining for husband. Hearing voices of husband at night time
and reports she feels his presence. Diagnosis? Right Ans - Stage two
bereavment
27yo pregnant lady with Hx of low mood and elated moods requiring
treatment but currently euthymic. Risk of relapse post-partum? Right Ans -
50%
, Px hospitalised for Tx of MDD, what is the chance for subsequent episodes of
hypomania/mania? Right Ans - 7-12%
Shizophrenia with best prognosis? Right Ans - F20.0 Paranoid
Schizophrenia
Best intervention for acute lithium toxicity with neurological symptoms?
Right Ans - Haemodialysis
Mr Y presents to ED with apathy and weight loss. Bloods show hyponatremia
and hyperkalenia. Likely diagnosis? Right Ans - Addison's disease
Head injury increases risk of which psychiatric condition? Right Ans -
Psychosis
Prominent risk factor for F20 Right Ans - First degree family member with
F20
Mr Y long standing F20, dishevelled, unwashed, flat affect, no interest in
activities and spends most day watching television. Which antipsychotic is
most appropriate? Right Ans - Olanzapine (fewer EPSE burden and FGAs
have less impact on negative sx)
Tom is a 13yo boy smoking cannabis over 6mo. Mum concerned re risk of
F20? Right Ans - 4 fold increase
What would you do for a px with OCD on Setraline 50mg with no
improvement after 2 months? Right Ans - Increase dose
Prognosis is better in developing countries for which disorder Right Ans -
F20
How long before an anticipated performance should Atenolol be taken?
Right Ans - 1 hour
34yo Male with insomnia being treated with hypnotics. Issues with frequent
awakenings, but able to fall asleep normally. Tx? Right Ans - Temazepam
(longer t1/2 compared to Z drugs)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LeCrae. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81311 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now