Exam (elaborations)
SPMM Liaison Psychiatry – Questions & Accurate Answers
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SPMM Liaison Psychiatry – Questions & Accurate Answers
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SPMM Liaison Psychiatry – Questions & AccurateAnswers
Sleep disorder more common in women Right Ans - nightmares
Sleep disorder more common in men Right Ans - REM sleep behaviour
disorder
Timeframe for transient global amnesia Right Ans - must resolve within 24
hours
Medication contraindicated in angle closure glaucoma Right Ans -
topiramate - potentially due to swelling of lens and ciliary body
Antidepressants to avoid post MI Right Ans - fluvoxamine
citalopram
escitalopram
SSRIs rather than TCAs
% of people with HF who experience clinically significant depression Right
Ans - 21.5%
2-3 times higher than general population
Mean age of onset of chronic fatigue syndrome Right Ans - 29-35 years,
average 33
female to male 3:1
Fukuda criteria for chronic fatigue Right Ans - presence of unexplained
persistent and relapsing chronic fatigue of new onset that is not alleviated by
rest, which results in significant reduction in quality of life and concurrent
occurrence of 4 or more of following 8 symptoms that must have persisted
during 6 or more consecutive months
- brain fog
- sore throat
- tender cervical or axillary nodes
- muscle pain without joint swelling
- headaches
, - unrefreshing sleep
- post-exertional malaise lasting more than 24 hours
Sleep terrors Right Ans - recurrent episodes of abrupt awakening from
sleep characterised by panicky scream, with intense fear and autonomic
arousal
Individual usually has no recall of details of event and is unresponsive to
stimuli (eg conversation) during episode
Typically occur during first 3rd of the night, during slow-wave stage 3 NREM
sleep
Autonomic hyperactivity manifested by tachycardia, tachypnoea, diaphoresis,
flushed face, dilated pupils, agitation, tremulousness and increased muscle
tone
episodes usually last 5-10 minutes
Cortical structures Right Ans - Temporal lobe, Parietal lobe, Frontal lobe,
Occipital lobe, Corpus Callosum
Subcortical structures Right Ans - brain components that control state of
arousal
Cortical dementias Right Ans - Alzheimer's and Pick's (FTD)
typically aphasia, agnosia and apraia, but patients remains alert, attentive and
ambulatory due to subcortical areas remaining untouched
Cortico-subcortical dementias Right Ans - DLB
CJD
Corticobulbar degeneration
Subcortical dementia Right Ans - Parkinson's
Huntington's disease
Vascular dementia (includ Biswanger disease)
progressive supranuclear palsy
multiple system atrophy
Wilson disease
MS
hydrocephalus
HIV associated dementia
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