psychiatry revision - wordpress.com. which of the following statements regarding personality...

Psychiatry revision

Q.1. Which of the following is NOT part of Schneider’s first rank symptoms• “Someone is taking my thoughts away from me”

• “Everybody is able to hear my thoughts”

• “I feel that my thoughts are being controlled by others”

• “I hear a voice telling me that I’m worthless”

• “I saw an aeroplane – that must mean that I am the president”

Q.1. Which of the following is NOT part of Schneider’s first rank symptoms• “Someone is taking my thoughts away from me” – thought

withdrawal

• “Everybody is able to hear my thoughts” – thought broadcasting

• “I feel that my thoughts are being controlled by others” – passivity phenomenon

• “I hear a voice telling me that I’m worthless” – second person auditory hallucination

• “I saw an aeroplane – that must mean that I am the president” –delusion of perception

Q.2. Which of these is a tricyclic antidepressant• Venlafaxine

• Fluvoxamine

• Zuclopenthixol

• Imipramine

• Reboxetine

Q.3. Which of these is not a SSRI

• Risperidone

• Fluoxetine

• Paroxetine

• Citalopram

• Sertraline

Q.3. Which of these is not a SSRI

• Risperidone – atypical antipsychotic

• Fluoxetine

• Paroxetine

• Citalopram

• Sertraline

Q.4. Venlafaxine is a:

• SSRI

• SNRI

• NARI

• NaSSA

• TCA

Q.5. Which of the following is a typical antipsychotic• Quetiapine

• Clozapine

• Amisulpride

• Pimozide

• Aripiprazole

Medications

SSRI SNRI TCA Typical antipsychotics

Atypical antipsychotics

Citalopram Venlafaxine Amitriptyline Chlorpromazine Amisulpride

Fluoxetine Duloxetine Clomipramine Flupentixol Aripiprazole

Fluvoxamine Imipramine Haloperidol Clozapine

Paroxetine Lofepramine Pimozide Olanzapine

Sertraline Prochlorperazine Quetiapine

Zuclopenthixol Risperidone

NARI Mirtazapine

Reboxetine Trazodone

Q.6. Can cause agranulocytosis:

Q.6. Can cause agranulocytosis:

Clozapine

Q.7. Admission for assessment – valid for 28 days• Section 136

• Section 1

• Section 2

• Section 3

• Section 4

Q.8. Emergency holding order for doctors –valid for 72 hours• Section 5(4)

• Section 4

• Section 3

• Section 2

• Section 5 (2)

Q.9. The police can use this to take a person to a place of safety from a public place• Section 135

• Section 136

• Section 5 (4)

• Section 4

• Section 3

Mental Health Act

Section 2 Assessment order – up to 28 days

Section 3 Treatment order – up to six months

Section 4 Emergency admission – up to 72 hours

Section 5 (2) Holding order for doctors – up to 72 hours

Section 5 (4) Holding order for nurses – up to 72 hours

Section 135 Police can gain entry into someone’s property to take them to a place of safety

Section 136 Police can take someone from a public place to a place of safety

Q.10. Which of the following is a positive symptom of schizophrenia• Poverty of speech

• Anhedonia

• Blunting of affect

• Auditory hallucinations

• Avolition

Q.11. The feeling that the emotions you are feeling are not your own• Affective withdrawal

• Passivity of affect

• Non-volitional affection

• Affective insertion

• Somatic passivity

Q.12. Which one of these is not an extrapyramidal side effect of antipsychotics?• Tardive dyskinesia

• Akathisia

• Limb weakness

• Parkinsonism

• Dystonia

Q.13. When thoughts are heard as they are being formulated:• Gedankenlautwerden

• Echo de la pensee

• Thought withdrawal

• Thought broadcasting

• Thought insertion

Q.14. Which of the following is not a symptom of NMS• Muscle rigidity

• Atonia

• Hyperthermia

• Altered mental status

• Autonomic instability

Q.14. Which of the following is not a symptom of NMS• Muscle rigidity

• Atonia

• Hyperthermia

• Altered mental status

• Autonomic instability

• Others: Tachycardia, tremor, diaphoresis, increased CK, metabolic acidosis

Q.15. Which one of the following statements is true?• Vascular dementia is the commonest form of dementia

• Consciousness is usually clouded in dementia

• Down’s Syndrome is not a risk factor for Alzheimer’s disease

• In Alzheimer’s disease, CT scans will always look abnormal

• Depression can mimic dementia in the elderly

Q.16. Side effects of TCA include dry mouth, blurred vision, urinary retention. What type of side effects are these?• Antihistaminergic

• Alpha noradrenergic blockade

• Anticholinergic

• 5-HT2 blockade

• Cardiotoxic

Q.17. Which of the following is false with regards to severe depression?• Psychotic symptoms may be present in 10-25%

• Characterised by intense negative feelings

• Urgent ECT treatment may be required

• Suicidal risk is low

• Self harm is common

Q.18. The tyramine reaction in MAOIs can be caused by:• Cheese

• Broccoli

• Orange juice

• Tuna

• All of the above

Q.18. The tyramine reaction in MAOIs can be caused by:• Cheese – also: liver, cured meats, alcohol, soy sauce…

• Broccoli

• Orange juice

• Tuna

• All of the above

Q.19. Which of the following is false with regards to Lithium?• U/E and thyroid function should be monitored

• Side effects include nystagmus, tremor and ataxia

• Taking lithium whilst breastfeeding is generally safe

• Target serum levels are 0.4-1.0 mmol/l

• Lithium is teratogenic

Q.19. Which of the following is false with regards to Lithium?• U/E and thyroid function should be monitored

• Side effects include nystagmus, tremor and ataxia

• Taking lithium whilst breastfeeding is generally safe

• Target serum levels are 0.4-1.0 mmol/l

• Lithium is teratogenic (particularly in first trimester)

Q.20. Which of the following should be avoided in suicidal patients?• Amitriptyline

• Sertraline

• Fluvoxamine

• Escitalopram

• Citalopram

Q.20. Which of the following should be avoided in suicidal patients?• Amitriptyline – TCA: Toxic (in overdose), Convulsions, Arrythmias

• Sertraline

• Fluvoxamine

• Escitalopram

• Citalopram

Q.21. Which of the following statements regarding OCD is false?• Compulsive acts are usually perceived as being senseless but difficult

to resist

• OCD can be treated with SSRIs

• Obsessional thoughts are recognised as coming from the self

• OCD is not the same as anankastic personality disorder

• OCD does not respond to CBT

Q.21. Which of the following statements regarding OCD is false?• Compulsive acts are usually perceived as being senseless but difficult

to resist

• OCD can be treated with SSRIs

• Obsessional thoughts are recognised as coming from the self

• OCD is not the same as anankastic personality disorder

• OCD does not respond to CBT – exposure and ritual prevention

Q.22. Which of the following statements regarding personality disorders is false?• Differentials include affective disorders, substance misuse disorders

and psychotic disorders

• Drug treatment is key in management of personality disorders

• Personality disorders tend to improve in middle to old age

• At 15 year follow-up, most patients with borderline personality disorder no longer meet the diagnostic criteria

• People with borderline personality disorder usually present to services at a time of crisis

Q.23. A highly effective antipsychotic indicated in patients who are unresponsive to or intolerant of at least 2 other antipsychotics• Risperidone

• Olanzapine

• Quetiapine

• Clozapine

• Haloperidol

Thank you and good luck in your exams!

psychiatry revision - wordpress.com. which of the following statements regarding personality...

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